Fall risk in an active elderly population--can it be assessed?
Fall risk in an active elderly population--can it be assessed?
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活跃的老年人口的跌倒风险 - 可以评估它吗？
DOI：
10.1186/1477-5751-6-2
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发表时间：
2007-01-26
期刊：
影响因子：
--
通讯作者：
Voigt, Michael
中科院分区：
文献类型：
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作者：
Laessoe, Uffe;Hoeck, Hans C;Simonsen, Ole;Sinkjaer, Thomas;Voigt, Michael
老年人中的福尔斯经常与骨折有关。平衡和体能训练可以降低跌倒风险;然而，确定应向哪些人提供这种训练的跌倒风险增加的人仍然是一个挑战。据信，跌倒风险可以通过测试平衡性能来评估。在这项研究中，测试电池的生理参数相关的平衡和福尔斯的目的是解决跌倒的风险，在社区居住的老年人口。94名年龄在70至80岁之间的老年男性和女性被纳入一项为期一年的随访研究。据报告，跌倒发生率为15%。测试组合分数在跌倒者和非跌倒者之间没有差异。然而，测试分数与自我报告的健康状况有关。尽管包括动态测试，测试组合具有较低的跌倒预测率，灵敏度和特异性分别为50%和43%。发现了平衡不良的个体，但该测试组合不能预测福尔斯。生理平衡的特点显然不能单独使用，作为足够的指标，在这个人口的社区居住的老年人跌倒的风险。跌倒是一种多因素引起的复杂现象。与跌倒风险相关的关键因素是平衡能力与跌倒风险生活方式和行为水平的平衡需求之间的冗余。这就需要一种跌倒风险评估的方法，在这种方法中，根据个体的活动特征来评估生理表现。
Falls amongst elderly people are often associated with fractures. Training of balance and physical performance can reduce fall risk; however, it remains a challenge to identify individuals at increased risk of falling to whom this training should be offered. It is believed that fall risk can be assessed by testing balance performance. In this study a test battery of physiological parameters related to balance and falls was designed to address fall risk in a community dwelling elderly population. Ninety-four elderly males and females between 70 and 80 years of age were included in a one year follow-up study. A fall incidence of 15% was reported. The test battery scores were not different between the fallers and non-fallers. Test scores were, however, related to self-reported health. In spite of inclusion of dynamic tests, the test battery had low fall prediction rates, with a sensitivity and specificity of 50% and 43% respectively. Individuals with poor balance were identified but falls were not predicted by this test battery. Physiological balance characteristics can apparently not be used in isolation as adequate indicators of fall risk in this population of community dwelling elderly. Falling is a complex phenomenon of multifactorial origin. The crucial factor in relation to fall risk is the redundancy of balance capacity against the balance demands of the individuals levels of fall-risky lifestyle and behavior. This calls for an approach to fall risk assessment in which the physiological performance is evaluated in relation to the activity profile of the individual.