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Fear of Falling Correlates with Subtle Neuromuscular Balance and Strength Deficits of Fragility Fracture Patients

View Article: PubMed Central - PubMed

ABSTRACT

Fragility fractures, or fractures occurring from a low-trauma event, are extremely prevalent among the elderly population worldwide and associated with significant mortality and morbidity. This study evaluated the relationship between FES-I Fear of Falling Survey results, self-reported activity restrictions via the SF-36 survey, and scores recorded by portable, inexpensive clinical assessment tools (CATs) during dynamic functional tasks. Low scores during these tasks may indicate functional deficits that put patients at risk for falls and subsequent fragility fractures. Forty-one subjects (20 fragility fracture patients, 21 controls without history of fragility fractures) over the age of 50 were recruited from three outpatient orthopaedic clinics. All subjects were administered a FES-I Fear of Falling Survey, a portion of an SF-36 survey, and tested using three different portable CATs: the Wii Balance Board, iPod Level Belt and Saehan Squeeze Hand Grip Dynamometer. There were several measured variables that showed a moderate correlation with Fear of Falling scores. Of note, correlations between FES-I scores and maximum hand grip strength for both the dominant hand (R= -0.302, p=0.069) and non-dominant hand (R= -0.309, p=0.059), as well as maximum anterior-posterior sway measured by the iPod Level Belt (R=0.320, p=0.056) were found to be marginally significant. In addition, the correlation between FES-I and average anterior-posterior sway was found to be significant (R=0.416, p=0.012). The Nintendo Wii and iPod Level Belt are relatively inexpensive, portable tools that can assess patients for subtle deficits during dynamic functional tasks. The results indicate that these tools can provide a more objective measure of a patient’s limitations during daily activities such as walking by assigning them a numerical value and correlating this value to physical deficits that impact balance and coordination. In the future, CATs may also have a role in predicting outcomes and in individualizing care, therapy, and at-home preventive measures.

No MeSH data available.


Level Belt application. iPod Level Belt application summary, as it appears on the iPod screen. Further data can be uploaded from this program to provide greater detail about a patient’s gait.
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F4-ad-7-5-585: Level Belt application. iPod Level Belt application summary, as it appears on the iPod screen. Further data can be uploaded from this program to provide greater detail about a patient’s gait.

Mentions: Subjects were then assessed during a daily, functional task: walking. Using the iPod Level Belt, subjects walked 40 feet to assess lumbo-pelvic (trunk) control, anterior/posterior and horizontal pelvic tilt, and balance[8]. Scores from the Wii Balance Board and hand grip dynamometer were displayed immediately. The degree of medial/lateral and anterior/posterior tilt is recorded at a rate of 60 readings per second by the iPod Level Belt application; an overall summary is also provided for each trial (Fig. 4). The time of completion for each trial was approximately 15 minutes.


Fear of Falling Correlates with Subtle Neuromuscular Balance and Strength Deficits of Fragility Fracture Patients
Level Belt application. iPod Level Belt application summary, as it appears on the iPod screen. Further data can be uploaded from this program to provide greater detail about a patient’s gait.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5036953&req=5

F4-ad-7-5-585: Level Belt application. iPod Level Belt application summary, as it appears on the iPod screen. Further data can be uploaded from this program to provide greater detail about a patient’s gait.
Mentions: Subjects were then assessed during a daily, functional task: walking. Using the iPod Level Belt, subjects walked 40 feet to assess lumbo-pelvic (trunk) control, anterior/posterior and horizontal pelvic tilt, and balance[8]. Scores from the Wii Balance Board and hand grip dynamometer were displayed immediately. The degree of medial/lateral and anterior/posterior tilt is recorded at a rate of 60 readings per second by the iPod Level Belt application; an overall summary is also provided for each trial (Fig. 4). The time of completion for each trial was approximately 15 minutes.

View Article: PubMed Central - PubMed

ABSTRACT

Fragility fractures, or fractures occurring from a low-trauma event, are extremely prevalent among the elderly population worldwide and associated with significant mortality and morbidity. This study evaluated the relationship between FES-I Fear of Falling Survey results, self-reported activity restrictions via the SF-36 survey, and scores recorded by portable, inexpensive clinical assessment tools (CATs) during dynamic functional tasks. Low scores during these tasks may indicate functional deficits that put patients at risk for falls and subsequent fragility fractures. Forty-one subjects (20 fragility fracture patients, 21 controls without history of fragility fractures) over the age of 50 were recruited from three outpatient orthopaedic clinics. All subjects were administered a FES-I Fear of Falling Survey, a portion of an SF-36 survey, and tested using three different portable CATs: the Wii Balance Board, iPod Level Belt and Saehan Squeeze Hand Grip Dynamometer. There were several measured variables that showed a moderate correlation with Fear of Falling scores. Of note, correlations between FES-I scores and maximum hand grip strength for both the dominant hand (R= -0.302, p=0.069) and non-dominant hand (R= -0.309, p=0.059), as well as maximum anterior-posterior sway measured by the iPod Level Belt (R=0.320, p=0.056) were found to be marginally significant. In addition, the correlation between FES-I and average anterior-posterior sway was found to be significant (R=0.416, p=0.012). The Nintendo Wii and iPod Level Belt are relatively inexpensive, portable tools that can assess patients for subtle deficits during dynamic functional tasks. The results indicate that these tools can provide a more objective measure of a patient’s limitations during daily activities such as walking by assigning them a numerical value and correlating this value to physical deficits that impact balance and coordination. In the future, CATs may also have a role in predicting outcomes and in individualizing care, therapy, and at-home preventive measures.

No MeSH data available.