A devclopmcnt of overcall health promtion for community-dwelling frail elderly

本研究旨在探讨福尔斯经验及跌倒恐惧与老年人功能适能的关系。本研究的总受试者为41名年龄在66-88岁之间的女性，她们在东京都立老年病医院的跌倒预防诊所就诊。每名受试者都要进行面谈和功能评估。采用福尔斯、跌倒恐惧、活动受限等问卷调查，并采用12个变量进行功能适能评定。方法：2000年6月至2001年11月，将研究对象分为4个亚组，跌倒组（n=29）为过去1年内至少发生过1次或1次以上跌倒事故的受试者，非跌倒组（n=12）为过去1年内没有发生过跌倒事故的受试者，对照组（n=12）为过去1年内没有发生过跌倒事故的受试者。限制活动组（n=12）为因害怕跌倒而限制外出的受试者，不限制活动组（n=23）为无跌倒的受试者。 ...更多信息 因为害怕摔倒，所以限制外出。结果表明：（1）85.4%的被试有跌倒恐惧感;在有跌倒恐惧感的人群中，34.3%的人因害怕跌倒而限制户外活动; 2）86.2%的跌倒者有跌倒恐惧感。83.4%的非跌倒者回答害怕跌倒。44.0%的跌倒者因害怕跌倒而限制外出。在非跌倒组中，有10.0%的人因害怕跌倒而限制外出。Faller组的活动受限率明显高于Faller组（P< 0.05）与非跌倒组相比，跌倒组的单腿平衡、功能性前伸、直立行走、握力和伸腿能力均显著降低;（4）活动受限组的单腿平衡、Up & Go测试、握力和伸腿能力均显著降低，结论：下肢力量、步行能力和福尔斯跌倒史是老年女性活动受限相关跌倒恐惧的重要预测因素。少

The purpose of this study was to assess the relationship between experiences of falls or fear of falling and functional fitness in elderly. The total subject of this study was forty-one women, aged 66-88, who visited Fall Prevention Clinic in Tokyo Metropolitan Geriatric Hospital. Each subject undertwent an interview and functional assessment. We used questionnaire included falls, fear of falling, activity restriction, and twelve variables were used to assess functional fitness. Data was collected from June 2000 to November 2001.The subjects were classified into four subgroups ; faller group (n=29) was the subjects who had at least one or more experiences of fall accidents in the past one year ; non-faller group (n=12) was the subjects who did not have any experiences of fall accidents in the past one year ; activity-restricted group (n=12) was the subjects who had a restriction of go out because of fear of falling ; activity-non restricted group (n=23) was the subjects who did not hav … More e a restriction of go out because of fear of falling. The results were ;1) 85.4% of total subjects had fear of falling. Among the subjects who had fear of falling, 34.3% had a restriction of outdoor activities due to the fear of falling.2) 86.2% of faller group responded to have fear of falling. 83.4% of non-faller group responded to have fear of falling. 44.0% of faller group had a restriction of their go out because of fear of falling. In case of non-faller group, 10.0% of them showed a restriction of go out because of fear of falling. The rate of activity restriction in the faller group was significantly higher (P< 0.05) than in the non-faller group.3) The faller group was significantly reduced the one leg balance, functional reach, tandom walking, grip strength, and leg extention than the non-faller group.4) The activity-restricted group exhibited significantly reduced one-leg balance, Up ＆ Go test, grip strength, and leg extention than the activity-non restricted group.In conclusion, lower leg strength and walking ability as well as history of falls are significant predictors of fear of falling related activity restriction in elderly women. Less