Vitamin D for physical performance/osteoporosis in older African Americans

18/01/2018

Source: Contemporary Clinical Trials, 2018, Vol 65 p. 39-45

Follow this link for the abstract

Date of publication: February 2018

Publication type: Journal article

In a nutshell: Vitamin D deficiency is associated with bone loss, poor muscle strength, falls and fracture. This information in older African Americans (AAs) is sparse. This RCT examined the effect of vitamin D on bone loss and physical performance in older AA women. This is the first study to show an association between free 25OHD and physical performance. These findings indicate a positive relationship of free 25OHD with gait speed and grip strength in older AA women. Further studies are needed to understand the role of free 25OHD.

Length of publication: 6 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.

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Step length determines minimum toe clearance in older adults and people with Parkinson’s disease

18/01/2018

Source: Journal of Biomechanics, 2017, online

Follow this link for the abstract

Date of publication: December 2017

Publication type: Journal article

In a nutshell: Reduced foot clearance when walking may increase the risk of trips and falls in people with Parkinson’s disease (PD). Changes in foot clearance in PD are likely to be associated with temporal-spatial characteristics of gait such as walking slowly which evokes alterations in the temporal-spatial control of stepping patterns. Enhancing the understanding of the temporal-spatial determinants of foot clearance may inform the design of falls prevention therapies. Results suggest step length is the primary determinant of MTC regardless of pathology. Interventions that focus on increasing step length may help to reduce the risk of trips and falls during gait, however, clinical trials are required for robust evaluation.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Evaluation of organisational change to reduce fall and other injuries

19/12/2017

Source: Applied Ergonomics, 2018, Volume 68 p. 42-53

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Date of publication: April 2018

Publication type: Journal article

In a nutshell: Long term care workers are at significant risk for occupation-related injuries. This study sought to evaluate the implementation process of a participatory change programme to reduce risk. Process evaluation revealed idiosyncratic approaches to recruitment and related challenges of reaching staff. Solutions to prioritized hazards were developed and implemented, despite time challenges. The iterative solution development approach was embraced. Program fidelity was considered good despite early program time demands. Post implementation reports revealed sustained hazard identification and solution development.

Length of publication: 11 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Impaired perceived timing of falls in the elderly

19/12/2017

Source: Gait & Posture, 2018, Vol 59 p. 40-45

Follow this link for the abstract

Date of publication: January 2018

Publication type: Journal article

In a nutshell: Falls are the leading cause of injury-related deaths and hospitalizations, with older adults at an increased risk. As humans age, physical changes and health conditions make falls more likely. The body reflexively responds to prevent injury during a fall, though little is known of the perception of this response. Younger and older people were compared for their perceptions of time during a fall: older people’s fall perception was found to be nearly twice as slow. It is possible that such age-related differences in fall perception may relate to increased falls rates in older adults.

Length of publication: 5 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Fall risk in women over 50 after distal radius fracture

19/12/2017

Source: Journal of Hand Therapy, 2017, online

Follow this link for the abstract

Date of publication: November 2017

Publication type: Journal article

In a nutshell: The purpose of this study was to determine changes in overall functional status over the first year after a Distal Radial Fracture in women aged 50 years and older. Seventy-eight women were assessed for balance, balance confidence, lower extremity strength, gait speed, fall history, physical activity levels, and self-reported wrist pain and function at intervals after DRF. Groups of participants aged 50-65 years and 65 years and older were compared. Both groups had the same pattern of recovery, though the older group has a lower functional status which can lead to fall risk.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


A palliative approach to falls in advanced dementia

19/12/2017

Source: The American Journal of Geriatric Psychiatry, 2017, online

Follow this link for the abstract

Date of publication: December 2017

Publication type: Journal article

In a nutshell: Falls are a preventable cause of injury and death in older adults with dementia, and can be a marker of quality of care in long-term care facilities. This clinical review considers the common challenges and pitfalls in both the management of falls and the provision of palliative care in advanced dementia. It concludes that falls in the advanced stage of dementia can be sentinel events indicating the need for a palliative approach to care. Rather than replace falls prevention activities, a palliative approach to falls prompts the selection of dementia stage-appropriate interventions with a focus on symptom management, comfort, and dignity.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow thi slink to find your local NHS Library.


Quick adjustments during gait are less accurate through focal cerebellar lesions

17/10/2017

Source: Gait & Posture, 2017, Volume 58 p. 390-393

Follow this link for the abstract

Date of publication: October 2017

Publication type: Journal article

In a nutshell: Online gait corrections are frequently used to restore gait stability and prevent falling. They require shorter response times than voluntary movements which suggests that subcortical pathways contribute to the execution of online gait corrections. To evaluate the cerebellum in these pathways two hypotheses were tested around accuracy of online gait corrections and the pronouncement of differences. The reduced ability to accurately adjust foot placement during walking in individuals with focal cerebellar lesions appears to be a general movement control deficit, which could contribute to increased fall risk.

Length of publication: 3 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Self-powered fall detection system using pressure sensing triboelectric nanogenerators

17/10/2017

Source: Nano Energy, 2017, Vol. 41 p. 139-147

Follow this link for the abstract

Date of publication: November 2017

Publication type: Journal article

In a nutshell: Fall detection is becoming more important as the number of older people in society increases. People may fall at home where there is little timely help available, and falls themselves can cause injuries. Most fall detection technologies are inconvenient to wear, and visual or movement-based ones can be expensive and difficult to install. This study proposes a falls-detection system based on a pressure-sensing triboelectric nanogenerator array, which is cost-effective and ambient-based. It achieves a classification accuracy of 95.75% in identifying actual falls, and can be immediately installed due to low costs.

Length of publication: 8 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Strategies to prevent falls and injuries among older adults

15/09/2017

Source: Nursing Clinics of North America, 2017, Volume 52 no 3 p. 489-497

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Date of publication: September 2017

Publication type: Journal article

In a nutshell: Falls in older adults are the leading cause of injuries, and community-dwelling older adults should have an annual fall risk screening/assessment. This article looks at both clinical and community-based strategies from several different evidence-based programs to raise awareness in older adults in the community about falls, about increasing strength and balance, and to address the fear of falling.

Length of publication: 8 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Reducing falls can help trusts improve patient experience and reduce costs

17/08/2017

Source: NHS Improvement, 2017

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Date of publication: July 2017

Publication type: Website

In a nutshell: This report from NHS Improvement provides a picture of the scale of inpatient falls and the benefits to the NHS if the rate in hospitals was reduced. It followed the successful completion of their collaboration between 19 trusts to adopt improvement methodologies and creating a learning community to discuss changes. Results include the observation that older patients represent 77% of total falls, but 87% of total costs – reducing this group by around 25-30% could result in annual savings of up to £170m.

Length of publication: 1 page


Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety)

14/07/2017

Source: The Joint Commission Journal on Quality and Patient Safety, 2017, online

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Date of publication: June 2017

Publication type: Journal article

In a nutshell: Patient falls during an acute hospitalization cause injury, reduced mobility, and increased costs. The laminated paper Fall TIPS Toolkit (Fall TIPS) provides clinical decision support at the bedside by linking each patient’s fall risk assessment with evidence-based interventions. Strategies were needed to integrate this evidence into clinical practice.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Dance movement therapy and falls prevention

16/06/2017

Source: Maturitas, 2017, Vol 102 p. 1-5

Follow this link for the abstract

Date of publication: August 2017

Publication type: Journal article

In a nutshell: Dance is a popular form of physical activity among older people which may improve various health outcomes in this population such as balance, gait and muscle performance. This study conducted a systematic review considering all RCTs investigating if dance can reduce falls and improve fear of falling in older adults. In two out of three RCTs, dancing improved this. However, there is a paucity of studies on dancing and falls, so the evidence is preliminary and equivocal.

Length of publication: 5 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this lik to find your local NHS Library.