Two-year follow-up of fall prediction among older adults in an independent-living community

Oz Zur, Yitshal Berner, Yair Ohel, Eli Carmeli

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Adults over the age of 70 are at risk of falls. Early detection of risk of falls can suggest early interventions. In this study, we attempted to determine valid clinical tests that can differentiate older individuals who are at risk of falling. Older adults from an independent-living community volunteered to participate in this descriptive, cohort study. They were administered the Berg Balance Scale (BBS), Zur Balance Scale (ZBS), Head Shaking Nystagmus Head Impulse Test, Dynamic Visual Acuity, and the Hallpike maneuver for evaluating benign paroxysmal positional vertigo (BPPV); a questionnaire including sociodemographics and a health characteristics survey. Multivariate analysis indicated that a ZBS score < 51, previous fall, and number of medications strongly predict falls in older adults. ZBS score, BBS score, Hallpike maneuver, number of medications, deficit of vestibular ocular reflex, along with positive ZBS score and past fall differentiate between fallers and non-fallers. ZBS <51, taking >6 medications, and history of falls were a benchmark for high-risk of falling.

Original languageEnglish
Title of host publicationAdvances in Experimental Medicine and Biology
PublisherSpringer New York LLC
Pages63-71
Number of pages9
DOIs
StatePublished - 2018

Publication series

NameAdvances in Experimental Medicine and Biology
Volume1040
ISSN (Print)0065-2598
ISSN (Electronic)2214-8019

Keywords

  • Aging
  • Balance
  • Falls
  • Vestibular ocular reflex
  • Vestibular system

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