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Related Experiment Videos

Falls by elders with moderate levels of movement functionality.

Marise Akemi Ishizuka1, Eduardo Gennaro Mutarelli, Angélica Massako Yamaguchi

  • 1Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil. mariseishizuka@yahoo.com.br

Clinics (Sao Paulo, Brazil)
|April 20, 2005
PubMed
Summary

Elderly individuals with moderate mobility, identified by the Performance-Oriented Mobility Assessment (POMA Ia), experience more falls. Addressing muscle weakness and psychiatric conditions can help prevent falls in this population.

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Area of Science:

  • Gerontology
  • Clinical Geriatrics
  • Rehabilitation Science

Background:

  • Mobility limitations in elders are associated with increased fall risk.
  • The Performance-Oriented Mobility Assessment (POMA Ia) is a tool to assess elderly mobility.
  • Understanding risk factors in functionally moderate elders is crucial for fall prevention.

Purpose of the Study:

  • To characterize socio-functional and clinical profiles of elders with moderate mobility (POMA Ia).
  • To compare fall frequency and risk factors between high and moderate mobility groups.
  • To identify specific risk factors contributing to falls in elders with moderate functionality.

Main Methods:

  • 49 elders from a tertiary hospital's geriatric unit were assessed.
  • Evaluations included POMA Ia, chair-stand test, timed up and go test, and fall history.

Related Experiment Videos

  • Clinical risk factors such as depression and psychiatric records were documented.

    • Main Results:

    • The moderate functionality group reported significantly more falls (14) than the high functionality group (3).
    • Muscle weakness was more prevalent in the moderate group and correlated with increased falls.
    • Depression/psychiatric records were more frequent in the moderate group but not directly linked to falls.

    Conclusions:

    • POMA Ia assessment effectively identifies elders at higher risk of falling.
    • Targeting muscle weakness and psychiatric conditions may prevent falls in functionally moderate elders.
    • Interventions focusing on identified risk factors can improve safety and reduce fall incidence in this demographic.