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The risk of being fearful or fearless of falls in older people: an empirical validation

Kim Delbaere UGent, Geert Crombez UGent, Nele Van Den Noortgate UGent, Tine Willems UGent and Dirk Cambier UGent (2006) DISABILITY AND REHABILITATION. 28(12). p.751-756
abstract
Purpose. To investigate the risk of being fearful or fearless of falls in older people. Methods. Using a force plate, postural control in different sensory and rhythmic conditions was measured in 263 community-dwelling older people. Other assessments included fear of falling, and handgrip strength. Fall incidence was assessed at baseline and during a one-year follow-up period. Results. Logistic regression analysis revealed that increased lateral sway in near-tandem stance with eyes open (OR = 5.33; p < 0.01) and a worse performance on anteroposterior rhythmic weight shifts (OR 0.65; p < 0.05) were related to falls. Univariate analyses revealed that older people with inappropriate high fear of falling according to their fall incidence had worse balance capacities on the rhythmic weight shifts (p < 0.05) but had similar static balance and physical capacities. Older people with inappropriate low fear of falling had a better hand grip (p < 0.05) but equally worse balance capacities than the comparison group. Conclusions. The results indicate the importance of lateral stability in relation to falls. They also suggest a substantial impact of inappropriate fear of falling on physical performance. Inappropriate high fear of falling may result in worse performance during dynamic balance tests, whereas older people with inappropriate low fear seem to overrate their capacities because of higher strength.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
fear of falling, ADULTS, PERFORMANCE, INDICATORS, PREVENTION, AVOIDANCE, FRACTURES, ABILITIES, COMMUNITY, MUSCLE STRENGTH, ACTIVITY RESTRICTION, older people, lateral stability, falls, postural control, rhythmic weight shifts
journal title
DISABILITY AND REHABILITATION
Disabil. Rehabil.
volume
28
issue
12
pages
751 - 756
Web of Science type
Article
Web of Science id
000238093100002
JCR category
REHABILITATION
JCR impact factor
1.164 (2006)
JCR rank
15/49 (2006)
JCR quartile
2 (2006)
ISSN
0963-8288
DOI
10.1080/09638280500304794
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
364314
handle
http://hdl.handle.net/1854/LU-364314
date created
2006-09-13 11:41:00
date last changed
2015-06-17 10:41:34
@article{364314,
  abstract     = {Purpose. To investigate the risk of being fearful or fearless of falls in older people.
Methods. Using a force plate, postural control in different sensory and rhythmic conditions was measured in 263 community-dwelling older people. Other assessments included fear of falling, and handgrip strength. Fall incidence was assessed at baseline and during a one-year follow-up period.
Results. Logistic regression analysis revealed that increased lateral sway in near-tandem stance with eyes open (OR = 5.33; p {\textlangle} 0.01) and a worse performance on anteroposterior rhythmic weight shifts (OR 0.65; p {\textlangle} 0.05) were related to falls. Univariate analyses revealed that older people with inappropriate high fear of falling according to their fall incidence had worse balance capacities on the rhythmic weight shifts (p {\textlangle} 0.05) but had similar static balance and physical capacities. Older people with inappropriate low fear of falling had a better hand grip (p {\textlangle} 0.05) but equally worse balance capacities than the comparison group.
Conclusions. The results indicate the importance of lateral stability in relation to falls. They also suggest a substantial impact of inappropriate fear of falling on physical performance. Inappropriate high fear of falling may result in worse performance during dynamic balance tests, whereas older people with inappropriate low fear seem to overrate their capacities because of higher strength.},
  author       = {Delbaere, Kim and Crombez, Geert and Van Den Noortgate, Nele and Willems, Tine and Cambier, Dirk},
  issn         = {0963-8288},
  journal      = {DISABILITY AND REHABILITATION},
  keyword      = {fear of falling,ADULTS,PERFORMANCE,INDICATORS,PREVENTION,AVOIDANCE,FRACTURES,ABILITIES,COMMUNITY,MUSCLE STRENGTH,ACTIVITY RESTRICTION,older people,lateral stability,falls,postural control,rhythmic weight shifts},
  language     = {eng},
  number       = {12},
  pages        = {751--756},
  title        = {The risk of being fearful or fearless of falls in older people: an empirical validation},
  url          = {http://dx.doi.org/10.1080/09638280500304794},
  volume       = {28},
  year         = {2006},
}

Chicago
Delbaere, Kim, Geert Crombez, Nele Van Den Noortgate, Tine Willems, and Dirk Cambier. 2006. “The Risk of Being Fearful or Fearless of Falls in Older People: An Empirical Validation.” Disability and Rehabilitation 28 (12): 751–756.
APA
Delbaere, K., Crombez, G., Van Den Noortgate, N., Willems, T., & Cambier, D. (2006). The risk of being fearful or fearless of falls in older people: an empirical validation. DISABILITY AND REHABILITATION, 28(12), 751–756.
Vancouver
1.
Delbaere K, Crombez G, Van Den Noortgate N, Willems T, Cambier D. The risk of being fearful or fearless of falls in older people: an empirical validation. DISABILITY AND REHABILITATION. 2006;28(12):751–6.
MLA
Delbaere, Kim, Geert Crombez, Nele Van Den Noortgate, et al. “The Risk of Being Fearful or Fearless of Falls in Older People: An Empirical Validation.” DISABILITY AND REHABILITATION 28.12 (2006): 751–756. Print.