OPEN IN READ APP
JOURNAL ARTICLE

Self-report of missteps in older adults: a valid proxy of fall risk?

Jennifer M Srygley, Talia Herman, Nir Giladi, Jeffrey M Hausdorff
Archives of Physical Medicine and Rehabilitation 2009, 90 (5): 786-92
19406298

OBJECTIVE: To evaluate the relationship between missteps and falls and to identify factors associated with missteps, potentially to generate a broader picture of fall risk.

DESIGN: Prospective, observational cohort.

SETTING: General community.

PARTICIPANTS: A sample of healthy, community-living older adults (N=266; age, 70-90y) who were cognitively intact and walked independently.

INTERVENTIONS: Not applicable.

MAIN OUTCOME MEASURES: 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).

RESULTS: Mean +/- SD participant age was 76.4+/-4.3 years. Of all 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=.014), but were not associated with other known risk factors for falls, including gait and cognitive function.

CONCLUSIONS: 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.

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Available on the App Store

Available on the Play Store
Remove bar
Read by QxMD icon Read
19406298
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"