Accuracy of Tools to Differentiate Single From Recurrent Fallers Pre-Frail Older Women

Bibliographic Data

ID22075808
AuthorsTamires Terezinha Gallo Da Silva (0000-0002-9697-3370, Universidade Federal do Paraná, corresponding author), Jarbas Melo Filho (0000-0002-3923-8302, Instituto Federal do Paraná), Simone Biesek (0000-0002-0799-5608, Universidade Federal do Paraná), Audrin Said Vojciechowski (0000-0003-4260-0138, Universidade Federal do Paraná), Victória Zeghbi Cochenski Borba (0000-0003-0555-0880, Hospital de Clínicas Universidade Federal do Paraná), Anna Raquel Silveira Gomes (0000-0001-5292-7586, Universidade Federal do Paraná)
Year2022
Volume10
Pages716851-716851
Publication date2022-05-17
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.716851
PMID35655457
OpenAlexW4280602967
LanguageEN
References cited55

Objectives: The objectives of this study were to analyze and compare musculoskeletal and functional performance and present cutoff points to differentiate pre-frail community-dwelling older women regarding their fall history: non fallers (0 falls), fallers (single fall), and recurrent fallers (≥2 falls). Method: This is a cross-sectional, retrospective study on 90 pre-frail community-dwelling older women (71.2 ± 4.49 years) according to Fried criteria. We assessed peak torque (PT) (isokinetic dynamometer), muscle architecture/mass (ultrasound/dual-energy X-ray absorptometry), and the following functional performance: usual gait speed (UGS), fast gait speed (FGS), walking speed reserve (WSR), cadence and step length, and timed up and go. Results: = 0.01). The outcomes that differentiated the fallers from the non-fallers were both WSR calculated as a difference (WSRdiff) (≤0.26 m/s) and WSR calculated as a ratio (WSRratio) (≤1.25 m/s), while to differentiate the recurrent fallers from the non-fallers were FGS (≤1.44 m/s) and step length (≤73 cm). The following cutoff points might be used to differentiate recurrent fallers and fallers: UGS (≤1.12 m/s), FGS (≤1.34m/s), step length (≤73 cm), PT knee extension (≤114.2 Nm), PT knee flexion (≤46.3 Nm), and PT ankle dorsiflexion (≤22.1 Nm). Conclusion: Recurrent fallers community-dwelling pre-frail older women presented a worse musculoskeletal and functional performance when compared to the non-fallers and fallers. Gait speed, step length, PT of both knee extension and flexion, and ankle dorsiflexion can be used to identify both single and recurrent fallers pre-frail older women, contributing to guide interventions and prevent falls and fractures

Cadence · Cutoff · Gait · Injury prevention · Isometric exercise · Physical medicine and rehabilitation · Physical therapy · Poison control · Balance, Gait, and Falls Prevention · Medicine · Musculoskeletal pain and rehabilitation · Nutrition and Health in Aging · Emergency Medicine

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