Reinvestment and falls in community-dwelling older adults

Wong, W. L., Masters, R. S. W., Maxwell, J. P. and Abernethy, B. (2008) Reinvestment and falls in community-dwelling older adults. Neurorehabilitation and Neural Repair, 22 4: 410-414. doi:10.1177/1545968307313510


Author Wong, W. L.
Masters, R. S. W.
Maxwell, J. P.
Abernethy, B.
Title Reinvestment and falls in community-dwelling older adults
Journal name Neurorehabilitation and Neural Repair   Check publisher's open access policy
ISSN 1545-9683
1552-6844
Publication date 2008-01-01
Sub-type Article (original research)
DOI 10.1177/1545968307313510
Volume 22
Issue 4
Start page 410
End page 414
Total pages 5
Place of publication Thousand Oaks, CA, United States
Publisher Sage Publications
Language eng
Subject 11 Medical and Health Sciences
1117 Public Health and Health Services
Formatted abstract
Background.
Falls are common in older adults and have many adverse consequences. In an attempt to prevent further incidents, elder fallers may consciously monitor and control their movements. Ironically, conscious movement control may be one factor that contributes to disruption of automaticity of walking, increasing the likelihood of subsequent falls.

Objective.

The Movement Specific Reinvestment Scale (MSRS), which aims to measure the propensity for movement-related self-consciousness and for conscious processing of movement, was used to try to discriminate elder fallers from non-fallers. Methods. Fifty-two volunteer older adults, aged 65 or above, participated. In addition to the 10-item MSRS, participants completed the Mini-Mental State Examination questionnaire, Timed "Up & Go" test, and Four Word Short-Term Memory test. Demographics including age, gender, and history of falling were collected.

Results.
Elder fallers scored significantly higher than non-fallers on both the movement self-consciousness and conscious motor processing components of the MSRS. Logistic regression revealed a significant association between the MSRS (conscious motor processing component) and "faller or non-faller" status.

Conclusions.
Elder fallers may have a higher propensity to consciously control their movements. The MSRS shows potential as a clinical tool with which to predict falls in the elderly, as well as to gain insight into the perception of safety during walking in any impaired patient.
Keyword Nerves -- Surgery
Neurology
Rehabilitation
Movement Specific Reinvestment Scale
Falls
Balance
Stroke
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
 
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Created: Mon, 21 Dec 2009, 18:36:48 EST by Rosalind Blair on behalf of Faculty Of Health Sciences