scholarly journals SELF EFFICACY, POSTURAL BALANCE AND FALL RISK ON ELDERLY IN UPT PSTW JEMBER

2019 ◽  
Author(s):  
Sofia Rhosma Dewi ◽  
Keyword(s):  
Self Efficacy ◽  
Postural Balance ◽  
Fall Risk

Subjective Evaluation of Balance by the Dizziness Handicap Inventory Does Not Predict Fall Risk in Older Adults Visiting Otolaryngology Clinics

2021 ◽  
pp. 000348942098797
Author(s):  
Iku Abe-Fujisawa ◽  
Yukihide Maeda ◽  
Soshi Takao ◽  
Shin Kariya ◽  
Kazunori Nishizaki
Keyword(s):  
Older Adults ◽  
Postural Balance ◽  
Fall Risk ◽  
Spontaneous Nystagmus ◽  
Anxiety And Depression ◽  
Published Data ◽  
Objective Data ◽  
Subjective Symptoms ◽  
Characteristic Analysis ◽  
Dizziness Handicap Inventory

Objectives: Subjective symptoms of dizziness in older adults are affected not only by objective data such as postural balance, but also by complex psychological factors. Published data analyzing how simultaneous evaluations of both objective and subjective assessments of balance can predict fall risk remain lacking. This study examined how fall risk can be predicted based on both objective data for balance and hearing and subjective symptoms of dizziness among older adults visiting otolaryngology clinics. Methods: Medical charts of 76 patients ≥65 years old with dizziness/vertigo who visited the otolaryngology clinic were reviewed. Objective data were evaluated by postural balance (posturographic data with eyes open and closed, and one-leg standing test), spontaneous nystagmus, and mean hearing levels. Subjective handicap associated with dizziness/vertigo was assessed using the Dizziness Handicap Inventory (DHI). Subjective mental status of anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). Information on history (cardiovascular diseases) and fall accidents within the preceding year was collected using an in-house interview sheet. Results: Objective data on postural balance did not correlate with subjective symptoms on DHI or HADS ( P > .05, Pearson’s correlation coefficient). Adjusted logistic regression modeling with the outcome of incident falls revealed that poor postural balance significantly predicted fall risk ( P < .05; 4.9 [1.4-16.8] per 10-cm2 increment). Nystagmus tended to be associated with fall risk. In contrast, DHI score did not predict fall risk ( P = .43; 1.0 [0.9-1.03]). Receiver operating characteristic analysis proposed a cut-off for postural sway with eyes closed >6.1 cm2 as optimal to predict falls in patients with nystagmus (AUC, 0.74; 95% confidence interval, 0.48-0.997). Conclusion: Poor postural balance is associated with increased fall risk after adjusting for subjective symptoms in older adults at otolaryngology clinics. Conversely, the self-perceived dizziness handicap of DHI score is an insufficient tool to evaluate their fall risk.

scholarly journals Walking and postural balance in adults with severe short stature due to isolated GH deficiency

2019 ◽  
Vol 8 (4) ◽  
pp. 416-424 ◽  
Author(s):  
Ananda A Santana-Ribeiro ◽  
Giulliani A Moreira-Brasileiro ◽  
Manuel H Aguiar-Oliveira ◽  
Roberto Salvatori ◽  
Vitor O Carvalho ◽  
...  
Keyword(s):  
Short Stature ◽  
Postural Balance ◽  
Fall Risk ◽  
Gh Deficiency ◽  
Muscle Tone ◽  
Receptor Gene ◽  
Leg Length ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Severe Short Stature

Objectives Walking and postural balance are extremely important to obtain food and to work. Both are critical for quality of life and ability to survive. While walking reflects musculoskeletal and cardiopulmonary systems, postural balance depends on body size, muscle tone, visual, vestibular and nervous systems. Since GH and IGF-I act on all these systems, we decided to study those parameters in a cohort of individuals with severe short stature due to untreated isolated GH deficiency (IGHD) caused by a mutation in the GHRH receptor gene. These IGHD subjects, despite reduction in muscle mass, are very active and have normal longevity. Methods In a cross-sectional study, we assessed walking (by a 6-min walk test), postural balance (by force platform) and fall risk (by the 'Timed Up and Go' test) in 31 IGHD and 40 matched health controls. Results The percentage of the walked distance measured in relation to the predicted one was similar in groups, but higher in IGHD, when corrected by the leg length. Absolute postural balance data showed similar velocity of unipodal support in the two groups, and better values, with open and closed eyes and unipodal support, in IGHD, but these differences became non-significant when corrected for height and lower-limb length. The time in 'Timed Up and Go' test was higher in IGHD cohort, but still below the cut-off value for fall risk. Conclusion IGHD subjects exhibit satisfactory walking and postural balance, without increase in fall risk.

Older people enhancing self-efficacy in fall-risk situations

2001 ◽  
Vol 48 (2) ◽  
pp. 80-91 ◽  
Author(s):  
Beth Cheal ◽  
Lindy Clemson
Keyword(s):  
Older People ◽  
Self Efficacy ◽  
Fall Risk

Effect of Modified Otago Exercises on Postural Balance, Fear of Falling, and Fall Risk in Older Fallers With Knee Osteoarthritis and Impaired Gait and Balance: A Secondary Analysis

PM&R ◽  
2017 ◽  
Vol 10 (3) ◽  
pp. 254-262 ◽  
Author(s):  
Sumaiyah Mat ◽  
Chin Teck Ng ◽  
Pey June Tan ◽  
Norlisah Ramli ◽  
Farhana Fadzli ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Postural Balance ◽  
Fall Risk ◽  
Fear Of Falling ◽  
Secondary Analysis

scholarly journals Elderly individuals with increased risk of falls show postural balance impairment

2015 ◽  
Vol 28 (2) ◽  
pp. 269-276 ◽  
Author(s):  
Márcio Rogério de Oliveira ◽  
Thiago Tadashi Inokuti ◽  
Nuno Noronha da Costa Bispo ◽  
Deise Aparecida de Almeida Pires Oliveira ◽  
Rodrigo Franco de Oliveira ◽  
...  
Keyword(s):  
Risk Score ◽  
Postural Balance ◽  
Fall Risk ◽  
Center Of Pressure ◽  
Public Health Problem ◽  
Force Platform ◽  
Balance Impairment ◽  
Elderly Individuals ◽  
Increased Risk ◽  
Risk Of Falls

Introduction Falls are a serious public health problem. Objective The aim of this study was to evaluate whether elderly individuals with increased risk of falls have a postural balance deficit, evaluated using a force platform during a one-leg stance. Materials and methods The sample consisted of 94 physically independent elderly individuals from the EELO project. The instruments used were the Downton scale, in order to assess the risk as well as the history of falls, and the force platform to measure postural balance through parameters from the center of pressure (COP). Results Elderly individuals were split into two groups according to the score observed with the Downton scale: G1 — low fall risk (score ≤ 2) — and G2 — high fall risk (score > 2). No differences were observed between the groups concerning gender (P > 0.05, Chi Square test). On the other hand, individuals from G2 showed postural instability when compared to individuals from G1, and individuals from G2 showed higher values in all COP parameters analysed (Mann-Whitney test, P < 0.05). Conclusion It can be concluded that the Downton scale has sensitivity for identifying individuals with balance impairment as well as a risk of falls. Therefore, it may be suggested that this scale may be useful in primary health care for detecting falls in the elderly.

Promoting Fall Self-Efficacy and Fall Risk Awareness in Older Adults

2012 ◽  
Vol 30 (2) ◽  
pp. 165-175 ◽  
Author(s):  
Adriana Garcia ◽  
Dagmara Marciniak ◽  
Lauren McCune ◽  
Erica Smith ◽  
Ruth Ramsey
Keyword(s):  
Older Adults ◽  
Self Efficacy ◽  
Fall Risk ◽  
Risk Awareness

scholarly journals Proprioceptive impairments in high fall risk older adults: the effect of mechanical calf vibration on postural balance

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Nima Toosizadeh ◽  
Hossein Ehsani ◽  
Marco Miramonte ◽  
Jane Mohler
Keyword(s):  
Older Adults ◽  
Postural Balance ◽  
Fall Risk

scholarly journals Self-Monitoring of Balance Performance can Reduce the Rate of Falls Among Older Adults

2021 ◽  
Vol 3 ◽  
Author(s):  
Katharine E. Forth ◽  
Charles S. Layne ◽  
Stefan I. Madansingh
Keyword(s):  
Older Adults ◽  
Health Behaviors ◽  
Self Efficacy ◽  
Fall Risk ◽  
Postural Stability ◽  
Self Regulation ◽  
Risk Category ◽  
Balance Performance ◽  
Self Monitoring ◽  
Fall Rates

Background: 29% of older adults fall annually, resulting in the leading cause of accidental death. Fall prevention programs typically include exercise training and self-monitoring of physical activity has a positive effect on the self-efficacy and self-regulation of exercise behaviors. We assessed if self-monitoring of fall risk, without an intervention, impacts fall rates.Methods: Fifty-three older adults had open access to a balance measuring platform which allowed them to self-monitor their postural stability and fall risk using a simple 1-min standing balance test. 12-month retrospective fall history was collected and a monthly/bimonthly fall log captured prospective falls. Participants had access to self-monitoring for up to 2.2 years. Fall history and fall incidence rate ratios and their confidence intervals were compared between the periods of time with and without access to self-monitoring.Results: A 54% reduction in the number of people who fell and a 74% reduction in the number of falls was observed when participants were able to self-monitor their postural stability and fall risk, after normalizing for participation length. Further, 42.9% of individuals identified as having high fall risk at baseline shifted to a lower risk category at a median 34 days and voluntarily measured themselves for a longer period of time.Discussion: We attribute this reduction in falls to changes in health behaviors achieved through empowerment from improved self-efficacy and self-regulation. Providing older adults with the ability to self-monitor their postural stability and intuit their risk of falling appears to have modified their health behaviors to successfully reduce fall rates.

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