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Simple Physiological and Clinical Tests for the Accurate Prediction of Falling in Older People
Abstract
A 1-year prospective study was conducted in an intermediate care institution to determine whether a combined assessment of physiological and clinical measures discriminates between elderly fallers and elderly nonfallers. Seventy persons aged between 72 and 96 years (mean 85.6), who were generally independent in activities of daily living, took part in the study, and 66 were available to follow-up. In the follow-up year, 24 subjects experienced no falls, 20 subjects fell one time only and 22 residents fell on two or more occasions. Discriminant analysis identified reaction time, body sway, quadriceps strength, tactile sensitivity, gait impairment, cognitive impairment, psychoactive drug use and age as the variables that significantly discriminated between subjects who experienced falls and those who did not. This procedure correctly classified 86% of subjects into faller and nonfaller groups. These findings suggest that an assessment that combines physiological and clinical factors provides excellent discrimination between elderly fallers and nonfallers.
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Citations
Cited by
Choice Stepping Reaction Time: A Composite Measure of Falls Risk in Older People
Lord, S. R., & Fitzpatrick, R. C. (2001) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/56.10.m627 · Cited by 420
Self-citationA pilot study of long-term monitoring of human movements in the home using accelerometry
Mathie, M. J., Coster, A. C. F., Lovell, N. H., Celler, B. G., Lord, S. R., & Tiedemann, A. (2004) · Journal of Telemedicine and Telecare · doi:10.1258/135763304323070788 · Cited by 153
Self-citationSambrook, P. N., Chen, J. S., March, L. M., Cameron, I. D., Cumming, R. G., Lord, S. R., Zochling, J., Sitoh, Y. Y., Lau, T. C., Schwarz, J., et al. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-031782 · Cited by 118
Self-citationLiu-Ambrose, T., Khan, K. M., Donaldson, M. G., Eng, J. J., Lord, S. R., & McKay, H. A. (2006) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/61.8.832 · Cited by 68
Self-citationSyncope and falls in older people: defining the size of the problem
Newton, J., & Kenny, R. (2001) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1586/14737167.1.2.187 · Cited by 5
Metadata
- Authors
- Lord, S. R., & Clark, R. D.
- Venue
- Gerontology
- Publisher
- S. Karger AG
- Published
- 1996
- Volume
- 42
- Issue
- 4
- Pages
- 199-203
- ISSN
- 0304-324X (ISSN-L)
- 1423-0003
- OpenAlex
- W2016811040
- Cited by
- 187
- References
- 0
- FWCI
- 29.46
- Type
- journal article
- Language
- en
- Open access
- closed
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- Lord, S. R., & Clark, R. D. (1996). Simple Physiological and Clinical Tests for the Accurate Prediction of Falling in Older People. Gerontology. https://doi.org/10.1159/000213793
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
