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  • Balance impairment not predictive of falls in geriatric rehabilitation wards

    Author(s)
    Haines, Terry
    Kuys, Suzanne
    Morrison, Greg
    Clarke, Jane
    Bew, Paul
    Griffith University Author(s)
    Kuys, Suzanne S.
    Year published
    2008
    Metadata
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    Abstract
    Background. Falls are common among hospital inpatients, particularly in rehabilitation wards. Standing balance impairment is widely held to be a contributing factor to falls, is a component of several falls risk screening tools, and has motivated the development of balance retraining programs for the reduction of in-hospital falls. Little rigorous investigation of the link between standing balance impairment and in-hospital falls has been undertaken. Methods. We identified optimal cut-off points of four commonly used balance measures (functional reach, Timed Up and Go, step test, and timed static stance) in a prospective ...
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    Background. Falls are common among hospital inpatients, particularly in rehabilitation wards. Standing balance impairment is widely held to be a contributing factor to falls, is a component of several falls risk screening tools, and has motivated the development of balance retraining programs for the reduction of in-hospital falls. Little rigorous investigation of the link between standing balance impairment and in-hospital falls has been undertaken. Methods. We identified optimal cut-off points of four commonly used balance measures (functional reach, Timed Up and Go, step test, and timed static stance) in a prospective multicenter cohort study. Admission data (n = 1373) were clustered and matched by center then randomly allocated to development and validation data sets. Results. Optimal cut-off points for each test were identified from the development data set. The predictive accuracy of all four balance tests was poor when the optimal cut-off was applied to the validation data set (Youden Index scores ranged between 0.02 and 0.15). Conclusions. These findings do not support an association between admission standing balance and falls in a geriatric rehabilitation setting. This result has implications for content of falls risk screening tools and interventions to prevent falls in a geriatric rehabilitation population. Copyright 2008 by The Gerontological Society of America.
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    Journal Title
    Journals of Gerontology. Series A: Biological Sciences & Medical Sciences
    Volume
    63A
    Issue
    5
    Publisher URI
    http://biomedgerontology.oxfordjournals.org/
    Copyright Statement
    © 2008 Gerontological Society of America. Self-archiving of the author-manuscript version is not yet supported by this publisher. Please refer to the journal link for access to the definitive, published version or contact the author for more information.
    Subject
    Geriatrics and Gerontology
    Clinical Sciences
    Publication URI
    http://hdl.handle.net/10072/23273
    Collection
    • Journal articles

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