Back to Search
Start Over
Can the 1-Leg Standing Test Be Replaced by Self-reported Balance in the First-Time Injurious Fall Screening Tool?
- Source :
-
Journal of geriatric physical therapy (2001) [J Geriatr Phys Ther] 2023 Apr-Jun 01; Vol. 46 (2), pp. 103-109. Date of Electronic Publication: 2022 Aug 10. - Publication Year :
- 2023
-
Abstract
- Background and Purpose: The First-time Injurious Fall (FIF) screening tool was created to identify fall risk in community-living older men and women, who may be targets for primary preventive interventions. The FIF tool consists of 3 self-reported questions and 1 physical test (1-leg standing balance). The purpose of this study was to examine the predictive ability of the FIF tool and a modified FIF tool (in which 1-leg standing is replaced by self-reported balance) for first-time injurious falls.<br />Methods: A cohort of 1194 community-living people 60 years and older from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K), Sweden, was followed longitudinally for 5 years. Data on injurious falls were collected from registered data and were defined as receipt of care after a fall. The predictive ability of the FIF tool and the m-FIF tool was explored using Harrell's C statistic, stratified by sex.<br />Results and Discussion: The injurious fall rate per 1000 person-years was 54.9 (95% CI: 47.22-63.78) for women and 36.3 (95% CI: 28.84-45.78) for men. The predictive ability for women and men according to Harrell's C statistic was 0.70 and 0.71 for the FIF tool and the m-FIF tool. The predictive ability was 0.70 and 0.69 for 1-leg standing, and 0.65 and 0.60 for self-reported balance problems.<br />Conclusions: The m-FIF tool presented similar predictive ability as the FIF tool regarding first-time injurious falls. This finding could extend the usefulness of the tool to other settings, such as to electronic health (eHealth). A quickly and easily administered screening tool can help physical therapists to identify people with a high risk of falling who may need to undergo a more comprehensive fall risk assessment.<br />Competing Interests: The authors declare no conflicts of interest.<br /> (Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of Academy of Geriatric Physical Therapy, APTA.)
- Subjects :
- Male
Humans
Female
Aged
Self Report
Risk Factors
Risk Assessment
Leg
Subjects
Details
- Language :
- English
- ISSN :
- 2152-0895
- Volume :
- 46
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of geriatric physical therapy (2001)
- Publication Type :
- Academic Journal
- Accession number :
- 35947043
- Full Text :
- https://doi.org/10.1519/JPT.0000000000000362