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Fear of Falling among the Community-Dwelling Elderly

Fear of Falling among the Community-Dwelling Elderly,10.1177/089826439300500205,Journal of Aging and Health,Jonathan Howland,Elizabeth Walker Peterson

Fear of Falling among the Community-Dwelling Elderly   (Citations: 121)
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To assess the incidence of falls and the prevalence, intensity, and covariates of fear of falling among community-dwelling elderly, the authors surveyed a random sample of 196 residents (≥ 58 years of age) of housing developments for the elderly in Brookline and Plymouth, Massachusetts. Forty-three percent reported having fallen in recent years, 28% in the last year. Of those who had fallen within the year prior to the interview, 65% reported injury, 44% sought medical attention, and 15% required hospitalization as a consequence of their fall(s). Fear of falling ranked first when compared to other common fears (i.e., fear of robbery, financial fears). Self-rated health status and experience of previous falls were significantly associated with fear of falling. Further analysis suggests that fear of falling may affect social interaction, independent of risks for falling.
Journal: Journal of Aging and Health - J AGING HEALTH , vol. 5, no. 2, pp. 229-243, 1993
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    • ...Older people with a fall experience develop usually fear of falling [2], reduction of daily activities [2,3], social isolation and morbidity [4]...
    • ...Older people with a fall experience develop usually fear of falling [2], reduction of daily activities [2,3], social isolation and morbidity [4]...

    Benoit Cabyet al. Feature extraction and selection for objective gait analysis and fall ...

    • ...The aim of this study was to investigate validity and internal reliability results for patients with cognitive impairment and to determine the sensitivity to change of the FES, FES-I and Short FES-I in patients with confirmed dementia.The good to excellent validity and sensitivity to change of the FES, FES-I and the Short FES-I in the present study indicate that these measures are also suitable for application in frail older populations with beginning to moderate stage cognitive impairment or without impairment.Study 1: ValidationSeveral aspects deserve consideration. First, in about 13% of the population, floor effects were observed in the FES and the Short FES-I versus about 4% in the FES-I. The latter could be expected since the FES-I had been developed to prevent insensitivity to differences in high functioning persons as identified in the original FES. Post-hoc analyses showed that the people who showed floor effects in the FES and Short FES-I differed significantly (p < 0.05) regarding physical functioning, i.e. better ADL and timed up-and-go scores, from persons reporting at least a little concern about falling. However, it may be difficult to completely eliminate floor effects as denial of fear-inducing challenges, such as falls, causes frequent misreporting in patients with repressive coping strategies [,,...

    Klaus A. Haueret al. Validity and Sensitivity to Change of the Falls Efficacy Scales Intern...

    • ...Fear of falling has been recognised as a common problem in older people and in those with lower limb arthritis and has serious consequences in relation to loss of confidence, reduced activity and loss of independence [14, 23]...

    Pazit LevingerHyltonet al. Physiological risk factors for falls in people with knee osteoarthriti...

    • ...For the older adult, the fear of experiencing a fall episode is rated greater than a fear of being robbed in the street or of experiencing financial difficulty (Howland et al, 1993)...

    Lesley A. Brownet al. Selective Attentional Processing to Fall-Relevant Stimuli Among Older ...

    • ...Several studies have indicated that people who are afraid of falling appear to enter a debilitating spiral of loss of confidence, restriction of physical activities and social participation, physical frailty, falls, and loss of independence (Arfken et al, 1994; Cumming, Salkeld, Thomas, & Szonyi, 2000; Delbaere, Crombez, Vanderstraeten, Willems, & Cambier, 2004; Friedman et al, 2002; Howland et al, 1993; Lachman et al, 1998; Yardley & Smith, 2002)...

    Minoru Yamadaet al. Rhythmic stepping exercise under cognitive conditions improves fall ri...

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