Fall-related measures in elderly individuals and Parkinson’s disease subjects

Falls pose a serious problem in elderly and clinical populations. Most often, they lead to a loss of mobility and independence. They might also be an indirect cause of death. The aim of this study was to determine an objective predictor of the fear of falling and falls in elderly subjects (ESs) and...

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Bibliographic Details
Published in:PloS one 2020-08, Vol.15 (8), p.e0236886-e0236886
Main Authors: Michalska, Justyna, Kamieniarz, Anna, Brachman, Anna, Marszalek, Wojciech, Cholewa, Joanna, Juras, Grzegorz, Slomka, Kajetan J
Format: Article
Language:English
Subjects:
Accidental falls
Ankle
Balance
Biology and Life Sciences
Elderly
Entropy
Falling
Falls
Fear
Force plates
Health risks
Injuries
Medicine and Health Sciences
Metatarsal
Metatarsus
Movement disorders
Neurodegenerative diseases
Norms
Older people
Parkinson disease
Parkinson's disease
Parkinsons disease
People and Places
Physical education
Physical Sciences
Physiological aspects
Posture
Risk factors
Safety margins
Stability tests
Test procedures
Testing procedures
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Summary:Falls pose a serious problem in elderly and clinical populations. Most often, they lead to a loss of mobility and independence. They might also be an indirect cause of death. The aim of this study was to determine an objective predictor of the fear of falling and falls in elderly subjects (ESs) and Parkinson's disease (PD) subjects. Thirty-two ESs were examined in this study, of whom sixteen were diagnosed with PD. The testing procedures comprised force plate measurements (limit of stability test-LOS test) and clinical tests (Berg Balance Scale, Functional Reach Test, Timed Up and Go test, Tinetti test). The Falls Efficacy Scale International (FES-I) was used to evaluate the fear of falling. The range of the maximum forward lean was normalized to the length from the ankle joint to the head of the first metatarsal bone and was named the functional forward stability indicator (FFSI). The FFSI, derived from the LOS test, allowed us to demonstrate the real deficit in functional stability and individual safety margins. Moreover, the FFSI was highly correlated with the FES-I score and almost all clinical test results in elderly subjects (r>0,6; p0,6, p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0236886