Korrelate der Sturzangst im Alter

2007 ◽  
Vol 14 (2) ◽  
pp. 74-86 ◽  
Author(s):  
Nadja Schott
Keyword(s):  
Ältere Menschen ◽  
Fear Of Falling ◽  
The Elderly ◽  
Timed Up And Go ◽  
Balance Confidence ◽  
Eine Hohe ◽  
Sf 36 ◽  
Körperliche Funktionsfähigkeit ◽  
Abc Scale

Zusammenfassung. Mit der vorliegenden Untersuchung wurde der Zusammenhang von Sturzangst (Survey of Activities and Fear of Falling in the Elderly: SAFE), funktionalem Gleichgewicht/Mobilität (Timed-Up-and-Go-Test, TUG; Gehgeschwindigkeit) und körperlicher Funktionsfähigkeit (SAFE Aktivitäten, Reduktionen; SF-36) bei älteren Erwachsenen untersucht. Darüber hinaus sollte die Mediatorfunktion sturzassoziierter Selbstwirksamkeit (Activities-Specific Balance Confidence (ABC) Scale) in einem Strukturgleichungsmodell an 91 Erwachsenen (17 Männer, 74 Frauen) im Alter von 60 bis 93 Jahren ohne Sturzhistorie geprüft werden. Man findet signifikant negative Pfade von der Subskala SAFE Angst auf die sturzassoziierte Selbstwirksamkeit (β = -0.931; t = -8.117, p.001), d. h. dass ältere Menschen ohne aktuelle Sturzbiographie und nur geringer Sturzangst eine hohe sturzassoziierte Selbstwirksamkeit berichten. Ebenso ist der Effekt von Sturzangst auf die körperliche Funktionsfähigkeit hochsignifikant (β = -0.432, t = -2.686, p = .007). Für die sturzassoziierte Selbstwirksamkeit liegt ein hoher Zusammenhang mit dem funktionalen Gleichgewicht/Mobilität vor (β = 0.482, t = 2.050, p = .040), jedoch nicht mit der körperlichen Funktionsfähigkeit (β = 0.118, t = 0.916, p = .359). Für den Zusammenhang zwischen Sturzangst und funktionalem Gleichgewicht/Mobilität liegt eine vollständige Mediation durch die sturzassoziierte Selbstwirksamkeit vor. Der signifikante Einfluss von funktionalen Messungen und Verhaltensdaten auf die Sturzangst verdeutlicht die Notwendigkeit von Interventionen, die auf die Stärkung der sturzassoziierten Selbstwirksamkeit fokussieren, um so zur Reduktion von Sturzangst beizutragen.

Effect of a Community-Based Argentine Tango Dance Program on Functional Balance and Confidence in Older Adults

2008 ◽  
Vol 16 (4) ◽  
pp. 435-453 ◽  
Author(s):  
Patricia McKinley ◽  
Allison Jacobson ◽  
Alain Leroux ◽  
Victoria Bednarczyk ◽  
Michel Rossignol ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Fear Of Falling ◽  
The Elderly ◽  
Epidemiologic Studies ◽  
Argentine Tango ◽  
Balance Confidence ◽  
Functional Balance ◽  
Sit To Stand ◽  
Walking Programs ◽  
Abc Scale

Tango-dancing and walking programs are compared in nondemented seniors at risk for falls. Fallers (N= 30) age 62–91 were randomly assigned to a 10-wk (40 hr, 2 hr 2×/wk) tango class or walk group. The Activities-specific Balance Confidence (ABC) scale, sit-to-stand scores, and normal and fast walk were measured pre-, post-, and 1 month postintervention. Two-way repeated-measures ANOVAs indicated a significant main effect (p< .01) for time on all measures. Group and interaction effects for ABC led to improvement only in tango because of high baseline mean for the walk group. Clinical improvements measured using Established Populations for Epidemiologic Studies of the Elderly scoring were greater for the tango group. From these preliminary results it is suggested that although both interventions are effective activities for increasing strength and walk speed, tango might result in greater improvements than walking in balance skills and in walking speed in the 10-wk intervention. The study needs to be repeated with a greater sample size to determine the effectiveness of walking on fear of falling.

scholarly journals Cross-Cultural Adaptation of Indonesian Version of Activities-Specific Balance Confidence Scale for Elderly in Surabaya

2020 ◽  
Vol 56 (4) ◽  
pp. 261
Author(s):  
Andi Nuruzzaman ◽  
Rwahita Satyawati ◽  
Sri Mardjiati Mei Wulan
Keyword(s):  
Fear Of Falling ◽  
The Elderly ◽  
Cross Cultural ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Balance Confidence ◽  
Increased Risk ◽  
Back Translation ◽  
Abc Scale

Falling is a major health problem and is also a major cause of morbidity and mortality in the elderly. The more serious consequences of falling on the elderly are the increased risk of injury and fear of falling. Activities-Specific Balance Confidence (ABC) scale is one of the assessment instruments for fear of falling. This instrument is used to assess balance confidence in various ambulation activities. The purpose of this study was to carry out the process of adaptation of the cross cultural ABC English questionnaire to ABC Indonesian. This study was a cross sectional study with participants of five elderly members of the Posyandu Lansia who were in accordance with the inclusion and exclusion criteria. The output is the correlation between the score of ABC English with ABC Indonesian and the score of ABC Indonesian with ABC English Back Translation which are tested at different times. All the question score in the ABC English questionnaire correlated with ABC Indonesian, as well as the Indonesian Language ABC correlated with ABC English back translation, have a significant correlation (r> 0.3). The conclusion of this study is that the ABC English has a close meaning with the ABC Indonesian and the ABC Indonesian has a close meaning with the ABC English back translation. The validity and reliability of the Indonesian version of ABC questionnaire is needed to obtain a valid and reliable questionnaire.

scholarly journals Cross-Cultural Adaptation of Indonesian Version of Activities-Specific Balance Confidence Scale for Elderly in Surabaya

2021 ◽  
Vol 56 (4) ◽  
pp. 261
Author(s):  
Andi Nuruzzaman ◽  
Rwahita Satyawati ◽  
Sri Mardjiati Mei Wulan
Keyword(s):  
Fear Of Falling ◽  
The Elderly ◽  
Cross Cultural ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Balance Confidence ◽  
Increased Risk ◽  
Back Translation ◽  
Abc Scale

Falling is a major health problem and is also a major cause of morbidity and mortality in the elderly. The more serious consequences of falling on the elderly are the increased risk of injury and fear of falling. Activities-Specific Balance Confidence (ABC) scale is one of the assessment instruments for fear of falling. This instrument is used to assess balance confidence in various ambulation activities. The purpose of this study was to carry out the process of adaptation of the cross cultural ABC English questionnaire to ABC Indonesian. This study was a cross sectional study with participants of five elderly members of the Posyandu Lansia who were in accordance with the inclusion and exclusion criteria. The output is the correlation between the score of ABC English with ABC Indonesian and the score of ABC Indonesian with ABC English Back Translation which are tested at different times. All the question score in the ABC English questionnaire correlated with ABC Indonesian, as well as the Indonesian Language ABC correlated with ABC English back translation, have a significant correlation (r> 0.3). The conclusion of this study is that the ABC English has a close meaning with the ABC Indonesian and the ABC Indonesian has a close meaning with the ABC English back translation. The validity and reliability of the Indonesian version of ABC questionnaire is needed to obtain a valid and reliable questionnaire.

RELATIONSHIP BETWEEN THE LEVEL OF EDUCATION AND FUNCTIONAL CAPACITY IN ACTIVE ELDERLY ADULTS

2014 ◽  
pp. 1-5
Author(s):  
M.-M. DUBUC ◽  
S. BARBAT-ARTIGAS ◽  
A.D. KARELIS ◽  
M. AUBERTIN-LEHEUDRE
Keyword(s):  
Oxygen Consumption ◽  
Functional Capacity ◽  
Maximal Oxygen Consumption ◽  
The Elderly ◽  
Knee Extensors ◽  
Elderly Adults ◽  
Timed Up And Go ◽  
Level Of Education ◽  
Sf 36 ◽  
The Relationship

Background:Both the level of education and functional capacity seems to be associated with the levelof physical activity in the elderly. However, the relationship between the level of education and functionalcapacity in active elderly adults is poorly understood. Objective:To examine the association between the level ofeducation and the functional capacity profile of active elderly adults. Design:Cross-sectional. Participants:Onehundred and four elderly men and 198 postmenauposal women (mean age: 62.7 ± 7.6 years old) were recruitedamong registered members of the YMCAs of Montreal who practiced at least one hour of structured physicalactivity per week. Participants were then divided in two groups based on their level of education (the cut-offpoint was the high-school diploma). Measurements:Body composition (DXA), muscle strength (knee extensors,handgrip), estimated maximal oxygen consumption (2-km walk test), perceived health (SF-36) and functionalcapacity (timed up and go, alternate step and one-leg stance tests) were measured. The level of education of theparticipants was assessed by questionnaire. Results:Body composition was similar between groups. We observedthat all functional capacity tests as well as the global functional capacity score were significantly higher in themost educated group compared to the least educated group (p<0.05). In addition, the most educated group hadsignificantly higher levels of knee extensors strength, estimated maximal oxygen consumption and perception ofphysical functioning. Conclusions:A higher level of education was associated with a favourable functionalcapacity profile in our cohort of active elderly adults. However, the mechanism(s) which could mediate thisassociation remain(s) unknown.

Does the Management of Visual and Audible Motion Information during an Immersive Virtual Reality Timed Up and Go Test Impact Locomotor Performance in the Elderly?

Gerontology ◽  
2021 ◽  
pp. 1-9
Author(s):  
Frédéric Muhla ◽  
Karine Duclos ◽  
Fabien Clanché ◽  
Philippe Meyer ◽  
Séverine Maïaux ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Motor Control ◽  
Optical Flow ◽  
Fear Of Falling ◽  
The Elderly ◽  
Public Health Issue ◽  
Immersive Virtual Reality ◽  
Timed Up And Go ◽  
Friedman's Test ◽  
Risk Of Falls

<b><i>Background/Aims:</i></b> Falling among the elderly is a major public health issue, especially with the advancing age of the baby boomers. The fall risk assessment tests for many lack a context that would bring them closer to everyday life. Thus, immersive virtual reality, which makes it possible to simulate everyday situations, could make it possible to strengthen the quality of the assessment of the risk of falls. However, it is necessary to understand how the use of a virtual reality device influences the motor control of elderly participants. If vestibular physiotherapists use VR to virtualize their tools, what impact would a visual simulation of movement have on motor control in a locomotor task, if this simulation were plausible? <b><i>Methods:</i></b> Sixty-two elders (70.8 ± 6.7 years old) completed a Timed Up and Go task under 3 conditions: real, virtual reality, and virtual reality with visual and sound movement information. The virtual reality task takes place in a train either stationary at a station or in uniform linear motion. The time and number of steps were recorded using video, and comparisons between conditions were made using Friedman’s test. <b><i>Results:</i></b> The results show a significant increase in the time and number of steps in “virtual reality” condition compared to the “real” condition. They do not show significant differences between the 2 virtual conditions. <b><i>Conclusion:</i></b> The use of a running virtual train to provide plausible movement is particularly distinguished from vestibular physiotherapy applications with first a fixed visual support partially obscuring the optical flow. This visual aid coupled with the attention dedicated to the task inhibits the effect of the moving environment on locomotion. However, the visual optical flow will potentially have an effect in people with fear of falling. Virtual reality shows great potential for the simulation of realistic environments for the assessment of the risk of falls and opens up avenues for the development of tests.

scholarly journals Balance in Relation to Walking Deterioration in Adults With Spastic Bilateral Cerebral Palsy

2012 ◽  
Vol 92 (2) ◽  
pp. 279-288 ◽  
Author(s):  
Arve Opheim ◽  
Reidun Jahnsen ◽  
Elisabeth Olsson ◽  
Johan Kvalvik Stanghelle
Keyword(s):  
Cerebral Palsy ◽  
Fear Of Falling ◽  
Reliability And Validity ◽  
Balance Function ◽  
Maximum Score ◽  
Balance Confidence ◽  
Postural Responses ◽  
Scale Scores ◽  
Balance Ability ◽  
Abc Scale

Background Balance function is central in walking, and impaired balance function may be related to walking deterioration in adults with spastic bilateral cerebral palsy (CP). Objectives The purposes of this study were: (1) to compare balance confidence, fear of falling, and balance ability in adults with spastic bilateral CP, with and without self-reported walking deterioration; (2) to characterize balance confidence, fear of falling, and balance ability across all participants; and (3) to examine the relationship between balance confidence and balance ability across all participants. Design A case-control design was used. Methods Sixteen adults from a 7-year follow-up study who had spastic bilateral CP and were under 40 years of age in the 2006 survey participated. Eight participants reported walking deterioration (cases), and 8 participants did not report walking deterioration (controls). Outcome variables were: the Activities-specific Balance Confidence (ABC) Scale, the Falls Efficacy Scale–International (FES-I), and the Balance Evaluation Systems Test (BESTest). Results No differences in any of the outcome variables were found between the cases and the controls. Across all participants, the ABC Scale and FES-I scores were 62% and 24 points, respectively. Reduced ABC Scale scores and increased FES-I scores were found when using escalators, walking in crowds, and walking on slippery surfaces. The BESTest subscale scores were 60% to 79% of the maximum score, but only 31% and 42% of the maximum score in postural responses and anticipatory adjustments, respectively. Balance confidence correlated positively with postural responses, sensory orientation, stability in gait, and BESTest total score. Limitations The lack of reliability and validity tests for the outcome variables in this study population and the small number of participants were limitations of the study. Conclusions Self-reported walking deterioration in this group could not be explained by differences in balance confidence, fear of falling, or balance ability. Across all participants, most balance problems seemed related to reduced postural responses and anticipatory adjustments.

Fear of Falling and Balance Ability in Older Men: The Priest Study

2013 ◽  
Vol 21 (4) ◽  
pp. 375-386 ◽  
Author(s):  
Dennis W. Klima ◽  
Roberta A. Newton ◽  
Emily A. Keshner ◽  
Adam Davey
Keyword(s):  
Fear Of Falling ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Berg Balance Scale ◽  
Community Dwelling ◽  
Assistive Device ◽  
Timed Up And Go ◽  
Age Cohorts ◽  
Balance Confidence ◽  
Balance Ability

Studies examining fear of falling among older adult men remain limited. The objectives of this study were to compare balance confidence in 2 age cohorts of older clergy and identify predictive determinants of balance confidence in a liturgical research initiative. Participants included 131 community-dwelling Roman Catholic priests age 60–97 yr living in religious communities in 10 mid-Atlantic states. Subjects completed the Activities-specific Balance Confidence Scale (ABC), Berg Balance Scale (BBS), timed up-and-go (TUG) test, and 15-item Geriatric Depression Scale (GDS). Younger priests (60–74 yr) demonstrated a significantly higher ABC score than the older cohort (75 and above yr) of priests (89.1 ± 12.6 vs.78.4 ± 13.9,p= .001). Confidence was significantly correlated with BBS (rho = .69,p< .01), TUG (r= –.58,p< .01), and GDS (r= –.39,p< .01) scores. A stepwise-regression model demonstrated that balance ability, mood, assistive-device use, and physical activity predicted 52% of the variance in balance confidence.

scholarly journals AB1319-HPR EFFECT OF SEGMENTAL STABILIZATION AND PILATES ON CHRONIC NON-SPECIFIC LOW BACK PAIN: PILOT STUDY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1949.1-1949
Author(s):  
A. Torres Cruz ◽  
P. De Oliveira Januário ◽  
I. Coelho Baptista ◽  
A. Da Rocha Rodrigues ◽  
C. H. Chagas Bernardo ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Disability ◽  
Reliability And Validity ◽  
The Elderly ◽  
Low Back ◽  
Balance Confidence ◽  
Level Of Confidence ◽  
Specific Activities ◽  
Abc Scale

Background:Low back pain is an important health condition with major socioeconomic consequences and is associated with high costs for the health system, absenteeism at work and reduced functional performance. It is one of the most relevant health problems in the elderly, with point prevalence estimates higher than other musculoskeletal conditions.Objectives:To verify the effect of segmental stabilization versus the Pilates method in the elderly with chronic low back pain.Methods:The study included 9 elderly women with chronic low back pain randomized into two groups: Segmental Stabilization Group (SG n = 5; age 65.2 ± 4.32; Body Mass Index - BMI 29.99 ± 4.65) and Pilates Group (PG n = 4; age 67.75 ± 7.13; BMI 26.49 ± 4.06). Both groups underwent 16 individual sessions of 60 minutes twice a week and avaliated before and after 8 weeks. Pain was assessed using the Visual Analogue Pain Scale; functional disability, by Oswestry’s disability index; excessive fear of movement and physical activity, using the Tampa Kinesiophobia Scale; level of confidence in the balance for specific activities, on the Activity-Specific Balance Confidence (ABC) scale and; activation of the transverse muscle of the abdomen, by the pressure biofeedback unit Stabilizer of the Chatanooga brand. The allocation and evaluations of the participants were performed by a blind examiner. The data were analyzed using the Student’s t-test with the level of significance (p≤0.05).Results:The data show significant differences in the reduction of pain intensity (p= 0.022) and functional disability (p=0.023) only in SG and improvement in kinesiophobia (p=0.007) only in PG. The level of confidence in the balance for specific activities was better in the SG when compared to the PG (p=0.059). There was no difference in the activation of the transversus abdominis in both groups.Conclusion:The results indicate that the segmental stabilization was effective to improve pain and functional disability, Pilates to improve the degree of kinesiophobia and the SG obtained a better result when compared to the PG regarding the level of confidence in the balance for specific activities. Both techniques had a great effect on improving functional capacity and on the level of confidence in the balance for specific activities. It is suggested to carry out studies with a larger number of participants and follow-up evaluation to assess the long-term effects.References:[1]Boonstra AM, Preuper HRS, Reneman MF, Posthumus JB, Stewart RE. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. IJSR 2008; 3(2):165-9.[2]Marques AP, Mendes YC, Taddei U, Pereira CAB, Assumpção A. Brazilian-Portuguese translation and cross cultural adaptation of the activities-specific balance confidence ABC) scale. Braz J Phys Ther 2013; 17(2): 170-8.[3]Siqueira FB, Teixeira-Salmela LF, Magalhães LC. Análise das propriedades psicométricas da versão brasileira da escala tampa de cinesiofobia. Acta Orto Bras 2007; 15(1): 19-24.[4]Viggato R, Alexandre NMC, Correa Filho HR. Development of a Braziliam Portuguese version of the Oswestry Disability Index: cross-cultural adaptation, reliability, and validity. Spine 2007; 32(4):481-6.Acknowledgments:Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Disclosure of Interests:None declared

scholarly journals Balance Confidence Among People With Lower-Limb Amputations

2002 ◽  
Vol 82 (9) ◽  
pp. 856-865 ◽  
Author(s):  
William C Miller ◽  
Mark Speechley ◽  
A Barry Deathe
Keyword(s):  
Lower Limb ◽  
Fear Of Falling ◽  
Social Activity ◽  
Total Sample ◽  
Community Dwelling ◽  
Balance Confidence ◽  
The Mean ◽  
Device Use ◽  
Abc Scale ◽  
Mobility Device

AbstractBackground and Purpose. Confidence in a person's balance has been shown to be an important predictor of social activity among people with lower-limb amputations. The purposes of this study were to describe confidence in balance among people with transtibial or transfemoral lower-limb amputations and to compare people whose amputations were due to vascular and nonvascular causes. Subjects and Methods. A survey of a sample of 435 community-dwelling individuals from 2 regional clinics was conducted. The sample consisted of people with unilateral transfemoral (26.7%) and transtibial (73.3%) amputations who lost their limb for vascular (53%) and nonvascular (47%) reasons. The mean age of the primarily male (71%) sample was 62.0 years (SD=15.7). Results. Mean scores, using the Activities-specific Balance Confidence (ABC) Scale, were 63.8 for the total sample, 54.1 for the subjects with amputations due to vascular reasons, and 74.7 for the subjects with amputations due to nonvascular reasons. Given a maximum possible ABC Scale score of 100, the results suggest that confidence was low. A difference between the subjects with amputations due to vascular reasons and those with amputations due to nonvascular reasons was observed over each item of the ABC Scale. Variables that were statistically related to balance confidence included age, sex, etiology, mobility device use, the need to concentrate while walking, limitations in activities of daily living, depression, and fear of falling. Discussion and Conclusion. Balance confidence scores among the study sample were low when compared with values previously reported by other researchers. Confidence was particularly low among individuals who had their amputation for vascular reasons. Balance confidence might be an important area of clinical concern.

scholarly journals Fear of falling associated with sociodemographic and lifestyle variables and clinical conditions in elderly people registered with the Family Health Strategy in Campo Grande, Mato Grosso do Sul

2016 ◽  
Vol 19 (3) ◽  
pp. 441-452 ◽  
Author(s):  
Karina Ayumi Martins Utida ◽  
Mariana Bogoni Budib ◽  
Adriane Pires Batiston
Keyword(s):  
Linear Correlation ◽  
Fear Of Falling ◽  
Family Health ◽  
The Elderly ◽  
Elderly Persons ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Mato Grosso ◽  
History Of ◽  
Mato Grosso Do Sul

Abstract Objective: To investigate the prevalence of fear of falling among the elderly and its association with sociodemographic and lifestyle variables, morbidities, balance, mobility and a history of falls (HF). Method: A cross-sectional study was performed in nine family health units in the southern district of Campo Grande, Mato Grosso do Sul. An interview was conducted to obtain data relating to the sociodemographic and clinical variables and the history of falls. The Falls Efficacy Scale-International-Brazil (FES-I-Brazil) and the Timed Up and Go (TUG) test were also applied. Statistical analysis was performed using the Pearson linear correlation test (FES-I-Brazil related to TUG score), the Student's t-test (FES-I-Brazil related to lifestyle, comorbidities and HF) and ANOVA one way, followed by Tukey post-hoc (FES-I-Brazil related to HF and TUG score). Results: Two hundred and one elderly persons with an average age of 70.85 (±7.72) years were included. On the FES-I-Brazil scale, the overall score was 28.80 (±0.82) points. The average TUG time was 12.00 (±0.57) seconds. There was a significant positive linear correlation between the FES-I-Brazil score and the TUG time (p<0.001) and the variables of gender (p=0.008), hypertension (p=0.002), FH (p=0.005) and frequency of falls (p=0.011). Conclusion: There is a high frequency of fear of falling among the studied population, as the majority reported fear of falling in at least one of the sixteen FES-I-Brazil tasks. Such fear was significantly associated with hypertension, diabetes mellitus, history of falls, perception of always suffering falls and low scores for mobility and balance.

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