Format

Send to

Choose Destination
See comment in PubMed Commons below
Arch Phys Med Rehabil. 2009 May;90(5):786-92. doi: 10.1016/j.apmr.2008.11.007.

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

Author information

1
Movement Disorders Unit, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.

Abstract

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.

PMID:
19406298
PMCID:
PMC3180816
DOI:
10.1016/j.apmr.2008.11.007
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science Icon for PubMed Central
    Loading ...
    Support Center