A Prospective Study of the Relationship between Physical and Cognitive Factors and Falls in the Elderly Disabled at Home

  • MURATA Shin
    Faculty of Social Welfare and Human Services, Daiichi Welfare University:Graduate School of Psychology, Kurume University
  • TSUDA Akira
    Department of Psychology, Kurume University

Bibliographic Information

Other Title
  • 在宅障害高齢者の身体機能・認知機能と転倒発生要因に関する前向き研究

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Abstract

The present study examined physical and cognitive factors associated with falls. We surveyed the disabled elderly (N = 90, mean age 83.1 years) disabled staying at home. During 1-year prospective monitoring, falls were reported by 22 persons, and near to falls were reported by 36 persons. Their levels of attention were measured with Trail making test-Part A. Falls group (N = 22), Near to Falls group (N = 36) and Non-Falls group (N = 32) were compared with those scores. The result showed that Falls group and Near to Falls group had lower scores of Trail making test than Non-Falls group, and also Falls and Near to Falls groups had lower self-perception of body functions. Falls group had lower scores of foot-gripping force, ankle range of motion, walking speed, compared with the other groups. Logistic regression analysis also indicated that Falls group had less ankle range of motion and foot-gripping force than Non-falls group, and lower Trail making test-Part A scores. <br>These results suggest that not only physical factors are related to falls, but also attention is an important factor for the elderly disabled.

Journal

  • Physical Therapy Japan

    Physical Therapy Japan 33 (3), 97-104, 2006-06-20

    Japanese Society of Physical Therapy

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