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Fear of Falling Does Not Alter the Kinematics of Recovery from an Induced Trip: A Preliminary Study

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journal contribution
posted on 20.08.2012 by Jane R. Marone, Noah J. Rosenblatt, Karen L. Troy, Mark D. Grabiner
Objective: To provide preliminary information about the relationships between self-reported fear of falling (FOF) in healthy community-dwelling women, the number of falls, and recovery kinematics in response to a laboratory-induced trip. Design: Cohort study Setting: Clinical research laboratory Participants: A subset of community dwelling older women (N=33) recruited from studies of laboratory induced trips and fall-prevention. Intervention: A laboratory-induced trip. Main Outcome Measures: The number of fallers in the FOF vs. the control group. Recovery kinematics of FOF falls vs. control group falls, and FOF recoveries vs. control group recoveries were compared. The degree of FOF was assessed by Activities Balance Confidence Scale(ABC). Results: Falls occurred in 6/14 (43%) of the FOF and 4/16 (25%) of control subjects (p=0.26). Kinematics of FOF falls were similar to those of control falls. At the completion of the initialrecovery step, FOF showed significantly greater trunk extension velocity than controls (-82.1±- 66.1 vs. -25.0±-53.0 degrees/sec respectively; p=0.05). All other variables were not significantly different. ABC scores of FOF subjects did not differ significantly between fallers and those who recovered (mean=75.2±5.6, 71.1±11.8, respectively; p=0.84). Conclusion: Healthy community-dwelling older adults would benefit from fall prevention, regardless of the presence of self-reported FOF.

Funding

Supported by the Centers for Disease Control and Prevention (grant nos. R49CE000620, R01 CE001430).

History

Publisher Statement

NOTICE: this is the author’s version of a work that was accepted for publication in Archives of Physical Medicine and Rehabilitation . Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Archives of Physical Medicine and Rehabilitation , Vol 92, Issue 12, (December 2011). DOI: 10.1016/j.apmr.2011.06.034

Publisher

WB Saunders

Language

en_US

issn

0003-9993

Issue date

01/12/2011

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