Elderly People's Physical Strength Awareness and Falling

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  • SUGIHARA Toshimichi
    Department of Physical Therapy, Yamagata College of Medical Arts & Sciences Department of Physiology, Yamagata University school of Medicine
  • GO Takahiro
    Department of Physical Therapy, Yamagata College of Medical Arts & Sciences
  • MISHIMA Seiichi
    Department of Physical Therapy, Yamagata College of Medical Arts & Sciences
  • TANAKA Mototaka
    Department of Rehabilitation, Obanazawa Hospital
  • SHIBATA Etsuko
    Department of Rehabilitation, Obanazawa Hospital
  • TAKAGI Mariko
    Department of Rehabilitation, Obanazawa Hospital
  • KIKUCHI Eri
    Department of Rehabilitation, Obanazawa Hospital
  • TSUSHIMA Eiki
    Department of Physical Therapy, Hirosaki University School of Health Science

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Other Title
  • 高齢者の身体能力認識と転倒について
  • コウレイシャ ノ シンタイ ノウリョク ニンシキ ト テントウ ニ ツイテ

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Description

There is a real danger that an inadequate movement strategy invites the prospect of falling in elderly people lacking proper physical strength awareness. In this report we examined the factors regarding falling related to physical strength awareness in the elderly using the recognized `functional reach test', in the clinic. This was done with the objective of constructing an index for predicting falls with high accuracy. We used 88 healthy elderly people that were able to perform the trial and who had no impediments whatsoever in daily life. After subjects declared their estimate values for the `functional reach test' actual measurements were carried out. Errors were shown in individual physical strength awareness arising from differences in predicted and actual measurement values. Three months later, subjects participated in a survey regarding whether or not falls had taken place and were examined for physical strength awareness. As a result of multiple logistic regression analysis, the usual functional reach test result (p<0.05) and physical strength awareness error (p<0.01) were both chosen as influences and factors in falling within the 3 month period. The recurrence adoption when the two factors were included was best. Furthermore, discriminant characteristic analysis indicated the possibility of distinguishing falls by errors in physical strength awareness at 6.5 cm (discriminant rate 91.7%, sensitivity 80.9%). It is thought that this test of physical strength awareness is useful information for predicting falling.<br>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 20 (1), 13-16, 2005

    The Society of Physical Therapy Science

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