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

本研究的目的是评估老年人跌倒经历或害怕跌倒与功能健康之间的关系。这项研究的对象是41名年龄在66-88岁之间的女性，她们在东京大都会老年医院的预防跌倒诊所就诊。每个受试者都接受了面试和功能评估。我们采用问卷调查，包括跌倒、害怕跌倒、活动限制，并使用12个变量来评估功能适合度。数据收集于2000年6月至2001年11月。受试者被分为四个亚组；跌倒组（n=29）为过去一年内至少有一次或多次跌倒事故经历的受试者；非跌倒组（n=12）为过去一年内未发生跌倒事故的受试者；活动受限组（n=12）为因害怕跌倒而限制外出的受试者；活动-非限制组（n=23）为没有因害怕跌倒而限制外出的受试者。结果是；1) 85.4%的被试有跌倒恐惧。在有跌倒恐惧的受试者中，34.3%的人因为害怕跌倒而限制了户外活动。2) 86.2%的跌倒者有跌倒恐惧。83.4%的非跌倒组回应有跌倒恐惧。44.0%的跌倒者因害怕跌倒而限制外出。在非摔倒组中，10.0%的人因为害怕摔倒而限制外出。跌倒组活动受限率显著高于非跌倒组（P< 0.05）。3)与非跌倒组相比，跌倒组的单腿平衡、功能伸展、随机行走、握力和腿部伸展明显减少。4)与非活动限制组相比，活动限制组的单腿平衡、Up & Go测试、握力和腿部伸展明显降低。综上所述，下肢力量和行走能力以及跌倒史是老年女性对跌倒相关活动限制的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