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  • 标题:Predicting the probability of falls in community-dwelling elderly individuals using the trail-walking test
  • 本地全文:下载
  • 作者:Minoru Yamada ; Noriaki Ichihashi
  • 期刊名称:Environmental Health and Preventive Medicine
  • 印刷版ISSN:1342-078X
  • 电子版ISSN:1347-4715
  • 出版年度:2010
  • 卷号:15
  • 期号:6
  • 页码:386-391
  • DOI:10.1007/s12199-010-0154-1
  • 语种:English
  • 出版社:Springer Japan
  • 摘要:Background

    Falling is a common problem in the fast-growing elderly population. Multitasking or engaging in two or more activities at the same time is common in daily living.

    Objective

    To determine the usefulness of the trail-walking test (TWT) for predicting a fall in community-dwelling elderly individuals.

    Methods

    This was a prospective study in which the TWT was used to evaluate the risk of falling among a group of community-dwelling elderly individuals ( n = 171) with a mean age of 80.5 ± 5.6 years. The following tests were conducted: TWT, trail-making test (TMT), timed-up-and-go test (TUG), functional reach (FR) test, one-leg standing (OLS) test, and 10-m walking time test. Test–retest reliability was assessed by repeating the TWT within 2 weeks of the first trial, and there was a 1-year follow-up. Stepwise logistic regression analysis was used to analyze whether the TWT, TMT, TUG, FR, OLS, or 10-m walking tests predicted falling.

    Results

    The test–retest reliability of TWT was high (intraclass correlation coefficient 0.945, p p Conclusion

    When reliability and validity were considered, the TWT was most useful test of those evaluated for assessing the risk of fall among our elderly cohort.

  • 关键词:Fall ;Elderly ;Trail-walking test ;Predictor ;Complex-task condition
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