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Relationship Among Fear of Falling, Physical Performance, and Physical Characteristics of the Rural Elderly

Title
Relationship Among Fear of Falling, Physical Performance, and Physical Characteristics of the Rural Elderly
Author
최보율
Keywords
Accidental Falls; Geriatric Assessment; Task Performance; Osteoporosis
Issue Date
2014-05
Publisher
LIPPINCOTT WILLIAMS & WILKINS, 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA
Citation
American journal of physical medicine & rehabilitation, 2014, 93(5), pp.379 - 386
Abstract
Objective The aim of this study was to evaluate the relationship between the fear of falling, physical performance, and physical characteristics in an elderly population.Design This study is a cross-sectional study with 883 community dwellers 60 yrs or older from a rural area. They completed surveys and evaluations including demographics, the Korean version of the Falls Efficacy Scale-International, the Short Physical Performance Battery, the timed up and go (TUG) test, grip strength, and bone mineral density.Results The subjects who had experienced a fall showed lower physical performance than those who had not experienced a fall. Regardless of a previous experience of a fall, the score on the Korean version of the Falls Efficacy Scale-International had a positive correlation with TUG time and negative correlations with the score on the Short Physical Performance Battery, grip strength, and bone mineral density. Compared with the group without the fear of falling, the group with the fear of falling showed a lower score on the Short Physical Performance Battery, longer TUG time, weaker grip strength, and lower bone mineral density. The subjects with osteoporosis showed significantly higher scores on the Korean version of the Falls Efficacy Scale-International.Conclusions The experience of falls had a significant relationship with the fear of falling and physical performance, and greater fear of falling was related to poorer physical performance, independent of the experience of falls. This result implies that more attention should be paid to seniors with the fear of falling and the experience of falls, and screening and consequent intervention for fall prevention should be warranted in this population. For this purpose, the TUG test may be recommended as a screening tool because TUG time reflects the fear of falling and the experience of falls as well as physical performance.
URI
https://journals.lww.com/ajpmr/pages/articleviewer.aspx?year=2014&issue=05000&article=00003&type=abstracthttp://hdl.handle.net/20.500.11754/46188
ISSN
0894-9115
DOI
10.1097/PHM.0000000000000009
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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