Fear of falling and restriction of mobility in elderly fallers

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ID: 301310
1997
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Abstract
to identify the characteristics of elderly persons who develop a fear of falling after experiencing a fall and to investigate the association of this fear with changes in health status over time. a prospective study of falls over a 2-year period (1991–92). Falls were ascertained using bimonthly postcards plus telephone interview with a standardized (World Health Organisation) questionnaire for circumstances, fear of falling and consequences of each reported fall. Each participant underwent a physical exam and subjective health assessment each year from 1990 to 1993. New-Mexico Aging Process Study, USA 487 elderly subjects (> 60 years) living independently in the community. fear of falling after experiencing a fall. 70 (32%) of 219 subjects who experienced a fall during the 2 year study period reported a fear of falling. Women were more likely than men to report fear of falling (74% vs 26%). Fallers who were afraid of falling again had significantly more balance (31.9% vs 12.8%) and gait disorders (31.9% vs 7.4%) at entry in the study in 1990. Among sex, age, mental status, balance and gait abnormalities, economic resource and physical health, logistic regression analysis show gait abnormalities and poor self-perception of physical health, cognitive status and economic resources to be significandy associated with fear of falling. Subjects who reported a fear of falling experienced a greater increase in balance (P = 0.08), gait (JP > 0.01) and cognitive disorders (P = 0.09) over time, resulting in a decrease in mobility level. the study indicated that about one-third of elderly people develop a fear of falling after an incident fall and this issue should be specifically addressed in any rehabilitation programme.
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Authors Bruno Vellas, Sharon Wayne, Linda J. Romero, Richard Baumgartner, Philip J. Garry
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Journal age and ageing
Year 1997
DOI
10.1093/ageing/26.3.189
URL
https://academic.oup.com/ageing/article-pdf/26/3/189/78521/26-3-189.pdf
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