Bibliometric Analysis on Research Trend of Accidental Falls in Older Adults by Using Citespace—Focused on Web of Science Core Collection (2010–2020)

The present study aimed to identify the trends in research on accidental falls in older adults over the last decade. The MeSH (Medical Subject Headings) and entry terms were applied in the Web of Science Core Collection. Relevant studies in English within articles or reviews on falls in older adults were included from 2010 to 2020. Moreover, CiteSpace 5.6.R5 (64-bit) was adopted for analysis with scientific measurements and visualization. Cooper Cyrus, Stephen R Lord, Minoru Yamada, Catherine Sherrington, and others have critically impacted the study of falls in older adults. Osteoporosis, dementia, sarcopenia, hypertension, osteosarcopenia, traumatic brain injury, frailty, depression, and fear of falling would be significantly correlated with falls in older adults. Multiple types of exercise can provide effective improvements in executive cognitive performance, gait performance, quality of life, and can also lower the rates of falls and fall-related fractures. Fall detection, hospitalization, classification, symptom, gender, and cost are the current research focus and development direction in research on falls in older adults. The prevention of falls in older adults is one of the most important public health issues in today’s aging society. Although lots of effects and research advancements had been taken, fall prevention still is uncharted territory for too many older adults. Service improvements can exploit the mentioned findings to formulate policies, and design and implement exercise programs for fall prevention.

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Occupational Therapy and the Use of Technology on Older Adult Fall Prevention: A Scoping Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020702 ◽

2021 ◽

Vol 18 (2) ◽

pp. 702

Author(s):

María del Carmen Miranda-Duro ◽

Laura Nieto-Riveiro ◽

Patricia Concheiro-Moscoso ◽

Betania Groba ◽

Thais Pousada ◽

...

Keyword(s):

Older Adults ◽

Occupational Therapy ◽

Scoping Review ◽

Fall Prevention ◽

Fall Risk ◽

Daily Living ◽

Web Of Science ◽

Research Question ◽

Use Of Technology ◽

Falls In Older Adults

Introduction: Falls are the second leading cause of accidental or non-intentional deaths worldwide and are the most common problem as people age. The primary purpose of addressing falls is to detect, prevent, treat, and reduce their incidence and consequences. Previous studies identified that multifactorial programs, an interprofessional team, and assistive technology are required to address falls in older adults effectively. Accordingly, the research question is as follows: what are the scope, type of studies, and approaches and strategies to fall risk using technology in the existing occupational therapy literature regarding interventions to address the effects of falls in older adults on daily living? Methods: This scoping review was carried out in January 2020 through Biblioteca Virtual de Salud España, C.I.N.A.H.L., Cochrane Plus, OTSeeker, PubMed, Scopus, and Web of Science. Results: Twelve papers were included. We analyzed the year and journal of publication, authors’ affiliation, and design of the study, and thematic categories. There were three themes: participants’ characteristics, type of intervention, and fall approach and type of technology used. Discussion and Conclusions: The literature obtained is scarce. It is considered to still be an emerging theme, especially when considering the use of technology for occupational therapy.

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ONE-LEGGED STANCE BALANCE OF OLDER ADULTS WITH AND WITHOUT FALLS

Innovation in Aging ◽

10.1093/geroni/igz038.1754 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S470-S470

Author(s):

Edgar R Vieira ◽

Márcio Oliveira ◽

Andre Gil ◽

Karen Fernandes ◽

Denilson Teixeira ◽

...

Keyword(s):

Older Adults ◽

Fear Of Falling ◽

Center Of Pressure ◽

Area Under The Curve ◽

Test Duration ◽

Mobility Impairments ◽

Eyes Open ◽

Falls In Older Adults ◽

Elliptical Area ◽

Age Range

Abstract Balance impairment is a common problem among older adults. Poor balance in older adults is often associated with mobility impairments, activity limitations and fear of falling in older adults. Thus, balance assessment is useful for early detection of postural control deficits to prevent mobility impairments and falls in older adults. The aim of this study was to assess if balance measures based in center of pressure (COP) parameters during one-legged stance could differentiate between older adults with and without falls in the past 12 months. One-hundred and seventy older adults (50 fallers and 120 non-fallers, age range: 63-72 years) performed three 30s one-legged stance trials with eyes open on a force platform with 30s of rest between each trial. The following variables were evaluated: COP 95% elliptical area, COP velocity in the anterior-posterior and medio-lateral directions, and test duration (how long the participant was able to stay in one-legged stance, up to 30s). Fallers had poorer balance than non-fallers (P ≤0.004). The COP parameters presented an area under the curve between 0.65-0.72, with sensitivity varying from 66 to 78% and specificity from 54 to 68%. There were no significant differences between fallers and non-fallers on test duration (17 vs. 18s, respectively). The findings showed that the fallers had similar duration time, but poorer balance than the non-fallers during one-legged stance. The COP parameters were able to differentiate the balance between fallers and non-fallers with acceptable area under curve, sensitivity and specificity.

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THE EFFECT OF YOGA ON FALL PREVENTION OUTCOMES IN ADULTS 50 YEARS AND OLDER: A SYSTEMATIC REVIEW OF THE LITERATURE

Innovation in Aging ◽

10.1093/geroni/igz038.1067 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S289-S290

Author(s):

Chinelo K Nsobundu ◽

Margaret J Foster ◽

Yan Hong

Keyword(s):

Older Adults ◽

Fall Prevention ◽

Fear Of Falling ◽

Final Analysis ◽

Exclusion Criteria ◽

Face To Face ◽

Ovid Medline ◽

The Impact ◽

Fall Prevention Intervention

Abstract Falls constitute a multitude of injuries irrespective of age. To combat these challenges, older adults are encouraged to engage in recreational activities. Yoga has been identified as an effective physical activity to promote mobility and balance for older adults. This study aims to systematically review the literature about yoga as a fall prevention intervention and synthesize the outcomes. Major databases (Ovid Medline & CINAHL) were searched for relevant articles. Studies were included if they met the criteria of 1) being a face to face yoga program, 2) aimed to recruit participants 50 years or older, and 3) reported at least one fall-related outcome (e.g., balance, mobility, fear of falling) as a result of the yoga program. 57 studies were identified: 32 from Ovid Medline and 25 from CINAHL. After removing the duplicates and applying a strict inclusion and exclusion criteria, 11 articles were included in the final analysis. A detailed synthesis of the results will be presented and quality assessment of included articles will be performed using the Modified Downs and Black checklist which appraises the methodological quality of both randomized and non-randomized studies. More research is needed to understand the impact of yoga in preventing falls among older adults at least 50 years of age. Additionally, research should establish a gold standard index that identifies which specific yoga programs ( based on type- individual vs. group; hatha, iyengar, kundalini, ashtanga, and etc.; frequency, and duration) have an enhanced effect on fall prevention.

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EXPERIENCES AND FACILITATORS OF FALLS PREVENTION AMONG ETHNICALLY DIVERSE OLDER ADULTS: A QUALITATIVE STUDY

Innovation in Aging ◽

10.1093/geroni/igz038.3142 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S854-S854

Author(s):

Ladda Thiamwong ◽

Norma E Conner

Keyword(s):

Older Adults ◽

Fall Prevention ◽

Fall Risk ◽

Fear Of Falling ◽

Ethnically Diverse ◽

Role Identity ◽

Community Dwelling ◽

Falls Prevention ◽

Facilitators And Barriers ◽

And Behaviors

Abstract Background: Falls increase as people age and decrease the quality of life. Even though fall interventions have received great attention, fall incidence rates have still arisen. In order for older adults to reap the benefits of evidence-based fall interventions, a challenge of implementation in the real world and right context must be met. Understanding experiences, facilitators, and barriers of fall prevention among four major ethnic groups in the Unites States could be extremely valuable. Objective: The aim of this study was to describe experiences and highlight facilitators and barriers on fall and fear of falling interventions among ethnically diverse community-dwelling older adults. Methods: Four ethnically specified (African American, Asian, Hispanic and Non-Hispanic White) focus groups were conducted. A total of 28 older adults and four family caregivers were interviewed. Interviews covered experiences on falls and fear of falling, attitudes, factors, consequences, risk assessment, and interventions. Data were organized and analyzed with the NViVo software. Results: Falls related experiences and behaviors were multifaceted and varied. Three themes related to falls experiences and behaviors were identified, 1) falls prevention versus fear of falling amplification; 2) role identity, culture and family considerations; and 3) take care of you, take care of me. Facilitators of fall prevention were integration of individual learning within a group meeting, providing appropriate assistive devices and promoting environmental safety. Barriers were inconsistent fall risk assessments, low fall risk awareness and acknowledgment, and balance and visual impairment.

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The Knowledge and Attitudes of Families Regarding Elderly Fall Prevention in Pahlawan Binjai Village

Caring: Indonesian Journal of Nursing Science ◽

10.32734/ijns.v2i2.5004 ◽

2020 ◽

Vol 2 (2) ◽

pp. 44-52

Author(s):

Indra Agussamad ◽

Zuraidah Zuraidah ◽

Rosmega ◽

Zulkarnain Batubara

Keyword(s):

Older Adults ◽

Fall Prevention ◽

Sampling Technique ◽

Purposive Sampling ◽

Family Attitudes ◽

Knowledge And Attitudes ◽

Falls In Older Adults

Knowledge is the result of know that going after someone makes a sensing of a particular object. While the attitude of the views or feelings that accompanied the tendency to act. If knowledge of a person's behavior, the better it would be even better. However, knowledge is either not accompanied with the attitude that knowledge would be meaningless. This study aims to describe a family of knowledge on the prevention of falls in older adults and family attitudes about the prevention of the incidence of falls in older adults at Kelurahan Pahlawan Binjai. This study was used a descriptive design with a purposive sampling technique involving 71 respondents conducted in April 2012. All respondents answered a questionnaire that was given to the respondents.

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111 Disparities between Actual and Perceived Fall Risk Affect Participation in 5 Fall Prevention Interventions

Age and Ageing ◽

10.1093/ageing/afz164.111 ◽

2019 ◽

Vol 48 (Supplement_4) ◽

pp. iv18-iv27

Author(s):

Pey June Tan ◽

Silvia Sim ◽

Noor Hafizah Ismail ◽

Jagadish Mallya ◽

Angelique Chan ◽

...

Keyword(s):

Older Adults ◽

Fall Prevention ◽

Fall Risk ◽

Help Seeking ◽

Fear Of Falling ◽

Community Dwelling ◽

Falls Prevention ◽

Risk Level ◽

Prevention Interventions ◽

Aware Group

Abstract Introduction Older adults have been found to under- or overestimate their fall risk. However, no studies have investigated implications on help-seeking behaviours in falls prevention. This study examines how disparities between actual and perceived fall risk affects participation in 5 fall prevention interventions among community-dwelling older adults in Singapore. Methods This was a cross-sectional survey of a nationally representative sample of community-dwelling adults aged ≥60 years in Singapore identified by stratified random sampling. Having previous falls in the past 12 months (faller/non-faller) indicated actual fall risk. Level of fear-of-falling (cut-off ≥23 on 16-item Falls Efficacy Scale International) was used as perceived fall risk (high/low). Four profiles based on combinations of actual and perceived risk were associated with participation in 5 fall prevention interventions in a multiple logistic regression. The model was adjusted for age, gender, ≥2 comorbidities and knowledge that the intervention is to prevent falls. Results Final analysis included 549 older adults (mean age 70.6±6.9 years, 61% females). Majority (46%) were in the Vigorous group (no falls, low fear), 35% Anxious (no falls, high fear), 11% Frail Aware (falls, high fear) and 8% Stoics (falls, low fear). Only those in Anxious and Frail Aware group were significantly more likely to have talked to a healthcare professional on strategies to avoid falls [OR 1.8 (1.1-3.1) and 3.2 (1.6-6.4) respectively] and made home modifications [OR 1.9 (1.3-2.8) and 2.0 (1.1-3.6)] after adjustments. No association was found for participation in exercise, medication review and falls education. Discussion Individual profiles with high fear-of-falling component have different help-seeking behaviours compared to those with low fear regardless of history of falls. However, individuals in Frail Aware group have higher likelihood to uptake the interventions compared to Anxious group. Future research should examine other drivers of behaviour that will influence participation in other interventions.

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Predictors of Falls in Older Adults With and Without Dementia

Innovation in Aging ◽

10.1093/geroni/igab046.1729 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 447-448

Author(s):

Safiyyah Okoye ◽

Chanee Fabius ◽

Jennifer Wolff

Keyword(s):

Risk Factors ◽

Older Adults ◽

Fear Of Falling ◽

Depression Symptoms ◽

Socioeconomic Indicators ◽

Caregiver Education ◽

Recurrent Falls ◽

Fall Risk Factors ◽

Falls In Older Adults ◽

Risk Factors For Falls

Abstract Persons living with dementia (PLWD) have up to twice the risk for falling and three-times the risk of serious fall-related injuries as those without dementia. Falls are a leading cause of hospitalizations among PLWD, who are more likely to incur high costs and experience negative health consequences (e.g, delirium, in-hospital falls) than persons without dementia. Few studies have examined risk factors for falls comparing Americans with and without dementia. We used data from the 2015 and 2016 rounds of the National Health and Aging Trends Study (n=5,581) to prospectively identify risk factors for a single fall and recurrent (2+) falls over a 12-month period among community-living older adults ≥65 years with and without dementia in a series of bivariate logistic regressions. Overall, we identified fewer predictors of single or recurrent falls among PLWD compared to persons without dementia. For example, socioeconomic indicators (e.g., income, financial hardship) predicted recurrent falls in persons without dementia, but not in PLWD. Among PLWD, falling in the previous year was associated with both single (odds ratio (OR): 3.38, 95% confidence interval (CI): 1.77, 6.49) and recurrent falls (OR: 6.19, 95% CI: 3.50, 10.93). PLWD who experienced recurrent falls were also more likely to be identified as having a fear of falling (OR: 2.17, 95% CI: 1.33, 3.54), physical function impairments, depression symptoms (OR: 2.23, 95% CI: 1.34, 3.71), and anxiety symptoms (OR: 1.73, 95% CI: 1.14, 2.62). Further study of fall-risk factors could inform screening, caregiver education and support, and prevention strategies for PLWD.

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