Risk Factors for Falls in Older Adults with Lower Extremity Arthritis: A Conceptual Framework of Current Knowledge and Future Directions

被引:28
作者
Arnold, Cathy M. [1 ]
Gyurcsik, Nancy C. [2 ]
机构
[1] Univ Saskatchewan, Coll Med, Sch Phys Therapy, Saskatoon, SK S7N 0W0, Canada
[2] Univ Saskatchewan, Coll Kinesiol, Saskatoon, SK, Canada
关键词
accidental falls; pain; osteoarthritis; risk factors; PHYSICAL-ACTIVITY INTERVENTIONS; CHRONIC PAIN; KNEE PAIN; OSTEOARTHRITIS; HIP; EXERCISE; HEALTH; WOMEN; FEAR; BEHAVIOR;
D O I
10.3138/ptc.2011-12BH
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose: As the numbers of Canadians aged 65 years and over increases over the next 20 years, the prevalence of chronic conditions, including arthritis, will rise as will the number of falls. Although known fall-risk factors are associated with hip and knee osteoarthritis (OA), minimal research has evaluated fall and fracture risk and/or rates in this population. Thus, the purpose was to summarize research on fall and fracture risk in older adults with hip or knee OA and to develop a conceptual framework of fall-risk screening and assessment. Method: The International Classification of Functioning, Disability and Health, clinical practice guidelines for fall-risk screening, and a selected literature review were used. Results: Gaps exist in our knowledge of fall and fracture risk for this population. Muscle performance, balance, and mobility impairments have been identified, but little is known about whether personal and environmental contextual factors impact fall and fracture risk. Physical activity may help to prevent falls, but non-adherence is a problem. Conclusion: A need exists to assess fall risk in older adults with hip and knee OA. Promoting regular physical activity by focusing on disease- and activity-specific personal contextual factors may help direct treatment planning.
引用
收藏
页码:302 / 314
页数:13
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