Search Results

You are looking at 1 - 10 of 1,116 items for :

  • Refine by Access: All Content x
Clear All
Restricted access

What Factors Contribute to Falls-Related Distal Radius Fracture?

Sheena S. Philip, Joy C. Macdermid, Saranya Nair, Dave Walton, and Ruby Grewal

systematic review by Ali and Willett ( 2015 ) found environmental factors, such as slippery pathways due to adverse weather conditions, as a risk factor for falls. The DRF mostly occurs in healthy active individuals who tend to move faster ( Kelsey, Browner, Seeley, Nevitt, & Cummings, 1992 ). A case

Restricted access

Tai Chi: Moving for Better Balance—Development of a Community-Based Falls Prevention Program

Fuzhong Li, Peter Harmer, Karin A. Mack, David Sleet, K. John Fisher, Melvin A. Kohn, Lisa M. Millet, Junheng Xu, Tingzhong Yang, Beth Sutton, and Yvaughn Tompkins


This study was designed to develop an evidence- and community-based falls prevention program—Tai Chi: Moving for Better Balance.


A mixed qualitative and quantitative approach was used to develop a package of materials for program implementation and evaluation. The developmental work was conducted in 2 communities in the Pacific Northwest. Participants included a panel of experts, senior service program managers or activity coordinators, and older adults. Outcome measures involved program feasibility and satisfaction.


Through an iterative process, a program package was developed. The package contained an implementation plan and class training materials (ie, instructor’s manual, videotape, and user’s guidebook). Pilot testing of program materials showed that the content was appropriate for the targeted users (community-living older adults) and providers (local senior service organizations). A feasibility survey indicated interest and support from users and providers for program implementation. A 2-week pilot evaluation showed that the program implementation was feasible and evidenced good class attendance, high participant satisfaction, and interest in continuing Tai Chi.


The package of materials developed in this study provides a solid foundation for larger scale implementation and evaluation of the program in community settings.

Restricted access

Relationship of Falls and Fear of Falling to Activity Limitations and Physical Inactivity in Parkinson’s Disease

Mon S. Bryant, Diana H. Rintala, Jyh-Gong Hou, and Elizabeth J. Protas


To investigate the relationships between falls, fear of falling, and activity limitations in individuals with Parkinson’s disease (PD).


Cross-sectional study of individuals with mild to moderate PD (N = 83). Associations among demographic data, fall frequency, disease severity, motor impairment, ability to perform activities of daily living (ADL), Activities Balance Confidence Scale, Iowa Fatigue Scale, Comorbidity Index, and Physical Activity Scale for Elders were studied.


Frequent fallers had more ADL limitations than nonfallers (p < .001) and rare fallers (p = .004). Frequent fallers reported a lower percentage of ability to perform ADL than nonfallers (p = .003). Frequent fallers and rare fallers were less physically active than nonfallers (p = .015 and p = .040, respectively). Frequent fallers and rare fallers reported a higher level of fear of falling than nonfallers (p = .031 and p = .009, respectively).


Falls and fear of falling were associated with more ADL limitations and less physical activity after adjusting for physical impairments.

Full access

Investigation of Older Adults’ Participation in Exercises Following Completion of a State-wide Survey Targeting Evidence-based Falls Prevention Strategies

Den-Ching A. Lee, Lesley Day, Caroline F. Finch, Keith Hill, Lindy Clemson, Fiona McDermott, and Terry P. Haines

This paper examines whether involvement in an observational study may prompt participants to change their exercise behaviors. Data were collected from 394 older community dwellers in Victoria, Australia using a baseline survey, and 245 of these participated in a follow-up survey one year later. Survey domains were drawn from constructs of relevant health behavior models. Results showed that the proportion of respondents who were currently participating in exercises to prevent falls at follow-up was 12% higher than at baseline (Wilcoxon p value < .001). Twenty-nine percent reported they had changed their perceptions about falls and their risk of falls, with comments focused on threat appraisal. Forty-four percent reported having taken strategies to reduce their risk of falling, with comments based on implementation of different preventive strategies. Respondents who held favorable views toward exercises for the prevention of falls appear to change their behaviors that might address falls when participating in observational studies.

Restricted access

Exercise Effects on Falls in Frail Elderly: Focus on Strength

Christine M. Snow

Restricted access

Posthospital Falls Prevention Intervention: A Mixed-Methods Study

Emma Renehan, Claudia Meyer, Rohan A. Elliott, Frances Batchelor, Catherine Said, Terry Haines, and Dianne Goeman

Falls are a serious problem in the community, with one-third of people over 65 years of age falling each year ( Lord, Ward, Williams, & Anstey, 1993 ). In Australia, falls are the leading cause of hospitalizations due to injury, accounting for 70% of admissions for people aged over 65 years and 87

Restricted access

“I Just Roll Over, Pick Myself Up, and Carry On!” Exploring the Fall-Risk Experience of Canadian Masters Athletes

Dylan Brennan, Aleksandra A. Zecevic, Shannon L. Sibbald, and Volker Nolte

Canada, 2014 ). Falls occur throughout the life span, and nearly one in every three community-dwelling adults aged 65 years and older will fall at least once each year ( Sherrington et al., 2017 ). In this study, a fall is defined as “an unexpected event in which the participants come to rest on the

Full access

Fall-Prevention Exercises With or Without Behavior Change Support for Community-Dwelling Older Adults: A 2-Year Follow-Up of a Randomized Controlled Trial

Marina Arkkukangas, Susanna Tuvemo Johnson, Karin Hellström, Elisabeth Anens, Michail Tonkonogi, and Ulf Larsson

Approximately one third of community-dwelling older adults fall each year, and half of those will experience recurrent falls ( World Health Organization and U.S. National Institute of Aging, 2011 ). Interventions have shown that the risk of falls can be altered by lifestyle changes, such as

Restricted access

Associations Between Gait-Related Falls and Gait Adaptations When Stepping Onto a Curb: A Prospective Falls Study

Steven van Andel, Michael H. Cole, and Gert-Jan Pepping

It is estimated that about one in three older adults fall at least once each year ( Campbell, Reinken, Allan, & Martinez, 1981 ; Tinetti, Speechley, & Ginter, 1988 ; World Health Organization, 2007 ), making accidental falls a significant physical, psychological, and financial burden on society

Restricted access

Exercise: Is It a Solution to Falls by Older Adults?

Tammy M. Owings, Michael J. Pavol, Kevin T. Foley, Penny C. Grabiner, and Mark D. Grabiner