Risk of Fall for Individuals With Intellectual Disability
Risk of Fall for Individuals With Intellectual Disability
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DOI：
10.1352/1944-7558-114.4:225-236
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发表时间：
2009-07-01
影响因子：
2.1
通讯作者：
Hosokawa, Masanori
中科院分区：
文献类型：
--
作者：
Chiba, Yoichi;Shimada, Atsuyoshi;Hosokawa, Masanori
我们的目的是确定跌倒的危险因素，并建立一种评估智障成年人跌倒风险的方法。在对144名日本成年人的横断面调查中，我们发现年龄、癫痫的存在和瘫痪情况是独立的危险因素。Tinetti平衡和步态仪器被成功地应用于这一人群，当截止分数设置为25时，在识别风险个体方面获得了高诊断准确率(敏感性88.9%，特异性91.9%)。平衡和步态恶化的参与者的Tinetti评分每年至少下降2分。因此，Tinetti仪器可能是检测该人群跌倒风险增加的有效工具。
Our aim was to identify risk factors for falling and establish a method to assess risk for falls in adults with intellectual disabilities. In a cross-sectional survey of 144 Japanese adults, we found that age, presence of epilepsy, and presence of paretic conditions were independent risk factors. The Tinetti balance and gait instrument was successfully administered to this population and resulted in high diagnostic accuracy (sensitivity 88.9%, specificity 91.9%) for identifying individuals at risk when the cutoff score was set at 25. Participants whose balance and gait deteriorated showed a decrease in the Tinetti score of at least 2 points per year. Thus, the Tinetti instrument may be an effective tool to detect an increased risk of fall in this population.