使用特定活动平衡信心量表预测社区居住老年人的跌倒情况。
Predicting falls in community dwelling older adults using the Activities-specific Balance Confidence Scale.
作者信息
Cleary Kimberly, Skornyakov Elena
机构信息
Department of Physical Therapy, Eastern Washington University, United States.
Department of Physical Therapy, Eastern Washington University, United States.
出版信息
Arch Gerontol Geriatr. 2017 Sep;72:142-145. doi: 10.1016/j.archger.2017.06.007. Epub 2017 Jun 13.
OBJECTIVES
Falls are a significant problem associated with aging, and can lead to serious consequences including injury and death. The purpose of this study was to determine whether balance confidence differed between future fallers and non-fallers, and whether the construct prospectively predicted falls.
METHODS
Forty-five community dwelling older adults aged 65 or older completed the Activities-specific Balance Confidence scale (ABC) and reported falls experienced during the next 6 months.
RESULTS
Eleven (24.4%) subjects were fallers, and had significantly poorer ABC scores (x=50.6%) than their non-faller counterparts (x=76.3%). The regression model was significant, where the ABC score predicted falls at 6 months.
DISCUSSION
Our findings suggest that balance confidence differs between fallers and non-fallers, and that ABC scores can predict future falls in community dwelling older adults.
CONCLUSION
Balance confidence is a fall risk predictor, and thus a critical component of fall risk assessment. Balance confidence should be measured regularly in community dwelling older adults using the ABC.
目的
跌倒 是与衰老相关的一个重大问题，可导致包括受伤和死亡在内的严重后果。本研究的目的是确定未来跌倒者与未跌倒者之间的平衡信心是否存在差异，以及该指标能否前瞻性地预测跌倒情况。
方法
45名65岁及以上的社区老年人完成了特定活动平衡信心量表（ABC），并报告了接下来6个月内经历的跌倒情况。
结果
11名（24.4%）受试者为跌倒者，其ABC得分（x = 50.6%）显著低于未跌倒者（x = 76.3%）。回归模型具有显著性，其中ABC得分可预测6个月后的跌倒情况。
讨论
我们的研究结果表明，跌倒者与未跌倒者之间的平衡信心存在差异，且ABC得分可预测社区老年人未来的跌倒情况。
结论
平衡信心是跌倒风险的一个预测指标，因此是跌倒风险评估的关键组成部分。应使用ABC量表定期对社区老年人的平衡信心进行测量。
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