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The Association Between Fall History and Physical Performance Tests in the Community-Dwelling Elderly: A Cross-Sectional Analysis

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키워드

주제분류재활의학

초록

Objective To evaluate the association between baseline characteristics, three physical performance tests and fall history in a sample of the elderly from Korean population.Methods A total of 307 participants (mean age, 76.70±4.85 years) were categorized into one of two groups, i.e., fallers and non-fallers. Fifty-two participants who had reported falling unexpectedly at least once in the previous 12 months were assigned to the fallers group. Physical performance tests included Short Physical Performance Battery (SPPB), Berg Balance Scale (BBS), Timed Up and Go test. The differences between the two study groups were compared and we analyzed the correlations between fall histories and physical performance tests.Results SPPB demonstrated a significant association with fall history. Although the BBS total scores did not show statistical significance, two dynamic balance test items of BBS (B12 and B13) showed a significant association among fallers.Conclusion This study suggests that SPPB and two dynamic balance test items of the BBS can be used in screening for risk of falls in an ambulatory elderly population.

Abstract

Objective To evaluate the association between baseline characteristics, three physical performance tests and fall history in a sample of the elderly from Korean population.Methods A total of 307 participants (mean age, 76.70±4.85 years) were categorized into one of two groups, i.e., fallers and non-fallers. Fifty-two participants who had reported falling unexpectedly at least once in the previous 12 months were assigned to the fallers group. Physical performance tests included Short Physical Performance Battery (SPPB), Berg Balance Scale (BBS), Timed Up and Go test. The differences between the two study groups were compared and we analyzed the correlations between fall histories and physical performance tests.Results SPPB demonstrated a significant association with fall history. Although the BBS total scores did not show statistical significance, two dynamic balance test items of BBS (B12 and B13) showed a significant association among fallers.Conclusion This study suggests that SPPB and two dynamic balance test items of the BBS can be used in screening for risk of falls in an ambulatory elderly population.

참고문헌 (40)

  1. Berg WP, "Circumstances and consequences of falls in independent community-dwelling older adults", Age Ageing, 26, pp.261~268 (1997)
  2. Tinetti ME, "Risk factors for falls among elderly persons living in the community", N Engl J Med, 319, pp.1701~1707 (1988)
  3. Cesari M, "Prevalence and risk factors for falls in an older community-dwelling population", J Gerontol A Biol Sci Med Sci, 57, pp.722~726 (2002)
  4. Onder G, "Change in physical performance over time in older women: the Women’s Health and Aging Study", J Gerontol A Biol Sci Med Sci, 57, pp.M289~293 (2002)
  5. Lord SR, "A physiological profile approach to falls risk assessment and prevention", Phys Ther, 83, pp.237~252 (2003)
  6. Kannus P, "Preventing osteoporosis, falls, and fractures among elderly people: promotion of lifelong physical activity is essential", BMJ, 318, pp.205~206 (1999)
  7. Thiem U, "Falls and EQ-5D rated quality of life in community-dwelling seniors with concurrent chronic diseases: a cross-sectional study", Health Qual Life Outcomes, 12, pp.2~ (2014)
  8. Gillespie LD, "Interventions for preventing falls in older people living in the community", Cochrane Database Syst Rev, (9), pp.CD007146~ (2012)
  9. Salgado R, "Factors associated with falling in elderly hospital patients", Gerontology, 40, pp.325~331 (1994)
  10. Gunter KB, "Functional mobility discriminates nonfallers from onetime and frequent fallers", J Gerontol A Biol Sci Med Sci, 55, pp.M672~676 (2000)
  11. Podsiadlo D, "The timed “Up & Go”: a test of basic functional mobility for frail elderly persons", J Am Geriatr Soc, 39, pp.142~148 (1991)
  12. Shumway-Cook A, "Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test", Phys Ther, 80, pp.896~903 (2000)
  13. Guralnik JM, "Validation and use of performance measures of functioning in a non-disabled older population:MacArthur studies of successful aging", Aging (Milano), 6, pp.410~419 (1994)
  14. Ostir GV, "Reliability and sensitivity to change assessed for a summary measure of lower body function: results from the Women’s Health and Aging Study", J Clin Epidemiol, 55, pp.916~921 (2002)
  15. Perera S, "Meaningful change and responsiveness in common physical performance measures in older adults", J Am Geriatr Soc, 54, pp.743~749 (2006)
  16. Quadri P, "Lower limb function as predictor of falls and loss of mobility with social repercussions one year after discharge among elderly inpatients", Aging Clin Exp Res, 17, pp.82~89 (2005)
  17. Bogle Thorbahn LD, "Use of the Berg Balance Test to predict falls in elderly persons", Phys Ther, 76, pp.576~585 (1996)
  18. Vellas BJ, "A twoyear longitudinal study of falls in 482 communitydwelling elderly adults", J Gerontol A Biol Sci Med Sci, 53, pp.M264~274 (1998)
  19. Kannus P, "Prevention of falls and consequent injuries in elderly people", Lancet, 366, pp.1885~1893 (2005)
  20. Nevitt MC, "Risk factors for recurrent nonsyncopal falls: a prospective study", JAMA, 261, pp.2663~2668 (1989)
  21. Singh DK, "Association between physiological falls risk and physical performance tests among community-dwelling older adults", Clin Interv Aging, 10, pp.1319~1326 (2015)
  22. Thrane G, "The association between timed up and go test and history of falls:the Tromso study", BMC Geriatr, 7, pp.1~ (2007)
  23. Berg KO, "Measuring balance in the elderly: validation of an instrument", Can J Public Health, 83(Suppl 2), pp.S7~11 (1992)
  24. Muir SW, "Use of the Berg Balance Scale for predicting multiple falls in community-dwelling elderly people: a prospective study", Phys Ther, 88, pp.449~459 (2008)
  25. Harris JE, "Relationship of balance and mobility to fall incidence in people with chronic stroke", Phys Ther, 85, pp.150~158 (2005)
  26. Kornetti DL, "Rating scale analysis of the Berg Balance Scale", Arch Phys Med Rehabil, 85, pp.1128~1135 (2004)
  27. Chiu AY, "A comparison of four functional tests in discriminating fallers from nonfallers in older people", Disabil Rehabil, 25, pp.45~50 (2003)
  28. O’Loughlin JL, "Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly", Am J Epidemiol, 137, pp.342~354 (1993)
  29. Campbell AJ, "Risk factors for falls in a community-based prospective study of people 70 years and older", J Gerontol, 44, pp.M112~117 (1989)
  30. Lord SR, "Physiological factors associated with falls in older communitydwelling women", J Am Geriatr Soc, 42, pp.1110~1117 (1994)
  31. Fjeldstad C, "The influence of obesity on falls and quality of life", Dyn Med, 7, pp.4~ (2008)
  32. Himes CL, "Effect of obesity on falls, injury, and disability", J Am Geriatr Soc, 60, pp.124~129 (2012)
  33. Rosenblatt NJ, "Relationship between obesity and falls by middle-aged and older women", Arch Phys Med Rehabil, 93, pp.718~722 (2012)
  34. Lin CH, "Associated factors for falls among the community-dwelling older people assessed by annual geriatric health examinations", PLoS One, 6, pp.e18976~ (2011)
  35. Swanenburg J, "Falls prediction in elderly people: a 1-year prospective study", Gait Posture, 31, pp.317~321 (2010)
  36. Chu LW, "Incidence and predictors of falls in the Chinese elderly", Ann Acad Med Singapore, 34, pp.60~72 (2005)
  37. Burgess KE, "Tendon structural and mechanical properties do not differ between genders in a healthy community-dwelling elderly population", J Orthop Res, 27, pp.820~825 (2009)
  38. Pereira CL, "Men older than 50 yrs are more likely to fall than women under similar conditions of health, body composition, and balance", Am J Phys Med Rehabil, 92, pp.1095~1103 (2013)
  39. Chodzko-Zajko WJ, "Exercise and physical activity for older adults", Med Sci Sports Exerc, 41, pp.1510~1530 (2009)
  40. Aoyama M, "Physical and functional factors in activities of daily living that predict falls in community-dwelling older women", Geriatr Gerontol Int, 11, pp.348~357 (2011)

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