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.

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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

Follow this link for the abstract

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.


Does perturbation training prevent falls after discharge from stroke rehabilitation?

14/07/2017

Source: Journal of Stroke and Cerebro-Vascular Diseases, 2017, online

Follow this link for the abstract

Date of publication: June 2017

Publication type: Journal article

In a nutshell: Individuals with stroke fall frequently, and no exercise intervention has been shown to prevent falls post stroke. Perturbation-based balance training (PBT), which involves practicing reactions to instability, shows promise for preventing falls in older adults and individuals with Parkinson’s disease. This study aimed to determine if PBT during inpatient stroke rehabilitation can prevent falls after discharge into the community. These findings suggest that PBT is promising for reducing falls post stroke. While this was not a randomized controlled trial, this study may provide sufficient evidence for implementing PBT in stroke rehabilitation 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.


Knowledge, behavioural practices, and experiences of outdoor fallers: implications for prevention programs

16/06/2017

Source: Archives of Gerontology and Geriatrics, 2017, Vol 72 p. 19-24

Follow this link for the abstract

Date of publication: September-October 2017

Publication type: Journal article

In a nutshell: Falls prevention has been well-studied, but the focus is usually on indoor falls rather than outdoor. Older adults’ knowledge of outdoor risk factors and fall prevention practices have not been examined. This study sought to fill that gap and inform the development of a prevention program by exploring experiences of 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.


Home and community based occupational therapy improves functioning in frail older people: a systematic review

17/05/2017

Source: Journal of the American geriatrics Society

Follow this link for the abstract

Date of publication: 3rd April 2017

 Publication type: Journal article

In a nutshell: The objective of this study is to assess the effectiveness of occupational therapy to improve performance in daily living activities in community-dwelling physically frail older people.

 Length of publication: 7 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.

 


Parkinsonian signs are a risk factor for falls

17/05/2017

Source: Gait & Posture, 2017 p. 1-5

Follow this link for the abstract

Date of publication: June 2017

Publication type: Journal article

In a nutshell: This cohort study looked at how likely people with Parkinson’s disease were to fall compared to those without, as Parkinsonian symptoms are common in older adults and are associated with increased rates of dementia and mortality. Even adjusting for age, cognitive function and co-morbidities, those with signs were still 38% more likely to fall than those without, and those falls were also more likely to lead to injury. Parkinsonian signs are a significant and independent risk factor for falls, and early detection is essential to implement fall prevention programmes.

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.


East Lancs Falls Response Service…keeping 900 patients out of hospital

19/12/2016

Source: The Academy of NHS Fabulous Stuff

Follow this link for the article

Date of publication: November 2016

Publication type: Website news article

In a nutshell: Based at Burnley Ambulance Station in East Lancashire, an Occupational Therapist (Rachel Bedwell) and North West Ambulance Service paramedic (Gail Smith) respond to 999 and 111 calls triaged as ‘Green code – Falls with no apparent injury’.

The Falls Response Service – a one-of-a-kind in England – has attended 1,272 calls in the past 18 months and the intervention of a qualified OT has kept over 70% of patients in their own home rather than being transported to A&E.

Length of publication: 1 page


The degree of misjudgment between perceived and actual gait ability

19/12/2016

Source: Gait & posture, 2017, Vol 51 p. 275-280

Follow this link for the abstract

Date of publication: January 2017

Publication type: Journal article

In a nutshell: Carrying out motor tasks successfully means a person’s perception of their physical abilities must be integrated with a perception of the task itself. Geriatric decline in physical and cognitive abilities may lead to misjudgements and possibly errors leading to loss of balance. This study aimed to quantify how much older adults misjudge their actual gait ability. Better abilities did not appear to be associated with better judgement – in fact, a range of misjudgements showed. This could provide insight into the interplay between cognition and physical abilities, and add value towards fall prevention and promotion of healthy ageing.

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.


Evidence of compensatory joint kinetics on stairs in Parkinson’s disease

19/12/2016

Source: Gait and Posture, 2017, Vol 52 p. 33-39

Follow this link for the abstract

Date of pulication: February 2017

Publication type: Journal article

In a nutshell: Using stairs requires larger joint movements than simply walking and preventing lower limb collapse depends on large enough movement in the hip, knee and ankle. However, people with Parkinson’s disease often can’t control their lower limbs which can increase fall risk. They also rely more heavily on knee extensor muscles which can provide them with an increased sense of stability.

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.


Exercise and vitamin D reduce falls among institutionalised frail elderly

19/12/2016

Source: International Journal of Gerontology, 2016, online

Follow this link for the abstract

Date of publication: November 2016

Publication type: Journal article

In a nutshell: Falls are a serious problem among frail elderly people and prevention is an important health concern. This study compared the frequency of falls among institutionalised residents following different interventions: low-frequency exercise; vitamin supplementation; a combination of both. The results showed that combining the two interventions significantly reduced the risk of falls, whereas the other two groups did not show any significant difference.

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.


Effectiveness of falls prevention programs for reducing diabetic risk factors

17/11/2016

Source: Journal of Diabetes and its Complications, 2016, online

Follow this link for the abstract

Date of publication: October 2016

Publication type: Journal article

In a nutshell: Diabetic peripheral neuropathy (DPN) is a common complication of type-2 diabetes mellitus (T2DM) that increases falls risk in the elderly. Prevention programs with a component of weight-bearing exercises are effective in decreasing future falls. However, weight-bearing exercise was only recently recommended in guidelines for exercise for these patients. There have since been many studies evaluating the effectiveness of such programs on this population. Evidence suggests that people with T2DM and DPN can improve their balance and walking after a targeted multicomponent program, though it is yet unknown whether they resulted in a decreased falls risk in the community.

Length of publication: 1 page

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


Community falls service produces ‘significant’ improvements in patients

15/09/2016

Source: The Chartered Society of Physiotherapy, 2016, online

Follow this link for the article

Date of publication: August 2016

Publication type: Website news item

In a nutshell: A physiotherapist at a west London falls service has ‘significantly improved’ the health of patients, according to four commonly-used clinical outcome measures. The patients were discharged from April to June, and at the end of the programme people had improved their balance by nearly seven points on the Berg Balance Scale. Timed Up and Go, a simple and reliable test of a person’s risk of falls, showed an average improvement of nearly seven seconds across the group.

Length of publication: 1 page


Reducing older people’s falls in the general practice ProAct65+ trial

15/08/2016

Source: Archives of Gerontology and Geriatrics, 2016, Volume 67 p. 46-54

Follow this link for the abstract

Date of publication: November-December 2016

Publication type: Journal article

In a nutshell: Falls are common in older people in the UK and NHS costs associated with these falls are high. Systematic reviews suggest that home exercise and group-based interventions focusing on progressively challenging balance and increasing strength, can reduce up to 42% of falls in those with a history. ProAct65+ was a large RCT which investigated the effectiveness of a home exercise programme and a group-based exercise programme compared to usual care. Home exercise appeared less effective than group exercise, but the latter also became less effective after 24 months if the exercise did not continue.

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.


Fall risk post-stroke: Examining paretic limbs around forward gait slips

25/07/2016

Source: Journal of Biomechanics, 2016, online

Follow this link for the abstract

Date of publication: June 2016

Publication type: Journal article

In a nutshell: Community-dwelling stroke survivors show a high incidence of falls with unexpected external perturbations during dynamic activities like walking. Previous evidence has demonstrated the importance of compensatory stepping to restore dynamic stability in response to perturbations in hemiparetic stroke survivors. However, these studies were limited to either stance perturbations or perturbation induced under the unaffected limb. This study aimed to compare the differences, if any, between the non-paretic and paretic sides in dynamic stability and protective stepping strategies when exposed to unexpected external perturbation during walking.

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.