Jung Hyun Park1, Hyungpil Cho, Joon-Ho Shin, Taikon Kim, Si-Bog Park, Bo-Youl Choi, Mi Jung Kim. 1. From the Department of Rehabilitation Medicine and Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, South Korea (JHP); and Department of Rehabilitation Medicine (HC, J-HS, TK, S-BP, MJK) and Department of Preventive Medicine (B-YC), Hanyang University College of Medicine, Seoul, South Korea.
Abstract
OBJECTIVE: The aim of this study was to evaluate the relationship between the fear of falling, physical performance, and physical characteristics in an elderly population. DESIGN: This study is a cross-sectional study with 883 community dwellers 60 yrs or older from a rural area. They completed surveys and evaluations including demographics, the Korean version of the Falls Efficacy Scale-International, the Short Physical Performance Battery, the timed up and go (TUG) test, grip strength, and bone mineral density. RESULTS: The subjects who had experienced a fall showed lower physical performance than those who had not experienced a fall. Regardless of a previous experience of a fall, the score on the Korean version of the Falls Efficacy Scale-International had a positive correlation with TUG time and negative correlations with the score on the Short Physical Performance Battery, grip strength, and bone mineral density. Compared with the group without the fear of falling, the group with the fear of falling showed a lower score on the Short Physical Performance Battery, longer TUG time, weaker grip strength, and lower bone mineral density. The subjects with osteoporosis showed significantly higher scores on the Korean version of the Falls Efficacy Scale-International. CONCLUSIONS: The experience of falls had a significant relationship with the fear of falling and physical performance, and greater fear of falling was related to poorer physical performance, independent of the experience of falls. This result implies that more attention should be paid to seniors with the fear of falling and the experience of falls, and screening and consequent intervention for fall prevention should be warranted in this population. For this purpose, the TUG test may be recommended as a screening tool because TUG time reflects the fear of falling and the experience of falls as well as physical performance.
OBJECTIVE: The aim of this study was to evaluate the relationship between the fear of falling, physical performance, and physical characteristics in an elderly population. DESIGN: This study is a cross-sectional study with 883 community dwellers 60 yrs or older from a rural area. They completed surveys and evaluations including demographics, the Korean version of the Falls Efficacy Scale-International, the Short Physical Performance Battery, the timed up and go (TUG) test, grip strength, and bone mineral density. RESULTS: The subjects who had experienced a fall showed lower physical performance than those who had not experienced a fall. Regardless of a previous experience of a fall, the score on the Korean version of the Falls Efficacy Scale-International had a positive correlation with TUG time and negative correlations with the score on the Short Physical Performance Battery, grip strength, and bone mineral density. Compared with the group without the fear of falling, the group with the fear of falling showed a lower score on the Short Physical Performance Battery, longer TUG time, weaker grip strength, and lower bone mineral density. The subjects with osteoporosis showed significantly higher scores on the Korean version of the Falls Efficacy Scale-International. CONCLUSIONS: The experience of falls had a significant relationship with the fear of falling and physical performance, and greater fear of falling was related to poorer physical performance, independent of the experience of falls. This result implies that more attention should be paid to seniors with the fear of falling and the experience of falls, and screening and consequent intervention for fall prevention should be warranted in this population. For this purpose, the TUG test may be recommended as a screening tool because TUG time reflects the fear of falling and the experience of falls as well as physical performance.
Authors: Allison M Gustavson; Jason R Falvey; Jeri E Forster; Jennifer E Stevens-Lapsley Journal: J Geriatr Phys Ther Date: 2019 Jul/Sep Impact factor: 3.381
Authors: A Trombetti; K F Reid; M Hars; F R Herrmann; E Pasha; E M Phillips; R A Fielding Journal: Osteoporos Int Date: 2015-07-21 Impact factor: 4.507
Authors: Katharina Scholz; Johanna Geritz; Jennifer Kudelka; Marten Rogalski; Katharina Niemann; Corina Maetzler; Julius Welzel; Michael Drey; Tino Prell; Walter Maetzler Journal: Front Med (Lausanne) Date: 2022-06-21
Authors: Sinikka Lotvonen; Helvi Kyngäs; Pentti Koistinen; Risto Bloigu; Satu Elo Journal: Int J Environ Res Public Health Date: 2018-06-25 Impact factor: 3.390
Authors: Zbigniew Marcin Ossowski; Wojciech Skrobot; Piotr Aschenbrenner; Vida Janina Cesnaitiene; Mirosław Smaruj Journal: Clin Interv Aging Date: 2016-11-30 Impact factor: 4.458