Clinical assessment tools identify functional deficits in fragility fracture patients

Clinical assessment tools identify functional deficits in fragility fracture patients

Tyler D Ames,1 Corinne E Wee,1 Khoi M Le,1 Tiffany L Wang,1 Julie Y Bishop,2 Laura S Phieffer,2 Carmen E Quatman2 1The Ohio State University College of Medicine, 2Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA Purpose: To identify inexpensive, noninv...

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Autores principales: Ames TD, Wee CE, Le KM, Wang TL, Bishop JY, Phieffer LS, Quatman CE
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
Materias:
fragility fracture
fall risk
geriatric fracture
Geriatrics
RC952-954.6
Acceso en línea:https://doaj.org/article/e1a6b4d808424dc08371561a4d52a531
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spelling oai:doaj.org-article:e1a6b4d808424dc08371561a4d52a5312021-12-02T00:40:20ZClinical assessment tools identify functional deficits in fragility fracture patients1178-1998https://doaj.org/article/e1a6b4d808424dc08371561a4d52a5312016-05-01T00:00:00Zhttps://www.dovepress.com/clinical-assessment-tools-identify-functional-deficits-in-fragility-fr-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Tyler D Ames,1 Corinne E Wee,1 Khoi M Le,1 Tiffany L Wang,1 Julie Y Bishop,2 Laura S Phieffer,2 Carmen E Quatman2 1The Ohio State University College of Medicine, 2Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA Purpose: To identify inexpensive, noninvasive, portable, clinical assessment tools that can be used to assess functional performance measures that may put older patients at risk for falls such as balance, handgrip strength, and lumbopelvic control.Patients and methods: Twenty fragility fracture patients and 21 healthy control subjects were evaluated using clinical assessment tools (Nintendo Wii Balance Board [WBB], a handheld dynamometer, and an application for the Apple iPod Touch, the Level Belt) that measure functional performance during activity of daily living tasks. The main outcome measurements were balance (WBB), handgrip strength (handheld dynamometer), and lumbopelvic control (iPod Touch Level Belt), which were compared between fragility fracture patients and healthy controls.Results: Fragility fracture patients had lower scores on the vertical component of the WBB Torso Twist task (P=0.042) and greater medial–lateral lumbopelvic sway during a 40 m walk (P=0.026) when compared to healthy controls. Unexpectedly, the fracture patients had significantly higher scores on the left leg (P=0.020) and total components (P=0.010) of the WBB Single Leg Stand task as well as less faults during the left Single Leg Stand task (P=0.003).Conclusion: The clinical assessment tools utilized in this study are relatively inexpensive and portable tools of performance measures capable of detecting differences in postural sway between fragility fracture patients and controls. Keywords: fall risk, geriatric fracture, Nintendo Wii Balance Board, Level Belt, fragility fractureAmes TDWee CELe KMWang TLBishop JYPhieffer LSQuatman CEDove Medical Pressarticlefragility fracturefall riskgeriatric fractureGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 563-570 (2016)
institution DOAJ
collection DOAJ
language EN
topic fragility fracture
fall risk
geriatric fracture
Geriatrics
RC952-954.6
spellingShingle fragility fracture
fall risk
geriatric fracture
Geriatrics
RC952-954.6
Ames TD
Wee CE
Le KM
Wang TL
Bishop JY
Phieffer LS
Quatman CE
Clinical assessment tools identify functional deficits in fragility fracture patients
description Tyler D Ames,1 Corinne E Wee,1 Khoi M Le,1 Tiffany L Wang,1 Julie Y Bishop,2 Laura S Phieffer,2 Carmen E Quatman2 1The Ohio State University College of Medicine, 2Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA Purpose: To identify inexpensive, noninvasive, portable, clinical assessment tools that can be used to assess functional performance measures that may put older patients at risk for falls such as balance, handgrip strength, and lumbopelvic control.Patients and methods: Twenty fragility fracture patients and 21 healthy control subjects were evaluated using clinical assessment tools (Nintendo Wii Balance Board [WBB], a handheld dynamometer, and an application for the Apple iPod Touch, the Level Belt) that measure functional performance during activity of daily living tasks. The main outcome measurements were balance (WBB), handgrip strength (handheld dynamometer), and lumbopelvic control (iPod Touch Level Belt), which were compared between fragility fracture patients and healthy controls.Results: Fragility fracture patients had lower scores on the vertical component of the WBB Torso Twist task (P=0.042) and greater medial–lateral lumbopelvic sway during a 40 m walk (P=0.026) when compared to healthy controls. Unexpectedly, the fracture patients had significantly higher scores on the left leg (P=0.020) and total components (P=0.010) of the WBB Single Leg Stand task as well as less faults during the left Single Leg Stand task (P=0.003).Conclusion: The clinical assessment tools utilized in this study are relatively inexpensive and portable tools of performance measures capable of detecting differences in postural sway between fragility fracture patients and controls. Keywords: fall risk, geriatric fracture, Nintendo Wii Balance Board, Level Belt, fragility fracture
format article
author Ames TD
Wee CE
Le KM
Wang TL
Bishop JY
Phieffer LS
Quatman CE
author_facet Ames TD
Wee CE
Le KM
Wang TL
Bishop JY
Phieffer LS
Quatman CE
author_sort Ames TD
title Clinical assessment tools identify functional deficits in fragility fracture patients
title_short Clinical assessment tools identify functional deficits in fragility fracture patients
title_full Clinical assessment tools identify functional deficits in fragility fracture patients
title_fullStr Clinical assessment tools identify functional deficits in fragility fracture patients
title_full_unstemmed Clinical assessment tools identify functional deficits in fragility fracture patients
title_sort clinical assessment tools identify functional deficits in fragility fracture patients
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/e1a6b4d808424dc08371561a4d52a531
work_keys_str_mv AT amestd clinicalassessmenttoolsidentifyfunctionaldeficitsinfragilityfracturepatients
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AT bishopjy clinicalassessmenttoolsidentifyfunctionaldeficitsinfragilityfracturepatients
AT phiefferls clinicalassessmenttoolsidentifyfunctionaldeficitsinfragilityfracturepatients
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