TY - CHAP
T1 - Two-year follow-up of fall prediction among older adults in an independent-living community
AU - Zur, Oz
AU - Berner, Yitshal
AU - Ohel, Yair
AU - Carmeli, Eli
N1 - Publisher Copyright:
© Springer International Publishing AG 2017.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Adults over the age of 70 are at risk of falls. Early detection of risk of falls can suggest early interventions. In this study, we attempted to determine valid clinical tests that can differentiate older individuals who are at risk of falling. Older adults from an independent-living community volunteered to participate in this descriptive, cohort study. They were administered the Berg Balance Scale (BBS), Zur Balance Scale (ZBS), Head Shaking Nystagmus Head Impulse Test, Dynamic Visual Acuity, and the Hallpike maneuver for evaluating benign paroxysmal positional vertigo (BPPV); a questionnaire including sociodemographics and a health characteristics survey. Multivariate analysis indicated that a ZBS score < 51, previous fall, and number of medications strongly predict falls in older adults. ZBS score, BBS score, Hallpike maneuver, number of medications, deficit of vestibular ocular reflex, along with positive ZBS score and past fall differentiate between fallers and non-fallers. ZBS <51, taking >6 medications, and history of falls were a benchmark for high-risk of falling.
AB - Adults over the age of 70 are at risk of falls. Early detection of risk of falls can suggest early interventions. In this study, we attempted to determine valid clinical tests that can differentiate older individuals who are at risk of falling. Older adults from an independent-living community volunteered to participate in this descriptive, cohort study. They were administered the Berg Balance Scale (BBS), Zur Balance Scale (ZBS), Head Shaking Nystagmus Head Impulse Test, Dynamic Visual Acuity, and the Hallpike maneuver for evaluating benign paroxysmal positional vertigo (BPPV); a questionnaire including sociodemographics and a health characteristics survey. Multivariate analysis indicated that a ZBS score < 51, previous fall, and number of medications strongly predict falls in older adults. ZBS score, BBS score, Hallpike maneuver, number of medications, deficit of vestibular ocular reflex, along with positive ZBS score and past fall differentiate between fallers and non-fallers. ZBS <51, taking >6 medications, and history of falls were a benchmark for high-risk of falling.
KW - Aging
KW - Balance
KW - Falls
KW - Vestibular ocular reflex
KW - Vestibular system
UR - http://www.scopus.com/inward/record.url?scp=85048579781&partnerID=8YFLogxK
U2 - 10.1007/5584_2017_100
DO - 10.1007/5584_2017_100
M3 - Chapter
C2 - 29067628
AN - SCOPUS:85048579781
T3 - Advances in Experimental Medicine and Biology
SP - 63
EP - 71
BT - Advances in Experimental Medicine and Biology
PB - Springer New York LLC
ER -