The relationship between the occlusal force and physical function in the frail elderly

Background: Falls are of great concern to older adults and costly to the health system. In addition the relationship between falls risk and falls risk predictor characteristics is complex. Objective: This study aimed to explore the relationship between two objective fall-risk measures tools, the Physiological Profile Assessment and the Berg Balance Scale and to determine how an individual’s sex, level of physical function, health-related and body composition characteristics impact these objective falls risk measures. Design: A cross-sectional, observational study. Participants: 245 community-dwelling older adults (M age=68.12 years, SD=6.21; 69.8% female). Measurements: Participants were assessed for falls-risk (Physiological Profile Assessment and the Berg Balance Scale), physical activity, physical functional and body composition characteristics. Pearson product-moment correlation coefficients were calculated to examine bivariate relationships and hierarchical multiple linear regression modelling was used to estimate the contribution of each predictor in explaining variance in falls-risk. Results: In females, there was a weak association between the two objective falls-risk measures (r =-0.17 p <0.05). The number of falls in the previous 12 months explained 6% of variance in Physiological Profile Assessment scores, with bone density of the lumbar spine contributing a further 1%. In males and females, variance in the Berg Balance Scale showed that age (25%) and physical function (16% for females, 28% for males) contributed significantly to the explaining variance in the falls-risk measure. Conclusion: Sex differences are apparent and as such males and females should be assessed (and potentially treated) differently with regards to falls risk. Results indicate that both falls risk assessment tools measure aspects of balance but are not interchangeable. The Berg Balance Scale may be more discriminative in older, less functioning adults and the Physiological Profile Assessment is more useful in assessing falls risk in females.

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Abstract P238: Importance of Self-Efficacy in the Patient-Reported Physical Function of Patients With Stroke

Stroke ◽

10.1161/str.52.suppl_1.p238 ◽

2021 ◽

Vol 52 (Suppl_1) ◽

Author(s):

Irene L Katzan ◽

Dolora R Wisco ◽

Brittany Lapin

Keyword(s):

Physical Function ◽

Indirect Effect ◽

Self Efficacy ◽

Total Effect ◽

Pain Interference ◽

Study Cohort ◽

Stressful Situation ◽

Study Objective ◽

Patient Reported ◽

The Relationship

Background: Self-efficacy is the belief that one is able to respond to demands of a stressful situation and it has both direct and indirect effects on health. The study objective is to investigate the amount of variance in patient-reported physical function (PF) that is explained by self-efficacy compared to clinician-reported disability and other patient-reported domains of health, and evaluate whether self-efficacy mediates the relationship between PF and other domains of health. Methods: Observational cohort study of 248 patients who were seen in a cerebrovascular clinic 3/18/20 - 7/7/20 and completed the following patient-reported outcome measures (PROMs) as part of the routine office visit: PROMIS PF, general self-efficacy, fatigue, and pain interference. Linear regression models were constructed to determine the amount of variance (adjusted R 2 ) in PROMIS PF score explained by the modified Rankin Scale (mRS) and additional PROM scores. The mRS and individual PROMs were added separately to a base model adjusted for demographic characteristics. Mediation analysis was conducted to determine the extent to which self-efficacy mediated the relationship between PF and other PROMs. Results: Mean age of study cohort was 61.5 (SD=13.5) years and 48.4% were female. The base model explained 4.5% of the variance of PF. Adding PROMIS fatigue resulted in the largest increase in the proportion of variance explained (adj R 2 = 47.7%), followed by PROMIS self-efficacy (40.7%), PROMIS pain interference (38.7%), and mRS (26.6%). Self-efficacy significantly mediated the relationship between fatigue and PF (standardized indirect effect: 0.11 (bias-corrected 95% CI: 0.05-0.18), 20.9% of total effect) and pain interference and PF (standardized indirect effect 0.10 (95% CI: 0.06-0.17), 27.1% of total effect). Conclusion: PROMIS self-efficacy explains more variance in stroke patients’ perceived physical function than their disability. This suggests that interventions to improve self-efficacy could have a significant effect on patient’s perceived health. Patients’ fatigue, despite being partially mediated by self-efficacy, was a large contributor to self-reported PF and should be included as part of an evaluation of patient’s physical health.

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Does Fear of Falling Relate to Low Physical Function in Frail Elderly Persons?: Associations of Fear of Falling, Balance, and Gait

Journal of the Japanese Physical Therapy Association ◽

10.1298/jjpta.7.41 ◽

2004 ◽

Vol 7 (1) ◽

pp. 41-47 ◽

Cited By ~ 5

Author(s):

Yumi Higuchi ◽

Hiroaki Sudo ◽

Noriko Tanaka ◽

Satoshi Fuchioka ◽

Yoshitaka Hayashi

Keyword(s):

Physical Function ◽

Frail Elderly ◽

Fear Of Falling ◽

Elderly Persons

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The relationship between physical function and QOL of community‐dwelling elderly

Japanese Journal of Health Promotion and Physical Therapy ◽

10.9759/hppt.4.65 ◽

2014 ◽

Vol 4 (2) ◽

pp. 65-70

Author(s):

HIROAKI IWASE ◽

SHIN MURATA ◽

ATSUKO KUBO ◽

MIZUKI HACHIYA ◽

MASAYUKI SOUMA ◽

...

Keyword(s):

Physical Function ◽

Community Dwelling ◽

The Relationship

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Relationship Between Occlusal Force and Endothelial Function in Community-Dwelling Elderly

10.21203/rs.3.rs-101563/v1 ◽

2020 ◽

Author(s):

Kanna Kato ◽

Naoko Matsuda ◽

Miki Takahata ◽

Chika Koseki ◽

Michiyasu Yamaki ◽

...

Keyword(s):

Life Expectancy ◽

Endothelial Function ◽

Grip Strength ◽

General Condition ◽

Force Measurement ◽

The Elderly ◽

Community Dwelling ◽

Healthy Life ◽

Occlusal Force ◽

The Relationship

Abstract Background: Prolonged healthy life expectancy, which is duration without the requirement of any kind of help for activities of daily living (ADL), is essential to ensure a long life with a good quality of living in the community. Further, local residents should understand their health conditions and live consciously to prolong healthy life expectancy. The development of a simple general health indicator is necessary. Both occlusal force and flow-medicated dilation (FMD) which reflects endothelial function are useful tools for understanding the general condition of the elderly. However, few studies have investigated the relationship between occlusal force and endothelial function. In the present study we examined this relationship, occlusal force measurement can be a good indicator of the general condition of the elderly. Methods: In 38 community-dwelling women(aged 76.7 ±5.7 years), we measured occlusal force,　grip strength, endothelial function evaluated by FMD, advanced glycation end products (AGEs). In this study we investigate we investigated the relationship between occlusal force, measurement items, and factors independently related to endothelial dysfunction (FMD<7％). Results: There were significantly correlation between occlusal force and grip strength (r=0.54, p<0.01). Degree of FMD significantly associated with occlusal force (r=0.60, p<0.01) and grip strength (r=0.35, p<0.05) or amount of increased AGEs (r=-0.37, p<0.05). Occlusal force was independently associated with degree of FMD after adjusting for age, AGEs, and grip strength (p < 0.05).Conclusion: There was a significant relationship between occlusal force and FMD. Occlusal force can be an important indicator of endothelial function in community-dwelling elderly. This study may help understanding general health of elderly in community.

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