scholarly journals Fear of Falling and Cognitive Impairments in Elderly People with Hip Fractures

2017 ◽  
Vol 7 (3) ◽  
pp. 386-394 ◽  
Author(s):  
Mari Kasai ◽  
Kenichi Meguro ◽  
Hiroshi Ozawa ◽  
Keiichi Kumai ◽  
Hideki Imaizumi ◽  
...  
Keyword(s):  
Hip Fractures ◽  
Daily Living ◽  
Fear Of Falling ◽  
Cognitive Impairments ◽  
Functional Independence ◽  
Covariate Effects ◽  
Physical Functions ◽  
And Gender ◽  
The Relationship ◽  
Prevalence Of Dementia

Background/Aim: The purpose of this study was to investigate the estimated prevalence of dementia and the relationship between cognitive impairment and fear of falling in patients with hip fractures. Methods: Analysis 1 included 100 patients with hip fractures. Analysis 2 included a subgroup of subjects with ≥75 years of functional independence: 46 patients with hip fractures and 46 control subjects without hip fractures, and presence or absence of dementia. We used an informant-rated questionnaire including the AD8 for screening for dementia, the Barthel Index for assessing activities of daily living, and the Short Falls Efficacy Scale-International (FES-I) for assessing fear of falling. Results: The estimated prevalence of dementia was 66% in patients with hip fractures. There were significant fracture and dementia effects, with significant covariate effects of age and gender on the Short FES-I scores. Conclusion: Our results suggested that more than two-thirds of patients with hip fractures had dementia. Fear of falling may reflect not only physical functions but also cognitive impairments.

The relationship between activities of daily living,falls and fear of falling in older adults : A crosssectional study

2021 ◽  
Vol 20 (2) ◽  
pp. 420-425
Author(s):  
Hamed Mortazavi ◽  
Mahbubeh Tabatabaeichehr ◽  
Masoumeh Taherpour ◽  
Mohadece Masoumi
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Social Life ◽  
Daily Living ◽  
Fear Of Falling ◽  
Medical Science ◽  
The Elderly ◽  
Cluster Sampling ◽  
Elderly Persons ◽  
The Relationship

Objective : Doingactivities of daily living can bring independence for the elderly. It can also maintain their health and social participation. However, experience of falls and fear of falling can affect the health and personal social life of the elderly. The aim of this study was to evaluate the relationship between falls and fear of falling with activities of daily living in older adults. Materials and methods : Four hundred and fifty elderly persons were enrolled in this cross-sectional study using cluster sampling. Demographic variables, Fall Efficacy Scale- International (FES-I) and questionnaires related to the study of activities of daily living were employed. To investigate advanced activities of daily living, open-ended questions were used. The history of falls within the last 12 months was investigated. Results : Mean score of basic activities of daily living in the elderly being studied was 15.49±1.74, and 95.4% of them were independent in doing these activities.Mean score of instrumental activities of daily living was 11.30±3.36, and 71.5% of them were independent in doing these activities. Participation of elderly persons in social activities was reported to be 77.9%. There was a significant relationship between activities of daily living (basic, instrumental, and advanced) and falls and fear of falling (p<0.05). Conclusion : Falls and fear of falling reduce the independence of elderly persons in doing activities of daily living. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.420-425

Somatosensory Impairments, Falls History and Fear of Falling in Glaucoma - A Survey Study Approach

2021 ◽  
Vol 65 (1) ◽  
pp. 11-15
Author(s):  
Caitlin O’Connell ◽  
Gadi Wollstein ◽  
Ian P. Conner ◽  
Mark S. Redfern ◽  
Kevin C. Chan ◽  
...  
Keyword(s):  
Visual Field ◽  
Older Workers ◽  
Daily Living ◽  
Fear Of Falling ◽  
Survey Study ◽  
Risk Of Falling ◽  
Study Approach ◽  
Increased Risk ◽  
Visual Field Deficits ◽  
The Relationship

The primary aim was to determine if somatosensory impairments alter the association between falls history and glaucoma severity. A secondary aim was to identify the activities of daily living that cause increased concern related to falling in glaucoma and their association with glaucoma severity. Established questionnaires about falls and fear of falling (FoF) were mailed to participants diagnosed with glaucoma. Ninety-eight participants responded. Self-reported feet numbness and tingling symptoms were used to determine the presence of somatosensory impairments. Self-reported falls in glaucoma are associated with visual field deficits in both eyes, particularly in the presence of somatosensory impairments. In addition, increased FoF levels are linked with worse visual field deficits in both eyes, especially when performing challenging walking tasks. Somatosensory impairments alter the relationship between falls risk and visual field deficits in glaucoma. This information may be helpful in identifying older workers at an increased risk of falling.

scholarly journals Relationship between upper limb motor function and activities of daily living after removing the influence of lower limb motor function in subacute patients with stroke: A cross-sectional study

2020 ◽  
pp. 156918612092660
Author(s):  
Haruka Yamamoto ◽  
Kazuya Takeda ◽  
Soichiro Koyama ◽  
Keisuke Morishima ◽  
Yuichi Hirakawa ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Motor Function ◽  
Upper Limb ◽  
Lower Limb ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Motor Score ◽  
Cross Sectional ◽  
The Relationship

Background Previous studies have reported a relationship between upper limb motor function and activities of daily living. However, their relationship after removing the influence of lower limb motor function has not been clarified. Objective This study aimed to investigate the relationship between Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score and between Fugl-Meyer assessment upper limb and each item contained in Functional Independence Measure motor score after eliminating the influence of the motor function of the affected lower limb. Methods This retrospective cross-sectional study included 58 subacute stroke patients. To investigate the relationship between the Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score before and after removing the influence of Fugl-Meyer assessment lower limb, Spearman’s rank correlation coefficient and partial correlation analysis were used. Additionally, the relationship between Fugl-Meyer assessment upper limb and each item of Functional Independence Measure motor score after removing the influence was assessed. Results Before removing the influence of Fugl-Meyer assessment lower limb, Fugl-Meyer assessment upper limb was strongly correlated with total Functional Independence Measure motor score (r = 0.74, p < 0.001). However, it became weak after removing the influence (r = 0.27, p = 0.04). Regarding each item of Functional Independence Measure motor score, Fugl-Meyer assessment upper limb was correlated with grooming (r = 0.27, p = 0.04), bathing (r = 0.28, p = 0.03), dressing upper body (r = 0.33, p = 0.01), dressing lower body (r = 0.31, p = 0.02), and stair-climbing (r = 0.31, p = 0.02) after removing the influence. Conclusion These findings suggest that the relationship between the upper limb motor function and activities of daily living is strongly influenced by lower limb motor function.

scholarly journals The relationship between energy expenditure and physical functions in patients hospitalised for stroke

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kota Hobo ◽  
Hideaki Kurita ◽  
Kimito Momose
Keyword(s):  
Energy Expenditure ◽  
Physical Function ◽  
Walking Speed ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Acceleration Sensor ◽  
Physical Ability ◽  
Physical Functions ◽  
The Relationship

AbstractWe assessed the relationship between energy expenditure (EE) and Functional Independence Measure motor items (FIM-M) score, Berg Balance Scale (BBS) score, and comfortable walking speed (CWS) in patients hospitalised for stroke. The total EE per day (TEE), EE during rehabilitation (REE), and EE during activities other than rehabilitation (OEE) were measured using a single-axis acceleration sensor in 36 patients hospitalised for the first stroke episode. In addition, the relationships between each type of EE and FIM-M, BBS, and CWS were investigated. In these patients (mean age 66.2 ± 10.6 years), the median values of TEE, REE, and OEE were 41.8 kcal, 18.5 kcal, and 16.6 kcal, respectively. Correlations were observed between each EE type and all physical function indices. Following the stratification of patients into two groups (high and low) based on the level of physical function, a significant correlation between EE type and physical function was observed only in the low BBS group. EE was correlated with overall physical function indices, but the trend differed depending on physical ability. When patients were stratified based on ability, there were several groups with no significant correlation. Therefore, several patients were unable to achieve an appropriate EE for their level of physical function.

scholarly journals The Relationship Between Energy Expenditure and Physical Functions in Patients Hospitalised For Stroke

2021 ◽  
Author(s):  
Kota Hobo ◽  
Hideaki Kurita ◽  
Kimito Momose
Keyword(s):  
Energy Expenditure ◽  
Physical Function ◽  
Walking Speed ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Acceleration Sensor ◽  
Physical Ability ◽  
Physical Functions ◽  
The Relationship

Abstract We assessed the relationship between energy expenditure (EE) and functional independence measure (FIM-M) score, Berg Balance Scale (BBS), and comfortable walking speed (CWS) in patients hospitalised for stroke. The total EE per day (TEE), EE during rehabilitation (REE), and EE during activities other than rehabilitation (OEE) were measured using a single-axis acceleration sensor in 36 patients hospitalised for a first stroke episode. In addition, the relationships between each type of EE and FIM-M, BBS, and CWS were investigated. In these patients (mean age 66.2±10.6 years), the median values of TEE, REE, and OEE were 41.8 kcal, 18.5 kcal, and 16.6 kcal, respectively. Correlations were observed between each EE type and all physical function indices. Following the stratification of patients into two groups (high and low) based on the level of physical function, a significant correlation between EE type and physical function was observed only in the low BBS group. EE was correlated with overall physical function indices, but the trend differed depending on physical ability. When patients were stratified based on ability, there were several groups with no significant correlation. Therefore, many patients were unable to achieve an appropriate EE for their level of physical function.

The relationship between neuropsychological measures and the Timed Instrumental Activities of Daily Living task in multiple sclerosis

2007 ◽  
Vol 13 (5) ◽  
pp. 636-644 ◽  
Author(s):  
Y. Goverover ◽  
HM Genova ◽  
FG Hillary ◽  
J. DeLuca
Keyword(s):  
Multiple Sclerosis ◽  
Activities Of Daily Living ◽  
Processing Speed ◽  
Test Performance ◽  
Daily Living ◽  
Functional Independence ◽  
Everyday Functioning ◽  
Neuropsychological Measures ◽  
Instrumental Activities ◽  
The Relationship

Multiple sclerosis (MS) can result in cognitive deficits and a loss of functional independence. To date, little research has linked the observed cognitive and behavioral deficits in MS, especially those in the processing speed domain, to performance on tasks of everyday functioning. The present study examined the relationship between neuropsychological test performance and performance on the Timed Instrumental Activities of Daily Living task (TIADL) in individuals with MS, and in healthy controls (HCs). The TIADL is a functional measure, which assesses both accuracy and speed in one's performance of everyday activities. The MS group performed significantly worse on the TIADL relative to the HC group. Additionally, TIADL scores of individuals with MS were significantly correlated with neuropsychological measures of processing speed. TIADL scores were not, however, correlated with neuropsychological measures of verbal episodic memory or working memory. These results indicate that the impairments in processing speed may contribute to impairments in activities of everyday living in persons with MS. Multiple Sclerosis 2007; 13: 636-644. http://msj.sagepub.com

scholarly journals The Relationship Between Upper Limb Function and Participation and Independence in Daily Activities of Life in People With Stroke

2021 ◽  
Vol 22 (1) ◽  
pp. 86-101
Author(s):  
Nazila Akbarfahimi ◽  
◽  
Mohammad Hassan Mazidi ◽  
Seyed Ali Hosseini ◽  
Mohsen Vahedi ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Upper Limb ◽  
Daily Living ◽  
Functional Independence ◽  
Limb Function ◽  
Cross Sectional ◽  
Daily Living Activities ◽  
Upper Limb Function ◽  
History Of ◽  
The Relationship

Objective: Upperlimb function impairment is one of the most common consequences of stroke and a part of the motor functions, that has been considered as a necessary basis for the implementation of various of occupation and participation. The purpose of the present study is to investigate the relationship between upper extremity function and level of participation and independence in the activities of daily living in people with history of stroke in less than two years ago. Materials & Methods: This study is non-experimental and cross-sectional. Among those referring to University of Social Welfare and Rehabilitation Sciences with a history of stroke in less than two years ago, the patients were selected by easy accessible sampling method. Upper limb performance was measured by Fogel-Meier and independency in daily living activities by the Functional Independence Scale (FIM) and participation by the Iranian Participation Questionnaire (IPQ).Data analysis was performed in SPSS V. 23 softwarebyusing Spearman correlation test. Results: The results showed that the correlation between upper limb performance and participation was a moderate direct relation (P=0.003, r=0.315) and there was a strong direct (r=0.625, P=0.00)correlation between upper limb performance and independence in activities of daily living. Conclusion: The relationship between upper limb function and independence in daily living activities is strong, so with further improvement and efficiency of the upper limbleadtoincreasesindependence in patients' activities of daily life. The relationship between upper limb function and participation is moderate, so to increase and improve the participation of stroke patients, in addition to upper limb mobility, other factors must be considered.

The Relationship of Digit Ratio (2D:4D) and Gender-Role Orientation in Four National Samples

2007 ◽  
Vol 28 (2) ◽  
pp. 78-87 ◽  
Author(s):  
Stefan J. Troche ◽  
Nina Weber ◽  
Karina Hennigs ◽  
Carl-René Andresen ◽  
Thomas H. Rammsayer
Keyword(s):  
Gender Role ◽  
Sex Role ◽  
Role Orientation ◽  
Sexually Dimorphic ◽  
Gender Role Orientation ◽  
Left Hand ◽  
Fourth Finger ◽  
And Gender ◽  
Relationship Of ◽  
The Relationship

Abstract. The ratio of second to fourth finger length (2D:4D ratio) is sexually dimorphic with women having higher 2D:4D ratio than men. Recent studies on the relationship between 2D:4D ratio and gender-role orientation yielded rather inconsistent results. The present study examines the moderating influence of nationality on the relationship between 2D:4D ratio and gender-role orientation, as assessed with the Bem Sex-Role Inventory, as a possible explanation for these inconsistencies. Participants were 176 female and 171 male university students from Germany, Italy, Spain, and Sweden ranging in age from 19 to 32 years. Left-hand 2D:4D ratio was significantly lower in men than in women across all nationalities. Right-hand 2D:4D ratio differed only between Swedish males and females indicating that nationality might effectively moderate the sexual dimorphism of 2D:4D ratio. In none of the examined nationalities was a reliable relationship between 2D:4D ratio and gender-role orientation obtained. Thus, the assumption of nationality-related between-population differences does not seem to account for the inconsistent results on the relationship between 2D:4D ratio and gender-role orientation.

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