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Lee JH, Yun I, Nam CM, Jang SY, Park EC. Association between physical activity and health-related quality of life in middle-aged and elderly individuals with musculoskeletal disorders: Findings from a national cross-sectional study in Korea. PLoS One 2023; 18:e0294602. [PMID: 37972082 PMCID: PMC10653435 DOI: 10.1371/journal.pone.0294602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 11/03/2023] [Indexed: 11/19/2023] Open
Abstract
PURPOSE This study aimed to identify the association between physical activity and health-related quality of life (HRQoL) in middle-aged and elderly individuals with musculoskeletal disorders. METHODS This study used data from the 2016-2020 Korea National Health and Nutrition Examination Survey (KNHANES). We included only those over 40 years of age diagnosed with one or more of the following: osteoarthritis, rheumatism, and osteoporosis. In total, 4,731 participants (783 men and 3,948 women) were included as the study population. Multiple logistic regression analysis was performed to examine the association between physical activity and HRQoL. RESULTS In the case of middle-aged and elderly individuals with musculoskeletal disorders, the likelihood of HRQoL worsening was significantly lower for those who regularly engaged in physical activity compared with that of those who did not engage in physical activity at all (men: OR 0.58, 95% CI 0.37-0.90; women: OR 0.64, 95% CI 0.53-0.79). Stratified analysis by the type and intensity of physical activity revealed that the possibility of poor HRQoL was lowest when leisure-related moderate-intensity physical activities were performed (men: OR 0.44, 95% CI 0.22-0.89; Women: OR 0.50, 95% CI 0.36-0.69). CONCLUSIONS Our findings suggest that engaging in regular physical activity contributes to preventing exacerbation of HRQoL, even if the individual suffers from musculoskeletal disorders. It is necessary to provide an appropriate type and intensity of physical activity in consideration of the patients' pain and severity.
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Affiliation(s)
| | - Il Yun
- Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea
- Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
| | - Chung-Mo Nam
- Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Suk-Yong Jang
- Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
- Department of Healthcare Management, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea
| | - Eun-Cheol Park
- Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
- Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
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Haanes GG. Multidisciplinary Approaches and Community-Based Interventions: Adaptable Strategies for Managing Sensory Impairments in Older Adults. J Multidiscip Healthc 2023; 16:2701-2705. [PMID: 37724317 PMCID: PMC10505404 DOI: 10.2147/jmdh.s416762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 08/16/2023] [Indexed: 09/20/2023] Open
Abstract
Sensory impairments including hearing and vision loss are becoming increasingly prevalent among older adults worldwide, and are adversely affecting their quality of life, independence and cognitive health. This article focuses on the global rise of sensory impairments in the ageing population and evaluates the efficacy of multidisciplinary interventions for management and prevention, including assistive-technology-based medicine, exercise programs and cognitive strategies. Drawing from a wide range of studies, we emphasize the importance of developing globally adaptable, community-based solutions that not only address the direct challenges posed by sensory impairments but also their broader implications for cognitive decline. Additionally, we highlight the need for continuous international research to fine-tune these interventions, to ensure they are holistic and responsive to the diverse needs of older adults across different regions worldwide.
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Affiliation(s)
- Gro Gade Haanes
- Faculty of Health and Social Sciences, Department of Social and Welfare Studies, Institute for Nursing and Health Science, University of South-Eastern Norway, Campus Vestfold, Horten, Norway
- USN Research Group of Older Peoples’ Health, University of South-Eastern Norway Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway
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Park C, Atique MMU, Mishra R, Najafi B. Association between Fall History and Gait, Balance, Physical Activity, Depression, Fear of Falling, and Motor Capacity: A 6-Month Follow-Up Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10785. [PMID: 36078500 PMCID: PMC9517805 DOI: 10.3390/ijerph191710785] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 08/26/2022] [Accepted: 08/26/2022] [Indexed: 06/10/2023]
Abstract
Maintaining function in older adults is key to the quality of life and longevity. This study examined the potential impact of falls on accelerating further deterioration over time in gait, balance, physical activity, depression, fear of falling, and motor capacity in older adults. 163 ambulatory older adults (age = 76.5 ± 7.7 years) participated and were followed for 6 months. They were classified into fallers or non-fallers based on a history of falling within the past year. At baseline and 6 months, all participants were objectively assessed for gait, balance, and physical activity using wearable sensors. Additional assessments included psychosocial concerns (depression and fear of falling) and motor capacity (Timed Up and Go test). The fallers showed lower gait performance, less physical activity, lower depression level, higher fear of falling, and less motor capacity than non-fallers at baseline and 6-month follow-up. Results also revealed acceleration in physical activity and motor capacity decline compared to non-fallers at a 6-month follow-up. Our findings suggest that falls would accelerate deterioration in both physical activity and motor performance and highlight the need for effective therapy to reduce the consequences of falls in older adults.
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Affiliation(s)
- Catherine Park
- Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
- VA’s Health Services Research and Development Service (HSR&D), Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX 77030, USA
- Big Data Scientist Training Enhancement Program, VA Office of Research and Development, Washington, DC 20420, USA
| | - Md Moin Uddin Atique
- Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
| | - Ramkinker Mishra
- Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
| | - Bijan Najafi
- Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
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Yoo D, An J, Seo KH, Lee BC. Aging Affects Lower Limb Joint Moments and Muscle Responses to a Split-Belt Treadmill Perturbation. Front Sports Act Living 2021; 3:683039. [PMID: 34350396 PMCID: PMC8326400 DOI: 10.3389/fspor.2021.683039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Accepted: 06/23/2021] [Indexed: 11/13/2022] Open
Abstract
Age-related changes cause more fall-related injuries and impede the recoveries by older adults compared to younger adults. This study assessed the lower limb joint moments and muscle responses to split-belt treadmill perturbations in two groups (14 healthy young group [23.36 ± 2.90 years] and 14 healthy older group [70.93 ± 4.36 years]) who performed two trials of unexpected split-belt treadmill perturbations while walking on a programmable split-belt treadmill. A motion capture system quantified the lower limb joint moments, and a wireless electromyography system recorded the lower limb muscle responses. The compensatory limb's (i.e., the tripped limb's contralateral side) joint moments and muscle responses were computed during the pre-perturbation period (the five gait cycles before the onset of a split-belt treadmill perturbation) and the recovery period (from the split-belt treadmill perturbation to the baseline gait relying on the ground reaction forces' profile). Joint moments were assessed by maximum joint moments, and muscle responses were quantified by the normalization (%) and co-contraction index (CCI). Joint moments and muscle responses of the compensatory limb during the recovery period were significantly higher for the YG than the OG, and joint moments (e.g., knee flexion and extension and hip flexion moments) and muscle responses during the recovery period were higher compared to the pre-perturbation period for both groups. For CCI, the older group showed significantly higher co-contraction for biceps femoris/rectus femoris muscles than the young group during the recovery period. For both groups, co-contraction for biceps femoris/rectus femoris muscles was higher during the pre-perturbation period than the recovery period. The study confirmed that older adults compensated for muscle weakness by using lower joint moments and muscle activations and increasing muscle co-contractions to recover balance after split-belt treadmill perturbations. A better understanding of the recovery mechanisms of older adults who train on fall-inducing systems could improve therapeutic regimens.
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Affiliation(s)
- Dongyual Yoo
- Department of Health and Human Performance, Center for Neuromotor and Biomechanics Research, University of Houston, Houston, TX, United States
| | - Junmo An
- Department of Health and Human Performance, Center for Neuromotor and Biomechanics Research, University of Houston, Houston, TX, United States
| | - Kap-Ho Seo
- Korea Institute of Robotics and Technology Convergence, Pohang, South Korea.,Department of Mechanical Engineering, Pohang University of Science and Technology, Pohang, South Korea
| | - Beom-Chan Lee
- Department of Health and Human Performance, Center for Neuromotor and Biomechanics Research, University of Houston, Houston, TX, United States.,Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, United States
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Bang SH, Jeon JM, Lee JG, Choi J, Song JJ, Chae SW. Association Between Hearing Loss and Postural Instability in Older Korean Adults. JAMA Otolaryngol Head Neck Surg 2021; 146:530-534. [PMID: 32324231 DOI: 10.1001/jamaoto.2020.0293] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Importance Hearing loss is one of the most frequently occurring sensory disabilities worldwide. The association between hearing loss and postural instability in an older population remains to be studied. Objective To determine whether the odds of postural instability increase with the degree of hearing loss and to suggest criteria for hearing rehabilitation for postural instability. Design, Setting, and Participants This cross-sectional population-based study of 3864 participants 40 years and older with hearing loss used data from 2010 through 2012 in the fifth edition of the Korea National Health and Nutrition Examination Survey, a nationwide survey of South Korea. Pure tone audiometry was performed on both the left and right sides and each hearing grade of each side was classified into 1 of 3 subcategories: normal hearing, mild hearing loss, or moderate hearing loss (moderate hearing loss or worse). Postural instability was defined as the failure to remain standing on a foam pad surface with feet 10 cm apart with arms folded and hands cupping the elbows and eyes closed. A binomial logistic regression model was used to assess the association between hearing loss and postural instability. Data were analyzed from August 18, 2019, to September 2, 2019. Exposures Age-related hearing loss defined as a threshold of 26 dB or more. Main Outcomes and Measures The degree of hearing loss and postural instability. Results Of the 3864 participants included in the study, the mean (SD) age was 57.8 (11.3) years and 2135 (55.2%) were women. Female sex was associated with higher odds of postural instability compared with male sex (odds ratio [OR], 1.65; 95% CI, 1.12-2.42, adjusted for age and hearing status), and the odds of postural instability increased with every 1 year increase in age (OR, 1.13; 95% CI, 1.10-1.16, adjusted for sex and hearing status). Unilateral or bilateral mild hearing loss was not associated with an increase in the odds of postural instability, but moderate hearing loss present on at least 1 side was associated with an increase in the odds of postural instability: unilateral moderate hearing loss group (OR, 2.71; 95% CI, 1.12-6.10, adjusted for age and sex), one mild and the other moderate hearing loss group (OR, 2.18; 95% CI, 1.16-4.09, adjusted for age and sex), and bilateral moderate hearing loss group (OR, 2.34; 95% CI, 1.27-4.33, adjusted for age and sex). Conclusions and Relevance Aging, female sex, and having hearing loss were associated with postural instability in this analysis. Moderate or worse hearing loss present on at least 1 side was associated with increased odds of postural instability. Future research in this area is warranted to identify more precise interrelationships and preventive measures.
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Affiliation(s)
- Seung-Hwan Bang
- Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Guro Hospital, Korea University Medicine, Seoul, Korea
| | - Jae-Min Jeon
- Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Guro Hospital, Korea University Medicine, Seoul, Korea
| | - Jong-Geun Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Guro Hospital, Korea University Medicine, Seoul, Korea
| | - June Choi
- Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University Medicine, Ansan, Korea
| | - Jae-Jun Song
- Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Guro Hospital, Korea University Medicine, Seoul, Korea
| | - Sung-Won Chae
- Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Guro Hospital, Korea University Medicine, Seoul, Korea
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Development and Evaluation of Fall Impact Protection Pads Using Additive Manufacturing. MATERIALS 2019; 12:ma12203440. [PMID: 31640163 PMCID: PMC6829214 DOI: 10.3390/ma12203440] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 10/17/2019] [Accepted: 10/18/2019] [Indexed: 01/17/2023]
Abstract
This paper presents the development and evaluation of fall-impact protection pants for elderly women using additive manufacturing. The protective pants were designed incorporating a protective pad in the hip area to reduce the impact of falls on the human body. The protective pad is a 3D mesh structure with a curved surface to fit the human body. Pads printed with flexible thermoplastic polyurethane were combined with foam to create the final pad. The impact-absorbing performance of the pad was verified through physical impact experiments. When dropping a bowling ball onto the protective pad from heights of 15, 20, and 25 cm, the protective pad was found to reduce the impact force by more than 82% in all cases. The impact force was less than the average fracture threshold of 3472 N. A subject group and an expert group evaluated the appearance, pad characteristics, motion functionality, and the wearability of the protection pants. Despite the insertion of a pad, the pants appeared natural and had a good fit. The pads were evaluated as being well-designed in terms of their position, shape, area, thickness, weight, flexibility, ease of insertion, and ease of use. Users were comfortable performing various motions when wearing the designed protective clothing. Therefore, this work can be considered to have developed protective clothing that provides satisfactory impact-protection performance and comfort thereby advancing the possibility of applying additive manufacturing to the creation of functional garments.
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Yoo JI, Lee YK, Koo KH, Park YJ, Ha YC. Concerns for Older Adult Patients with Acute Hip Fracture. Yonsei Med J 2018; 59:1240-1244. [PMID: 30450859 PMCID: PMC6240565 DOI: 10.3349/ymj.2018.59.10.1240] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 09/04/2018] [Accepted: 10/02/2018] [Indexed: 02/07/2023] Open
Abstract
PURPOSE The purpose of this study was to identify concerns among older adult patients with acute hip fracture. MATERIALS AND METHODS This study was performed with 152 consecutive patients with hip fracture. Details were obtained on perioperative concerns about hip fracture using a questionnaire that was specifically designed for this study and was administered face to face upon admission. The study inclusion criteria were age older than 65 years and having experienced femur neck, intertrochanteric, or subtrochanteric fracture. The exclusion criteria were not understanding the study purpose, having difficulty communicating, or refusing to participate. RESULTS Older adult patients with acute hip fracture expressed concerns regarding excessive pain, medical staff, postoperative recovery, rehabilitation, and hospital expenses. In addition, fear of falling from the bed and anxiety regarding re-fracture were the patients' most significant concerns. CONCLUSION Older adult patients reported fear of falling from bed and re-fracture as primary concerns. To overcome these concerns, fracture liaison services to prevent re-fracture should be introduced and enforced.
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Affiliation(s)
- Jun Il Yoo
- Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Jinju, Korea
| | - Young Kyun Lee
- Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Sungnam, Korea
| | - Kyung Hoi Koo
- Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Sungnam, Korea
| | - Young Jin Park
- Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Jinju, Korea
| | - Yong Chan Ha
- Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
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Martin BJ, Thrasher TA, Layne CS. A new fall-inducing technology platform: Development and assessment of a programmable split-belt treadmill. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2018; 2017:3777-3780. [PMID: 29060720 DOI: 10.1109/embc.2017.8037679] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Typical technologies for fall reduction/prevention training incorporate mechanical obstacles or cables/pulleys to induce trip or slip perturbations. This paper proposes a technology platform that uses a split-belt treadmill equipped with one force plate underneath each belt and a real-time gait phase detection algorithm. A proof-of-concept study validates the method for inducing trip perturbations in healthy young adults (n=10) by using kinematic measures from a full body motion capture system to characterize the effects of the perturbations. Preliminary results show that the proposed method successfully induces a trip and its congruent postural responses. The major findings have implications for designing intervention programs to reduce or prevent falls by individuals with a high risk of falls.
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Lee BC, Martin BJ, Thrasher TA, Layne CS. The Effect of Vibrotactile Cuing on Recovery Strategies From a Treadmill-Induced Trip. IEEE Trans Neural Syst Rehabil Eng 2017; 25:235-243. [PMID: 28333619 DOI: 10.1109/tnsre.2016.2556690] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Effective fall prevention technologies need to detect and transmit the key information that will alert an individual in advance about a potential fall. This study investigated advanced vibrotactile cuing that may facilitate trip recovery for balance-impaired individuals who are prone to falling. A split-belt treadmill that simulated unpredictable trip perturbations was developed to compare balance recovery without and with cuing. Kinetic and kinematic measures from force plates and full body motion capture system were used to characterize the recovery responses. Experiment I evaluated recovery adaptation resulting from repeated trip exposure without vibrotactile cuing. Experiment II investigated the effects of vibrotactile cuing as a function of cuing location (upper arm, trunk, lower leg) and lead time prior to a trip (250, 500 ms). Experiment I showed that trip recovery improved progressively from the fourth to the eighth trial. Experiment II showed that trip recovery was almost the same as the eighth trial in Experiment I, regardless of the location of the cuing stimulus and lead time. The results suggest that a combination of vibrotactile cuing and hazard detection technology could reduce the risk of trips and falls.
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Kim B, Won CW, Min JY, Kim S, Kim M, Kim BS, Choi H, Hong J. Association Between Computerized Reaction Time, Short Physical Performance Battery and Berg Balance Scale in the Community-Dwelling Older Adults. Ann Geriatr Med Res 2017. [DOI: 10.4235/agmr.2017.21.3.108] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Kim LH, Leland NE. Rehabilitation Practitioners' Prioritized Care Processes in Hip Fracture Post-Acute Care. PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2017; 34:155-168. [PMID: 28989216 DOI: 10.1080/02703181.2016.1267295] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
AIMS Occupational and physical therapy in post-acute care (PAC) has reached the point where quality indicators for hip fracture are needed. This study characterizes the practitioners' prioritized hip fracture rehabilitation practices, which can guide future quality improvement initiatives. METHODS Ninety-two practitioners participating in a parent mixed methods study were asked to rank a series of evidence-based best practices across five clinical domains (assessment, intervention, discharge planning, caregiver training and patient education). RESULTS Prioritized practices reflected patient-practitioner collaboration, facilitating an effective discharge, and preventing adverse events. The highest endorsed care processes include: developing meaningful goals with patient input (84%) in assessment, using assistive devices in intervention (75%) and patient education (65%), engaging the patient and caregiver (50%) in discharge planning, and fall prevention (60%) in caregiver education. CONCLUSIONS Practitioners identified key care priorities. This study lays the foundation for future work evaluating the extent to which these practices are delivered in PAC.
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Affiliation(s)
- Lauren H Kim
- Davis School of Gerontology, University of Southern California
| | - Natalie E Leland
- Davis School of Gerontology, University of Southern California.,Chan Division of Occupational Science and Occupational Therapy.,Health Services Policy & Practice, Brown University
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Lee H, Park B, Yang Y. Comparison of older adults' visual perceptual skills, cognitive function, and fall efficacy according to fall risk in the elderly. J Phys Ther Sci 2016; 28:3153-3157. [PMID: 27942139 PMCID: PMC5140819 DOI: 10.1589/jpts.28.3153] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2016] [Accepted: 07/27/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This research aims to identify the relationships among visual perceptual skills, cognitive functioning, and fall efficacy of older adults based on whether they are at risk for falls. [Subjects and Methods] Subjects included 116 older adults over 65 years of age who use D Seniors Welfare Center and Y Senior Citizen Center in Busan Metropolitan City. All research subjects were classified based on balance maintenance ability evaluation and whether or not they had experienced falls more than once. Those with scores below the cut-off standard were selected as a group of older adults at risk for falls. An MVPT-3 test was used to assess visual perceptual skill, MMSE-KC, and MoCA-K tests to assess cognitive function, and the FES-K falls efficacy test to classify subjects as either at risk for falls or not. [Results] After comparing scores for visual perceptual skills, cognitive functioning, and fall efficacy, subjects at risk for falls showed significantly lower scores than did those not at risk. [Conclusion] The study found that there are significant differences in balance ability, visual perceptual skill, cognitive functioning, and fall efficacy between older adults at risk for falls and those not at risk.
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Affiliation(s)
- HyeJin Lee
- Department of Occupational Therapy, Rehabilitation Science, Graduate School of Inje University, Republic of Korea
| | - BoRa Park
- Department of Occupational Therapy, Choonhae College of Health Sciences, Republic of Korea
| | - YeongAe Yang
- Department of Occupational Therapy, College of Biomedical Sciences and Engineering, Inje University, Republic of Korea
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Kwak CJ, Kim YL, Lee SM. Effects of elastic-band resistance exercise on balance, mobility and gait function, flexibility and fall efficacy in elderly people. J Phys Ther Sci 2016; 28:3189-3196. [PMID: 27942147 PMCID: PMC5140827 DOI: 10.1589/jpts.28.3189] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Accepted: 07/29/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to analyze the effects of elastic-band resistance exercise on balance, gait function, flexibility and fall efficacy in the elderly people of rural community. [Subjects and Methods] It is selected by 45 outpatients. They have come into the clinic continually to treat of physical therapy at least 1-2 times for a week. A group treated with both general physical therapy and elastic-band resistance exercise (23 patients), and the other group treated with only general physical therapy (22 patients). Elastic-band resistance exercise is composed of 8 movements of lower extremity joints. It is performed for 30 minutes during 8 weeks by 3 times for a week. It is measured and recorded at the pre and post test that sit and reach test (SRT), functional reach test (FRT), timed up and go test (TUG) for every subjects by measurement equipments. And, subjects performed for the form of performance and question as its rated scale by Berg's balance scale (BBS), dynamic gait index (DGI), activities-specific balance confidence scale (ABC). [Results] In the study, both the elastic-band exercise group and the general physical therapy group showed a significant improvement in balance, gait function, flexibility and fall efficacy. And the group with elastic-band resistance exercise showed more effectiveness than the contrast group in value of variation. [Conclusion] From this study, it was confirmed that elastic-band resistance exercise has influence on balance, gait function, flexibility and fall efficacy are working for agriculture of elderly people of rural community. Based on this result, elastic-band resistance exercise can be better instrument and easier to elderly people of rural community for the improvement in balance, gait function, flexibility and fall efficacy as it performing along with and reciprocal physical therapy.
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Affiliation(s)
- Cheol-Jin Kwak
- Department of Physical Therapy, Sahmyook University, Republic of Korea
| | - You Lim Kim
- Department of Physical Therapy, Sahmyook University, Republic of Korea
| | - Suk Min Lee
- Department of Physical Therapy, Sahmyook University, Republic of Korea
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Alhuwail D, Koru G. Leveraging Health Information Technology for Fall-Risk Management in Home Care. HOME HEALTH CARE MANAGEMENT AND PRACTICE 2016. [DOI: 10.1177/1084822316640266] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Falls have a detrimental impact on home care outcomes. This study investigated home care clinicians’ perspectives on (1) how the currently adopted health information technology (IT) solutions supported fall-risk management activities, (2) various shortcomings of these solutions, and (3) ways to improve upon them. Within a case study design, qualitative data were collected through interviews and focus groups at one suburban home health agency in the United States. The clinicians mainly used the electronic health record but experienced substantial difficulties with documenting and accessing fall-related information. Improvement opportunities include providing better workflow support and usability, implementing medication alerts, facilitating fall-related information exchange, and leveraging the IT capabilities at patients’ homes. Additional IT solutions can improve the awareness, assessment, and intervention dimensions of fall-risk management.
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Affiliation(s)
| | - Güneş Koru
- University of Maryland, Baltimore County, MD, USA
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15
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Woo N, Kim SH. Sarcopenia influences fall-related injuries in community-dwelling older adults. Geriatr Nurs 2014; 35:279-82. [DOI: 10.1016/j.gerinurse.2014.03.001] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2013] [Revised: 02/25/2014] [Accepted: 03/03/2014] [Indexed: 12/25/2022]
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Palvanen M, Kannus P, Piirtola M, Niemi S, Parkkari J, Järvinen M. Effectiveness of the Chaos Falls Clinic in preventing falls and injuries of home-dwelling older adults: a randomised controlled trial. Injury 2014; 45:265-71. [PMID: 23579066 DOI: 10.1016/j.injury.2013.03.010] [Citation(s) in RCA: 65] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2012] [Revised: 01/31/2013] [Accepted: 03/11/2013] [Indexed: 02/02/2023]
Abstract
BACKGROUND Falls and related injuries are a major public health concern in elderly people. Multifactorial interventions may result in significant reduction in falls but their effectiveness in prevention of fall-induced injuries at centre-based falls clinics is unclear. This study assessed the effectiveness of the multifactorial Chaos Clinic Falls Prevention Programme on rate of falls and related injuries of home-dwelling older adults. METHODS This study was a pragmatic, randomised controlled trial concentrating on high risk individuals and their individual risk factors of falling. Home-dwelling elderly people aged 70 years or more were recruited to the Chaos falls clinics in the cities of Lappeenranta and Tampere in Finland between January 2005 and June 2009. 1314 participants with high-risk for falling and fall-induced injuries and fractures were randomised into intervention group (n=661) and control group (n=653). A multifactorial, individualized 12-month falls prevention programme concentrating on strength and balance training, medical review and referrals, medication review, proper nutrition (calcium, vitamin D), and home hazard assessment and modification was carried out in the intervention group. The main outcome measures were rates of falls, fallers, and fall-induced injuries. RESULTS During the one-year follow-up, 608 falls occurred in the intervention group and 825 falls in the control group. The rate of falls was significantly lower in the intervention group (95 falls per 100 person-years) than in the controls (131 falls per 100 person-years), the incidence rate ratio (IRR) being 0.72 (95% confidence interval (CI) 0.61-0.86, p<0.001, NNT 3). In the intervention group 296 participants fell at least once. In the controls the corresponding number was 349. The hazard ratio (HR) of fallers in the intervention group compared with the control group was 0.78 (95% CI 0.67-0.91, p=0.001, NNT 6). The number of fall-induced injuries in the intervention group was 351 with the corresponding rate (per 100 person-years) of 55. In the control group, these figures were higher, 468 and 75. The IRR of fall-induced injuries in the intervention group compared with the control group was 0.74 (95% CI 0.61-0.89, p=0.002, NNT 5). CONCLUSIONS The multifactorial Chaos Clinic Falls Prevention Programme is effective in preventing falls of older adults. The programme reduces the rate of falls and related injuries by almost 30%.
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Affiliation(s)
- Mika Palvanen
- Injury & Osteoporosis Research Center, UKK Institute for Health Promotion Research, Tampere, Finland
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Park S, Ko YM, Park JW. The Correlation between Dynamic Balance Measures and Stance Sub-phase COP Displacement Time in Older Adults during Obstacle Crossing. J Phys Ther Sci 2013; 25:1193-6. [PMID: 24259944 PMCID: PMC3818769 DOI: 10.1589/jpts.25.1193] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2013] [Accepted: 05/10/2013] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study examined the relationship between the center of pressure (COP) displacement time during the stance subphases and dynamic balance ability when elderly cross obstacles 0, 10, and 40 cm in height. [Subjects] Fifteen older adults were enrolled in this study (≥65 years of age). [Methods] An F-Scan System was used to measure the COP displacement time when subjects crossed obstacles 0, 10, and 40 cm in height, and the Dynamic Gait Index, Berg Balance Scale, and Four Square Step Test were used to measure dynamic balance ability. [Results] The Dynamic Gait Index, Berg Balance Scale, and Four Square Step Test were correlated with each other. Dynamic balance tests were correlated with the COP displacement time during the stance phase. At obstacle heights of 10 and 40 cm during loading response and at all heights during pre-swing, there were correlations with dynamic balance ability. However, dynamic balance ability did not affect the COP displacement time during mid-stance and terminal stance. [Conclusion] People with a lower dynamic balance ability show a larger COP displacement time during loading response and pre-swing. Therefore, dynamic balance ability can be predicted by measuring the COP displacement time.
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Affiliation(s)
- Seol Park
- Department of Physical Therapy, General Graduate School, Catholic University of Daegu
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Lee D, Ko T, Han S. Effects of Community-Dwelling Older Adults’Demographics and Social, Mental, and Physical Functions on Depressive Disorder. J Phys Ther Sci 2013. [DOI: 10.1589/jpts.25.463] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Dongjin Lee
- Department of Physical Therapy, Gwangju Health College
| | - Taesung Ko
- Department of Physical Therapy, Daewon University College: 316 Daehak-ro, Jecheon Chungbuk 390-702, South Korea
| | - Shangwhan Han
- Department of Physical Therapy, Gwangju Health College
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Kim NJ, Kim MK. Effects of Lower Extremity Resistance Exercise Using Elastic Bands on Balance in Elderly People. ACTA ACUST UNITED AC 2012. [DOI: 10.5854/jiaptr.2012.10.30.440] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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20
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Yoon SW, Lee JW, Kim YN, Kim YS, Cho WS, Park CB. Change in Ankle Dorsiflexion Range of Motion and Ultrasonographic Images of the Tibialis Anterior with Age. J Phys Ther Sci 2011. [DOI: 10.1589/jpts.23.813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Se-Won Yoon
- Department of Physical Therapy, Kwangju Women’s University
| | - Jeong-Woo Lee
- Department of Physical Therapy, Kwangju Women’s University
| | - Yong-Nam Kim
- Department of Physical Therapy, Nambu University
| | | | - Woon-Su Cho
- Department of Physical Therapy, Nambu University
| | - Chi-Bok Park
- Department of Physical Therapy, Graduate School of Public Health, Nambu University
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Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of the literature. Int J Qual Health Care 2010; 22:115-25. [PMID: 20147333 DOI: 10.1093/intqhc/mzq003] [Citation(s) in RCA: 69] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
PURPOSE The paper summarizes the results of a scoping review that focused on the occurrence of adverse events experienced by homecare patients. DATA SOURCES The literature search covered published and grey literature between 1998 and 2007. Databases searched included: MEDLINE, EMBASE, CINAHL and EBM REVIEWS including the Cochrane Library, AGELINE, the National Patient Safety Foundation Bibliography, Agency for Healthcare Research and Quality and the Patient Safety Net bibliography. STUDY SELECTION Papers included research studies, review articles, policy papers, opinion articles and legal briefs. Inclusion criteria were: (i) homecare directed services provided in the home by healthcare professionals or caregivers; (ii) addressed a characteristic relevant to patient experienced adverse events (e.g. occurrences, rates, definitions, prevention or outcomes); and (iii) were in English. Data extraction A pool of 1007 articles was reduced to 168 after analysis. Data were charted according to six categories: definitions, rates, causes, consequences, interventions and policy. RESULTS Eight categories emerged: adverse drug events, line-related, technology-related, infections and urinary catheters, wounds, falls, studies reporting multiple rates and other. Reported overall rates of adverse events ranged from 3.5 to 15.1% with higher rates for specific types. Few intervention studies were found. Adverse events were commonly associated with communication problems. Policy suggestions included the need to improve assessments, monitoring, education, coordination and communication. CONCLUSION A standardized definition of adverse events in the homecare setting is needed. Prospective cohort studies are needed to improve estimates and intervention studies should be undertaken to reduce the risk that homecare patients will experience adverse events.
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Affiliation(s)
- Paul Masotti
- Centre for Health Services and Policy Research, Queen's University, Kingston, ONT, Canada.
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Abstract
Injuries resulting from falls in elderly people are a major public-health concern, representing one of the main causes of longstanding pain, functional impairment, disability, and death in this population. The problem is going to worsen, since the rates of such injuries seem to be rising in many areas, as is the number of elderly people in both the developed and developing world. Many methods and programmes to prevent such injuries already exist, including regular exercise, vitamin D and calcium supplementation, withdrawal of psychotropic medication, cataract surgery, professional environment hazard assessment and modification, hip protectors, and multifactorial preventive programmes for simultaneous assessment and reduction of many of the predisposing and situational risk factors. To receive broader-scale effectiveness, these programmes will need systematic implementation. Care must be taken, however, to rigorously select the right actions for those people most likely to benefit, such as vitamin D and calcium supplementation and hip protectors for elderly people living in institutions.
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Affiliation(s)
- Pekka Kannus
- Accident & Trauma Research Centre, UKK Institute for Health Promotion Research, Tampere, Finland.
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