Self-report of missteps in older adults: a valid proxy of fall risk?
Self-report of missteps in older adults: a valid proxy of fall risk?
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DOI：
10.1016/j.apmr.2008.11.007
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发表时间：
2009-05
影响因子：
4.3
通讯作者：
Hausdorff, Jeffrey M.
中科院分区：
文献类型：
--
作者：
Srygley, Jennifer M.;Herman, Talia;Giladi, Nir;Hausdorff, Jeffrey M.
评估失误和福尔斯之间的关系，并确定与失误相关的因素，以潜在地产生更广泛的跌倒风险。前瞻性、观察性队列。一般社区。一个健康的，社区生活的老年人（N=266;年龄：70- 90岁）谁是认知完整和独立行走的样本。不适用因在步态、运动功能、认知功能、情感和平衡信心的基线测试之后，受试者完成12个月的每日日志，记录福尔斯和失足（定义为绊倒、滑倒或其他平衡丧失，其中恢复以防止跌倒）的次数。平均± SD受试者年龄为76.4±4.3岁。在参与者中，20.7%的参与者报告至少有1次失误，25.6%的参与者报告在12个月内至少有1次跌倒。在多次福尔斯跌倒的受试者中，失足比福尔斯跌倒更常见，比例为3：1（P<.001）。报告多次失误的受试者更有可能前瞻性地跌倒（相对风险=3.89）。失足与老年抑郁量表评分较高（P= 0.009）和焦虑增加（P=0.014）相关，但与其他已知的福尔斯危险因素（包括步态和认知功能）无关。自我报告的失误可能是一个有价值的工具，在研究福尔斯和跌倒风险，并可能提供一种方法来识别患者的风险福尔斯之前，他们跌倒。
To evaluate the relationship between missteps and falls and to identify factors associated with missteps to potentially generate a broader picture of fall risk. Prospective, observational cohort. General community. A sample of healthy, community-living older adults (N=266; ages: 70–90y) who were cognitively intact and walked independently. Not applicable. Baseline testing of gait, motor function, cognitive function, affect, and balance confidence was followed by a 12-month period in which subjects completed a daily log documenting the number of falls and missteps (defined as a trip, slip, or other loss of balance in which recovery occurred to prevent a fall). Mean ± SD participant age was 76.4±4.3 years. Among the participants, 20.7% reported at least 1 misstep and 25.6% of the participants reported at least 1 fall during the 12 months. Among subjects who had multiple falls, missteps were more common than falls by a ratio of 3:1 (P<.001). Subjects who reported multiple missteps were more likely to fall prospectively (relative risk=3.89). Missteps were associated with higher scores on the Geriatric Depression Scale (P=.009) and increased anxiety (P=0.014), but were not associated with other known risk factors of falls, including gait and cognitive function. The self-report of missteps may be a valuable tool in the research of falls and fall risk and may provide a way to identify patients at risk for falls before they fall.
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影响因子：
1.8
作者：
Hausdorff, Jeffrey M.;Doniger, Glen M.;Simon, Ely S.
通讯作者：
Simon, Ely S.
DOI：
10.1093/gerona/56.7.m428
发表时间：
2001-07-01
影响因子：
5.1
作者：
Pavol, MJ;Owings, TM;Grabiner, MD
通讯作者：
Grabiner, MD
DOI：
10.1111/j.1532-5415.2006.00813.x
发表时间：
2006-08-01
影响因子：
6.3
作者：
Anstey, Kaarin J.;von Sanden, Chwee;Luszcz, Mary A.
通讯作者：
Luszcz, Mary A.
影响因子：
2.5
作者：
Lockhart, Thurmon E.
通讯作者：
Lockhart, Thurmon E.
DOI：
10.1093/gerona/54.11.m583
发表时间：
1999-11-01
影响因子：
5.1
作者：
Pavol, MJ;Owings, TM;Grabiner, MD
通讯作者：
Grabiner, MD