Fall Risk Profile and Quality-of-Life Status of Older Chiropractic Patients

2011 ◽  
Vol 34 (2) ◽  
pp. 78-87 ◽  
Author(s):  
Kelly R. Holt ◽  
Paul L. Noone ◽  
Krystal Short ◽  
C. Raina Elley ◽  
Heidi Haavik
Keyword(s):  
Quality Of Life ◽  
Fall Risk ◽  
Risk Profile

scholarly journals Fear of Falling, Recurrence of Falls, and Quality of Life in Patients with a Low Energy Fracture—Part II of an Observational Study

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 584
Author(s):  
Puck C. R. van der Vet ◽  
Jip Q. Kusen ◽  
Manuela Rohner-Spengler ◽  
Björn-Christian Link ◽  
Roderick M. Houwert ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Fall Risk ◽  
Fear Of Falling ◽  
Low Energy ◽  
Activity Levels ◽  
Activity Restriction ◽  
One Year ◽  
Falls In Elderly

Background and objective: Falls in elderly cause injury, mortality, and loss of independence, making Fear of Falling (FoF) a common health problem. FoF relates to activity restriction and increased fall risk. A voluntary intervention including fall risk assessment and prevention strategies was implemented to reduce falls in elderly patients with low energy fractures (LEF). The primary purpose of this study was to evaluate FoF and the number of subsequent falls in trauma patients one year after a LEF. The secondary aim was to examine how FoF affects patients’ lives in terms of Quality of Life (QoL), mobility, and activity levels. Finally, participation in the voluntary fall prevention program (FPP) was evaluated. Materials and Methods: Observational cohort study in one Swiss trauma center. LEF patients, treated between 2012 and 2015, were analyzed one year after injury. Primary outcomes were Falls-Efficacy Score-International (FES-I) and number of subsequent falls. Secondary outcomes were EuroQoL-5-Dimensions-3-Levels (EQ5D-3L), mobility, activity levels, and participation in the FPP. Subgroup analysis was performed for different age categories. Results: 411 patients were included for analysis. Mean age was 72 ± 9.3, mean FES-I was 21.1 ± 7.7. Forty percent experienced FoF. A significant negative correlation between FoF and QoL (R = 0.64; p < 0.001) was found. High FoF correlated with lower activity levels (R= −0.288; p < 0.001). Six percent visited the FPP. Conclusions: At follow-up, 40% suffered from FoF which seems to negatively affect patients’ QoL. Nevertheless, participation in the FPP was low. Simply informing patients about their susceptibility to falls and recommending participation in FPPs seems insufficient to motivate and recruit patients into FPPs. We suggest implementing repeated fall risk- and FoF screenings as standard procedures in the follow-up of LEF, especially in patients aged over 75 years.

Role Wii Fit exer-games in improving balance confidence and quality of life in elderly population

2021 ◽  
Vol 71 (9) ◽  
pp. 1-10
Author(s):  
Kiran Khushnood ◽  
Shafaq Altaf ◽  
Nasir Sultan ◽  
Malik Muhammad Ali Awan ◽  
Riafat Mehmood ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Fall Risk ◽  
Elderly Population ◽  
Balance Training ◽  
Control Group ◽  
Balance Confidence ◽  
Wii Fit ◽  
And Control ◽  
Experimental Group

Objective: To determine the effects of Wii Fit exer-gaming on balance confidence, quality of life and fall risk in elderly population Methods: A double blinded randomized control was conducted at Kulsum International Hospital, Islamabad from July 31st to October 30th, 2018. Following screening, 90 subjects fulfilled inclusion criteria and gave consent to be part of trial. Subjects were randomly allocated into experimental and control group by concealed envelope method. After baseline assessment, experimental group received Wii fit gaming while controls received balance training for 30 minutes twice a week for 8 weeks. Activities balance confidence (ABC), Euro 5Q5L, timed up and go (TUG) and Fukuda were used as outcome measures. Data was analysed by SPSS 21. Results: ABC improved in experimental group from 76.47±3.69 to 86.53±3.99, and in control group from 77.51±3.01 to 82.70±2.78 with significance < 0.001. The components of Euro 5Q5L; mobility, self-care, usual activities, pain/discomfort, anxiety/depression have changed with intergroup significance of 0.05, 0.006, 0.595, <0.001, 0.001 respectively. TUG and Fukuda improved in experimental and control group as 15.73±2.30 to 12.02±1.40 and 16.24±1.75 to 13.68±1.58 with significance <0.001, and from 41.78±6.to 71 to 30.09±8.05 and 43.36±5.59 to 38.68±5.75 with significance <0.001 respectively. Conclusion: Wii fit improves balance confidence and quality of life reducing fall risk in elderly. Clinical Trial Number: IRCT20180417039344N1 Keywords: Balance training, Elderly, Exer-gaming, Quality of life, Wii fit Continuous...

scholarly journals Physical performance reflects cognitive function, fall risk, and quality of life in community-dwelling older people

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Shota Ikegami ◽  
Jun Takahashi ◽  
Masashi Uehara ◽  
Ryosuke Tokida ◽  
Hikaru Nishimura ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Function ◽  
Older People ◽  
Physical Performance ◽  
Fall Risk ◽  
Community Dwelling ◽  
Community Dwelling Older People

scholarly journals Associations between obesity and overweight and fall risk, health status and quality of life in older people

2014 ◽  
Vol 38 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Rebecca J. Mitchell ◽  
Stephen R. Lord ◽  
Lara A. Harvey ◽  
Jacqueline C.T. Close
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Older People ◽  
Fall Risk ◽  
Obesity And Overweight

scholarly journals SIX MONTHS OF FOCUSED EXERCISE IN GEROFIT LEADS TO REDUCED FALL RISK THROUGH IMPROVED BALANCE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S35-S35
Author(s):  
Arti S Tayade ◽  
Jody R Colglazier ◽  
Alan D Wesley ◽  
Paul J Froehlich ◽  
Elizabeth C Hersch ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Case Studies ◽  
Joint Pain ◽  
Fall Risk ◽  
Exercise Program ◽  
Assistive Devices ◽  
Chronic Ptsd

Abstract Many older Veterans are physically debilitated, with a reduced quality of life (QOL.) Use of assistive devices during ambulation is indicative of fall risk. We describe two case studies following six-months of participation in Gerofit, a structured exercise program. Ms. M., a 75 y/o Veteran with chronic PTSD and joint pain could walk 237 yards in six-minutes using a cane. Mr. D., an 86 y/o Veteran, came to Gerofit using a Front Wheeled Walker and could walk 307 yards in 6-minutes. After six-months of Gerofit, neither Veteran used assistive devices during testing, and both reported higher QOL. Ms. M. now walks 514 yards in six minutes, while Mr. D. can walk 375 yards in six minutes. Both Veterans exhibit improved balance and endurance. They tell us: “Gerofit gave me my life back!” and “Gerofit gets me out of the house and off the couch.”

scholarly journals Balloon Pulmonary Angioplasty in Patients with Chronic Thromboembolic Pulmonary Hypertension: Impact on Clinical and Hemodynamic Parameters, Quality of Life and Risk Profile

2020 ◽  
Vol 9 (11) ◽  
pp. 3608
Author(s):  
Pavel Jansa ◽  
Samuel Heller ◽  
Michal Svoboda ◽  
Michal Pad’our ◽  
David Ambrož ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pulmonary Hypertension ◽  
Real Life ◽  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Heart Association ◽  
Risk Profile ◽  
Functional Class ◽  
Balloon Pulmonary Angioplasty ◽  
Thromboembolic Pulmonary Hypertension

Balloon pulmonary angioplasty (BPA) is a novel treatment option for patients with chronic thromboembolic pulmonary hypertension (CTEPH) who are not eligible for pulmonary endarterectomy (PEA) or suffer from persistent pulmonary hypertension after PEA. The aim of this study was to evaluate the real-life efficacy and safety of BPA in a consecutive group of patients who were diagnosed and treated in the national referral center for CTEPH in the Czech Republic. Here we report data from 160 BPA procedures performed in 64 patients. Efficacy analysis was performed in the subgroup of 25 patients who completed BPA series. Significant improvements were observed in New York Heart Association functional class (4% to 79% in I/II, p < 0.001), 6 min walking test distance (+54.3 m, p < 0.001), risk profile (15.8% to 68.5% with presence of 2/3 low risk criteria, p < 0.001), pulmonary artery mean pressure (−18%, p < 0.001), pulmonary vascular resistance (−32%, p < 0.001), stroke volume (+17%, p = 0.011) and quality of life (+37% in assessment of overall health status by a patient, p < 0.001). We observed 1 fatal periprocedural complication (1.6% of all 64 patients) and 19 BPA-related non-fatal complications (11.9% of all 160 interventions) that predominantly included hemoptysis (10.0% of all sessions). Overall survival at 12 months was 94.6%.

scholarly journals Favorable Cardiovascular Risk Profile in Middle Age and Health-Related Quality of Life in Older Age

2003 ◽  
Vol 163 (20) ◽  
pp. 2460 ◽  
Author(s):  
Martha L. Daviglus ◽  
Kiang Liu ◽  
Amber Pirzada ◽  
Lijing L. Yan ◽  
Daniel B. Garside ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Risk ◽  
Middle Age ◽  
Risk Profile ◽  
Older Age ◽  
Cardiovascular Risk Profile ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Health-related quality of life in relation to mobility and fall risk in 85-year-old people: a population study in Sweden

2015 ◽  
Vol 36 (9) ◽  
pp. 1982-1997 ◽  
Author(s):  
EVA TÖRNVALL ◽  
JAN MARCUSSON ◽  
EWA WRESSLE
Keyword(s):  
Quality Of Life ◽  
Body Mass Index ◽  
Fall Risk ◽  
Health Related Quality ◽  
Risk Of Falling ◽  
Old People ◽  
Related Quality ◽  
Health Related ◽  
Lower Hrqol

ABSTRACTOptimal mobility is fundamental for healthy ageing and quality of life. This study is part of a cross-sectional population-based study of 85-year-old people residing in Linköping municipality, Sweden. The purpose was to describe 85-year-old peoples' health-related quality of life (HRQoL) in relation to mobility and fall risk while adjusting for gender and body mass index. Data collection included a postal questionnaire, a home visit and a reception visit. HRQoL was assessed with EQ-5D-3L, mobility with the Timed Up and Go test (TUG) and fall risk with the Downton Fall Risk Index (DFRI). All those who completed the DFRI, TUG and EQ-5D-3L were included in the present study (N = 327). Lower HRQoL was associated with longer time taken to complete TUG and higher fall risk in both genders but not with body mass index. Women had higher risk of falling, took a longer time to complete TUG and reported less physical activity compared with men. Health-care professionals should address mobility capacity and fall risk in order to maintain quality of life in elderly people. This is of utmost importance, especially for elderly women because impaired mobility, high risk of falling and occurrence of pain are common among women, and related to lower HRQoL.

The benefits of betahistine or vestibular rehabilitation (Tetrax biofeedback) on the quality of life and fall risk in patients with Ménière's disease

2020 ◽  
pp. 1-4
Author(s):  
J L Liu ◽  
J G Liu ◽  
X B Chen ◽  
Y H Liu
Keyword(s):  
Quality Of Life ◽  
Fall Risk ◽  
Vestibular Rehabilitation ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Ménière's Disease

Abstract Objective This study aimed to evaluate the benefits of betahistine or vestibular rehabilitation (Tetrax biofeedback) on the quality of life and fall risk in patients with Ménière's disease. Methods Sixty-six patients with Ménière's disease were randomly divided into three groups: betahistine, Tetrax and control groups. Patients’ Dizziness Handicap Index and Tetrax fall index scores were obtained before and after treatment. Results Patients in the betahistine and Tetrax groups showed significant improvements in Dizziness Handicap Index and fall index scores after treatment versus before treatment (p < 0.05). The improvements in the Tetrax group were significantly greater than those in the betahistine group (p < 0.05). Conclusions Betahistine and vestibular rehabilitation (Tetrax biofeedback) improve the quality of life and reduce the risk of falling in patients with Ménière's disease. Vestibular rehabilitation (Tetrax biofeedback) is an effective management method for Ménière's disease.

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