provide the ground truth about the body posture ( Aggio et al., 2017 ; Edwardson et al., 2017 ). We reported the accuracy of SedUp for standing detection and compared its performance with SS. Methods Participants The data from 45 community-dwelling older adults (23 males and 22 women, age = 78 ± 5
Marcin Straczkiewicz, Nancy W. Glynn, Vadim Zipunnikov and Jaroslaw Harezlak
Rachel L. Wright, Joseph W. Bevins, David Pratt, Catherine M. Sackley and Alan M. Wing
condition. Methods A total of 10 community-dwelling adults (6 males and 4 females) with chronic hemiparesis following a stroke gave written informed consent to participate in the study (see Table 1 ). Favorable ethical opinion was granted by the Local Research Ethics Committee, and the study was carried
Nancy W. Glynn, Alexa J. Meinhardt, Kelsea R. LaSorda, Jessica L. Graves, Theresa Gmelin, Allison M. Gerger, Paolo Caserotti and Robert M. Boudreau
Institutional Review Board. Recruitment and enrollment details can be found elsewhere ( Lange-Maia et al., 2015 ). Briefly, the DECOS study population consisted of community-dwelling older adults from the Pittsburgh area. We recruited participants using the Pittsburgh Claude D. Pepper Older Americans
Dawn C. Mackey, Alexander D. Perkins, Kaitlin Hong Tai, Joanie Sims-Gould and Heather A. McKay
trained to assist with intervention delivery. We targeted recruitment throughout the Metro Vancouver region with an emphasis on the City of Vancouver. Participants We determined eligibility by a standard telephone screening interview. Community-dwelling men were included if they were at least 60 years of
Alan K. Bourke, Espen A. F. Ihlen and Jorunn L. Helbostad
the activPAL3 in classifying standing, walking, and sitting/lying in a community-dwelling older adult population, in both a free-living scenario and a laboratory environment. Annotated video recordings of the participants’ movements were used as the gold standard. Methods Participants Twenty older
Ainaz Shamshiri, Iman Rezaei, Ehsan Sinaei, Saeed Heidari and Ali Ghanbari
(543 women and 508 men) were recruited from community-dwelling people in Shiraz, Iran, through announcements posted in well-transited locations in all 11 municipal districts of the city. Participants were excluded if they had any history of surgery of the spine or lower extremities, any balance
B. Josea Kramer, Beth Creekmur, Michael N. Mitchell, Debra J. Rose, Jon Pynoos and Laurence Z. Rubenstein
The Fall Prevention Center of Excellence designed three progressive-intensity fall prevention program models, Increasing Stability Through Evaluation and Practice (InSTEP), to reduce risk in community-dwelling older adults. Each model included physical activity, medical risk, and home safety components and was implemented as a 12-week program for small class sizes (12–15 people) in community and senior centers. Change in fall rates and fall risk factors was assessed using a battery of performance tests, self-reports of function, and fall diaries in a 3-group within-subjects (N = 200) design measured at baseline, immediately postintervention, and at 3 and 9 months postintervention. Overall, participants experienced a reduction in falls, improved self-perception of gait and balance, and improved dynamic gait function. The medium-intensity InSTEP model signifcantly (p = .003) reduced self-reported falls in comparison with the other models. InSTEP is a feasible model for addressing fall risk reduction in community-dwelling older adults.
Li-Tang Tsai, Merja Rantakokko, Anne Viljanen, Milla Saajanaho, Johanna Eronen, Taina Rantanen and Erja Portegijs
This cross-sectional study investigated associations between reasons to go outdoors and objectively-measured walking activity in various life-space areas among older people. During the study, 174 community-dwelling older people aged 75–90 from central Finland wore an accelerometer over seven days and recorded their reasons to go outdoors in an activity diary. The most common reasons for going outdoors were shopping, walking for exercise, social visits, and running errands. Activities done in multiple life-space areas contributed more to daily step counts than those done in the neighborhood or town and beyond. Those who went shopping or walked for exercise accumulated higher daily step counts than those who did not go outdoors for these reasons. These results show that shopping and walking for exercise are common reasons to go outdoors for community-dwelling older people and may facilitate walking activity in older age. Future studies on how individual trips contribute to the accumulation of steps are warranted.
Courtney D. Hall, Carolyn K. Clevenger, Rachel A. Wolf, James S. Lin, Theodore M. Johnson II and Steven L. Wolf
The use of low-cost interactive game technology for balance rehabilitation has become more popular recently, with generally good outcomes. Very little research has been undertaken to determine whether this technology is appropriate for balance assessment. The Wii balance board has good reliability and is comparable to a research-grade force plate; however, recent studies examining the relationship between Wii Fit games and measures of balance and mobility demonstrate conflicting findings. This study found that the Wii Fit was feasible for community-dwelling older women to safely use the balance board and quickly learn the Wii Fit games. The Ski Slalom game scores were strongly correlated with several balance and mobility measures, whereas Table Tilt game scores were not. Based on these findings, the Ski Slalom game may have utility in the evaluation of balance problems in community-dwelling older adults.
Jaap Swanenburg, Anne Gabrielle Mittaz Hager, Arian Nevzati and Andreas Klipstein
The purpose of this prospective cohort study was to determine whether the maximal width of the base of support (BSW) measure is able to predict the risk of multiple falls in community-dwelling women. Thirty-eight community-dwelling women (mean age of 72 ± 8 years old) participated. Falls were prospectively recorded during the following year. Overall, 29 falls were recorded; six (16%) women were multiple fallers and 32 (84%) were nonfallers. There was a significant difference in the BSW between the fallers and nonfallers (F[1, 37] = 5.134 [p = .030]). A logistic regression analysis indicated a significant contribution of the BSW test to the model (odds ratio = 0.637; 95% CI [0.407, 0.993]; p = .046 per 1 cm).The cut-off score was determined to be 27.8 cm (67% sensitivity and 84% specifcity). These results indicate that women with a smaller BSW at baseline had a significantly higher risk of sustaining a fall.