Association between physiological falls risk and physical performance tests among community-dwelling older adults

Devinder KA Singh,1 Sharmila GK Pillai,1 Sin Thien Tan,1 Chu Chiau Tai,1 Suzana Shahar2 1Physiotherapy Programme, School of Rehabilitation Sciences, 2Nutrition and Dietetics Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul A...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Singh DK, Pillai SG, Tan ST, Tai CC, Shahar S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	physiological falls risk community dwelling older adults physical performace tests postural sways Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/f958d83c15ce449dbea3e45cd73de7c6
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f958d83c15ce449dbea3e45cd73de7c6
record_format	dspace
spelling	oai:doaj.org-article:f958d83c15ce449dbea3e45cd73de7c62021-12-02T04:17:04ZAssociation between physiological falls risk and physical performance tests among community-dwelling older adults1178-1998https://doaj.org/article/f958d83c15ce449dbea3e45cd73de7c62015-08-01T00:00:00Zhttps://www.dovepress.com/association-between-physiological-falls-risk-and-physical-performance--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Devinder KA Singh,1 Sharmila GK Pillai,1 Sin Thien Tan,1 Chu Chiau Tai,1 Suzana Shahar2 1Physiotherapy Programme, School of Rehabilitation Sciences, 2Nutrition and Dietetics Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia Background: Physical performance and balance declines with aging and may lead to increased risk of falls. Physical performance tests may be useful for initial fall-risk screening test among community-dwelling older adults. Physiological profile assessment (PPA), a composite falls risk assessment tool is reported to have 75% accuracy to screen for physiological falls risk. PPA correlates with Timed Up and Go (TUG) test. However, the association between many other commonly used physical performance tests and PPA is not known. The aim of the present study was to examine the association between physiological falls risk measured using PPA and a battery of physical performance tests.Methods: One hundred and forty older adults from a senior citizens club in Kuala Lumpur, Malaysia (94 females, 46 males), aged 60 years and above (65.77±4.61), participated in this cross-sectional study. Participants were screened for falls risk using PPA. A battery of physical performance tests that include ten-step test (TST), short physical performance battery (SPPB), functional reach test (FRT), static balance test (SBT), TUG, dominant hand-grip strength (DHGS), and gait speed test (GST) were also performed. Spearman’s rank correlation and binomial logistic regression were performed to examine the significantly associated independent variables (physical performance tests) with falls risk (dependent variable).Results: Approximately 13% older adults were at high risk of falls categorized using PPA. Significant differences (P<0.05) were demonstrated for age, TST, SPPB, FRT, SBT, TUG between high and low falls risk group. A significant (P<0.01) weak correlation was found between PPA and TST (r=0.25), TUG (r=0.27), SBT (r=0.23), SPPB (r=-0.33), and FRT (r=-0.23). Binary logistic regression results demonstrated that SBT measuring postural sways objectively using a balance board was the only significant predictor of physiological falls risk (P<0.05, odds ratio of 2.12).Conclusion: The reference values of physical performance tests in our study may be used as a guide for initial falls screening to categorize high and low physiological falls risk among community-dwelling older adults. A more comprehensive assessment of falls risk can be performed thereafter for more specific intervention of underlying impairments. Keywords: balance, postural sways, agility, mobility, strength, gait speedSingh DKPillai SGTan STTai CCShahar SDove Medical Pressarticlephysiological falls riskcommunity dwelling older adultsphysical performace testspostural swaysGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1319-1326 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	physiological falls risk community dwelling older adults physical performace tests postural sways Geriatrics RC952-954.6
spellingShingle	physiological falls risk community dwelling older adults physical performace tests postural sways Geriatrics RC952-954.6 Singh DK Pillai SG Tan ST Tai CC Shahar S Association between physiological falls risk and physical performance tests among community-dwelling older adults
description	Devinder KA Singh,1 Sharmila GK Pillai,1 Sin Thien Tan,1 Chu Chiau Tai,1 Suzana Shahar2 1Physiotherapy Programme, School of Rehabilitation Sciences, 2Nutrition and Dietetics Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia Background: Physical performance and balance declines with aging and may lead to increased risk of falls. Physical performance tests may be useful for initial fall-risk screening test among community-dwelling older adults. Physiological profile assessment (PPA), a composite falls risk assessment tool is reported to have 75% accuracy to screen for physiological falls risk. PPA correlates with Timed Up and Go (TUG) test. However, the association between many other commonly used physical performance tests and PPA is not known. The aim of the present study was to examine the association between physiological falls risk measured using PPA and a battery of physical performance tests.Methods: One hundred and forty older adults from a senior citizens club in Kuala Lumpur, Malaysia (94 females, 46 males), aged 60 years and above (65.77±4.61), participated in this cross-sectional study. Participants were screened for falls risk using PPA. A battery of physical performance tests that include ten-step test (TST), short physical performance battery (SPPB), functional reach test (FRT), static balance test (SBT), TUG, dominant hand-grip strength (DHGS), and gait speed test (GST) were also performed. Spearman’s rank correlation and binomial logistic regression were performed to examine the significantly associated independent variables (physical performance tests) with falls risk (dependent variable).Results: Approximately 13% older adults were at high risk of falls categorized using PPA. Significant differences (P<0.05) were demonstrated for age, TST, SPPB, FRT, SBT, TUG between high and low falls risk group. A significant (P<0.01) weak correlation was found between PPA and TST (r=0.25), TUG (r=0.27), SBT (r=0.23), SPPB (r=-0.33), and FRT (r=-0.23). Binary logistic regression results demonstrated that SBT measuring postural sways objectively using a balance board was the only significant predictor of physiological falls risk (P<0.05, odds ratio of 2.12).Conclusion: The reference values of physical performance tests in our study may be used as a guide for initial falls screening to categorize high and low physiological falls risk among community-dwelling older adults. A more comprehensive assessment of falls risk can be performed thereafter for more specific intervention of underlying impairments. Keywords: balance, postural sways, agility, mobility, strength, gait speed
format	article
author	Singh DK Pillai SG Tan ST Tai CC Shahar S
author_facet	Singh DK Pillai SG Tan ST Tai CC Shahar S
author_sort	Singh DK
title	Association between physiological falls risk and physical performance tests among community-dwelling older adults
title_short	Association between physiological falls risk and physical performance tests among community-dwelling older adults
title_full	Association between physiological falls risk and physical performance tests among community-dwelling older adults
title_fullStr	Association between physiological falls risk and physical performance tests among community-dwelling older adults
title_full_unstemmed	Association between physiological falls risk and physical performance tests among community-dwelling older adults
title_sort	association between physiological falls risk and physical performance tests among community-dwelling older adults
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/f958d83c15ce449dbea3e45cd73de7c6
work_keys_str_mv	AT singhdk associationbetweenphysiologicalfallsriskandphysicalperformancetestsamongcommunitydwellingolderadults AT pillaisg associationbetweenphysiologicalfallsriskandphysicalperformancetestsamongcommunitydwellingolderadults AT tanst associationbetweenphysiologicalfallsriskandphysicalperformancetestsamongcommunitydwellingolderadults AT taicc associationbetweenphysiologicalfallsriskandphysicalperformancetestsamongcommunitydwellingolderadults AT shahars associationbetweenphysiologicalfallsriskandphysicalperformancetestsamongcommunitydwellingolderadults
_version_	1718401345400078336

Association between physiological falls risk and physical performance tests among community-dwelling older adults

Ejemplares similares