Foot problems as a risk factor for falls in community-dwelling older people: a systematic review and meta-analysis

26/10/2018

Source: Maturitas 

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Date of publication: Volume 118, December 2018, Pages 7-14

 Publication type: Journal article

In a nutshell: Foot problems are common in older people. The objective of this systematic review was to determine whether foot problems increase the risk of falling in community-dwelling 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.

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Postural control is associated with muscle power in post-menopausal women with low bone mass

19/07/2018

Source: Osteoporosis International  

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Date of publication: 25th June 2018

 Publication type: Journal article

In a nutshell: Post-menopausal women with low bone mass are at higher risk of bone fractures subsequent to falls. Understanding the correlates of postural control in this collective informs intervention design for falls prevention.

 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.


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

18/01/2018

Source: Journal of Biomechanics, 2017, online

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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.


Fall risk assessment tools for use among older adults in long-term care settings: A systematic review of the literature

18/01/2018

Source: Australasian Journal of Ageing

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Date of publication: 23 November 2017 pps. 1-11

 Publication type: Journal article

In a nutshell: The aim of this article is to conduct a systematic review of published fall risk assessment tools (FRATs) tested for predictive validity among older adults in long-term care (LTC).

 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.

 


Implementation of the MEDFRAT to decrease falls in community hospital ERs

19/12/2017

Source: Journal of Emergency Nursing, 2017, online

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Date of publication: November 2017

Publication type: Journal article

In a nutshell: This article looked to identify and implement and evidence-based fall-risk assessment tool for use in emergency departments in rural areas. The Memorial Emergency Department Fall-Risk Assessment Tool (MEDFRAT) was programmed into the electronic medical record along with interventions that could be selected for two fall-risk levels. The model was found to be a useful framework in the process of implementing evidence-based changes in a rural population, though ongoing follow-ups will determine if the process results in fewer falls.

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.


Fall risk in women over 50 after distal radius fracture

19/12/2017

Source: Journal of Hand Therapy, 2017, online

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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.


STEADI: CDC’s approach to make older adult fall prevention part of every primary care practice

17/10/2017

Source: Journal of Safety Research 

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Date of publication: 4th September 2017

Publication type: Journal article 

In a nutshell:  This article looks at an initiative developed by Centers for Disease Control and Prevention (CDC) developed the STEADI to give health care providers the tools they need to help reduce their older adult patient’s risk of a fall.

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, supports and services, and falls following a nursing home discharge

17/10/2017

Source: The Gerontologist

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Date of publication: 4th September 2017

Publication type: Journal article

In a nutshell: This study examines whether the presence of supports and services impacts the relationship between fall-related risk factors and fall occurrence post NH discharge.

Length of publication: 10 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.

 


Quick adjustments during gait are less accurate through focal cerebellar lesions

17/10/2017

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

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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.


Conceptualizing a dynamic fall risk model including intrinsic risks and exposures

17/10/2017

Source: Journal of the American Medical Directors Association, 2017, Online

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Date of publication: September 2017

Publication type: Journal article

In a nutshell: Falls are a major cause of injury and disability in older people, and can lead to various health and social consequences. Accurately understanding and identifying a person’s fall risk is needed to design and provide individual prevention measures, but current fall-risk models are weak compared to risk models for other specialities. Current models, for example, consider risk factors to be stable over time, not reflecting real-life experience. This study therefore posits a dynamic fall-risk model linking time and context. This may lead to the development of new fall prevention interventions.

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.


Balance and fall risk assessments with mobile phone technology

15/09/2017

Source: Archives of Gerontology and Geriatrics, 2017, online

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Date of publication: August 2017

Publication type: Journal article

In a nutshell: While falls are a major health concern for older adults, preventative measures can help to reduce their incidence and severity; methods for assessing balance and fall risk factors are necessary to implement preventative measures. Mobile applications are being developed to enable seniors, caregivers and clinicians to monitor risks. This systematic review assesses reviews of such apps for their accuracy, reliability and validity. Further research is needed.

Length of publication: 16 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.


Accelerometer-measured moderate to vigorous physical activity and incidence rates of falls in older women

15/09/2017

Source: Journal of the American Geriatrics Society 

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Date of publication: 29 July 2017

Publication type: Journal article

In a nutshell: To examine whether moderate to vigorous physical activity (MVPA) measured using accelerometry is associated with incident falls and whether associations differ according to physical function or history of falls.

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.