Citation

Thomas JI, Lane JV. Arch. Phys. Med. Rehabil. 2005; 86(8): 1636-1640.

Affiliation

Physiotherapy Department, Whitefield Day Hospital, Queen Margaret Hospital, Dunfermline, Fife.

Copyright

(Copyright © 2005, Elsevier Publishing)

DOI

10.1016/j.apmr.2005.03.004

PMID

16084819

Abstract

A pilot study to explore the predictive validity of 4 measures of falls risk in frail elderly patients. OBJECTIVES: To test the hypothesis that scores on 4 falls risk measures will differ significantly in patients reporting recurrent falls compared with those who do not; and to explore the validity of each measure to predict such falls status. DESIGN: A convenience sample was tested to establish the sensitivity and specificity of the Functional Reach Test, Timed Up & Go test, one-leg stance test (OLST), and balance subsection of the Performance Oriented Mobility Assessment (B-POMA). A 12-month retrospective falls history was used to identify recurrent fallers. SETTING: A day hospital for the elderly. PARTICIPANTS: Convenience sample of 30 day hospital patients. The inclusion criteria were: ability to rise from a chair and walk 6m; no severe cognitive impairment or blindness; age 65 years or older. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Scores on the 4 tests and retrospective falls histories. RESULTS: Scores on the B-POMA and OLST showed significant differences between fallers and nonfallers (P<.05). An OLST time of 1.02 seconds or less (odds ratio [OR]=15.2; 95% confidence interval [CI], 1.72-133.95) and B-POMA score of 11 or less (OR=18.5; 95% CI, 2.05-167.79) were predictive of day hospital patients having a history of recurrent falls. CONCLUSIONS: OLST and B-POMA both have potential as screening tools for risk of falls, but this observation requires confirmation in a prospective study.