subject:(Falls)

Harvard University

1. Taylor, Devon Maurice. Exploring Older Adult ED Fall Patients’ Understanding of Their Fall: A Qualitative Study.

Degree: Doctor of Medicine, 2016, Harvard University

URL: http://nrs.harvard.edu/urn-3:HUL.InstRepos:40620224

►

Study Objective: We sought to gain understanding of older adult, emergency department (ED) fall patient perspectives and emotions about antecedent falls, and to gain better… (more)

Subjects/Keywords: Falls; Elderly Falls; Qualitative

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APA (6^th Edition):

Taylor, D. M. (2016). Exploring Older Adult ED Fall Patients’ Understanding of Their Fall: A Qualitative Study. (Doctoral Dissertation). Harvard University. Retrieved from http://nrs.harvard.edu/urn-3:HUL.InstRepos:40620224

Chicago Manual of Style (16^th Edition):

Taylor, Devon Maurice. “Exploring Older Adult ED Fall Patients’ Understanding of Their Fall: A Qualitative Study.” 2016. Doctoral Dissertation, Harvard University. Accessed March 04, 2021. http://nrs.harvard.edu/urn-3:HUL.InstRepos:40620224.

MLA Handbook (7^th Edition):

Taylor, Devon Maurice. “Exploring Older Adult ED Fall Patients’ Understanding of Their Fall: A Qualitative Study.” 2016. Web. 04 Mar 2021.

Vancouver:

Taylor DM. Exploring Older Adult ED Fall Patients’ Understanding of Their Fall: A Qualitative Study. [Internet] [Doctoral dissertation]. Harvard University; 2016. [cited 2021 Mar 04]. Available from: http://nrs.harvard.edu/urn-3:HUL.InstRepos:40620224.

Council of Science Editors:

Taylor DM. Exploring Older Adult ED Fall Patients’ Understanding of Their Fall: A Qualitative Study. [Doctoral Dissertation]. Harvard University; 2016. Available from: http://nrs.harvard.edu/urn-3:HUL.InstRepos:40620224

2. Nor Aini Binti Zakaria. Application of Wearable Inertial Sensor in Clinical Practice : 臨床におけるウェアラブル慣性センサーの応用; リンショウニオケルウェアラブルカンセイセンサーノオウヨウ.

Degree: 博士(工学), Nara Institute of Science and Technology / 奈良先端科学技術大学院大学

URL: http://hdl.handle.net/10061/9193

Subjects/Keywords: falls

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APA (6^th Edition):

Zakaria, N. A. B. (n.d.). Application of Wearable Inertial Sensor in Clinical Practice : 臨床におけるウェアラブル慣性センサーの応用; リンショウニオケルウェアラブルカンセイセンサーノオウヨウ. (Thesis). Nara Institute of Science and Technology / 奈良先端科学技術大学院大学. Retrieved from http://hdl.handle.net/10061/9193

Note: this citation may be lacking information needed for this citation format:
No year of publication.
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Zakaria, Nor Aini Binti. “Application of Wearable Inertial Sensor in Clinical Practice : 臨床におけるウェアラブル慣性センサーの応用; リンショウニオケルウェアラブルカンセイセンサーノオウヨウ.” Thesis, Nara Institute of Science and Technology / 奈良先端科学技術大学院大学. Accessed March 04, 2021. http://hdl.handle.net/10061/9193.

Note: this citation may be lacking information needed for this citation format:
No year of publication.
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Zakaria, Nor Aini Binti. “Application of Wearable Inertial Sensor in Clinical Practice : 臨床におけるウェアラブル慣性センサーの応用; リンショウニオケルウェアラブルカンセイセンサーノオウヨウ.” Web. 04 Mar 2021.

Note: this citation may be lacking information needed for this citation format:
No year of publication.

Vancouver:

Zakaria NAB. Application of Wearable Inertial Sensor in Clinical Practice : 臨床におけるウェアラブル慣性センサーの応用; リンショウニオケルウェアラブルカンセイセンサーノオウヨウ. [Internet] [Thesis]. Nara Institute of Science and Technology / 奈良先端科学技術大学院大学; [cited 2021 Mar 04]. Available from: http://hdl.handle.net/10061/9193.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
No year of publication.

Council of Science Editors:

Zakaria NAB. Application of Wearable Inertial Sensor in Clinical Practice : 臨床におけるウェアラブル慣性センサーの応用; リンショウニオケルウェアラブルカンセイセンサーノオウヨウ. [Thesis]. Nara Institute of Science and Technology / 奈良先端科学技術大学院大学; Available from: http://hdl.handle.net/10061/9193

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
No year of publication.

3. Haakonssen, Eric Christoph. Association of Obesity and Lower Limb Muscle Strength and Power with Balance Recovery from a Forward Leaning Position.

Degree: 2010, Wake Forest University

URL: http://hdl.handle.net/10339/14685

► This study measured the ability of older adults to recover balance when released from a forward leaning position. This forward leaning assessment was used as… (more)

▼ This study measured the ability of older adults to recover balance when released from a forward leaning position. This forward leaning assessment was used as a surrogate for a balance recovery from a fall. The maximal body lean angle from which the subject could recover their balance was referred to as LeanMax. The primary aim was to assess the effects of obesity on LeanMax in a group of older adults (mean age = 70.6 ± 4.6 yrs). The second aim was to determine whether lower limb muscle strength or power were associated with the LeanMax. Ten obese subjects (mean BMI = 33.3 ± 2.6kg•m-2, 4 female) and 6 non-obese subjects (mean BMI = 25.1 ± 2.0 kg•m-2, 3 female) were recruited. Each subject completed the forward lean assessment as well lower limb muscle strength (1 repetition maximum – 1RM) and power tests (peak power against a resistance of 70% 1RM) using Keiser Pneumatic Leg Extension and Leg Press machines. There was no significant difference (p = .422) in LeanMax between the non-obese (mean = 15.4 ± 4.4°) and obese subjects (17.2 ± 4.2°). When mass was added to the non-obese subjects to simulate obesity, there was a trend (p = .062) for LeanMax to be reduced. There was also a trend (p =.062) for the simulated obese group to have a lower LeanMax (12.1 ± 4.5°) than the obese subjects (17.1 ± 3.7°) to whom they were equated for BMI and gender. Lower limb muscle strength (r = .575, p = .020) and power (r = .548, p = .028) were both significantly correlated with LeanMax when measured using the Leg Press machine. The number of minutes spent doing physical activity of a moderate or greater intensity (≥3 METs) was also positively associated with LeanMax (r = .577, p = .019). In summary, obesity was not associated with reduced ability to recover balance from a forward leaning position but additional mass in itself showed a trend to reduce LeanMax. Based on our findings, weight loss is not indicated for improving balance recovery, however, physical activities of a moderate or greater intensity and particularly those that promote lower limb strength and balance should be promoted in older populations.

Subjects/Keywords: Falls

…Falls The population of adults aged over 65 in the United States is increasing dramatically… …an individual comes to rest on the ground, floor or lower level46. Falls are a major… …medical problem for older adults as this population has a higher prevalence of falls and a… …studies have suggested that obesity may impair balance107 or be a risk factor for falls in… …balance recovery thereby contributing to the growing incidence of injurious falls. Falls are a…

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APA (6^th Edition):

Haakonssen, E. C. (2010). Association of Obesity and Lower Limb Muscle Strength and Power with Balance Recovery from a Forward Leaning Position. (Thesis). Wake Forest University. Retrieved from http://hdl.handle.net/10339/14685

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Haakonssen, Eric Christoph. “Association of Obesity and Lower Limb Muscle Strength and Power with Balance Recovery from a Forward Leaning Position.” 2010. Thesis, Wake Forest University. Accessed March 04, 2021. http://hdl.handle.net/10339/14685.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Haakonssen, Eric Christoph. “Association of Obesity and Lower Limb Muscle Strength and Power with Balance Recovery from a Forward Leaning Position.” 2010. Web. 04 Mar 2021.

Vancouver:

Haakonssen EC. Association of Obesity and Lower Limb Muscle Strength and Power with Balance Recovery from a Forward Leaning Position. [Internet] [Thesis]. Wake Forest University; 2010. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/10339/14685.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Haakonssen EC. Association of Obesity and Lower Limb Muscle Strength and Power with Balance Recovery from a Forward Leaning Position. [Thesis]. Wake Forest University; 2010. Available from: http://hdl.handle.net/10339/14685

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Oregon State University

4. Welsh, Lisa R. Preventing falls from unpredictable balance disturbances.

Degree: MS, Exercise and Sport Science, 2006, Oregon State University

URL: http://hdl.handle.net/1957/3124

► Falls, particularly those due to slips, constitute a major health risk for older adults. Past research has found that individuals can learn not to fall… (more)

▼ Falls, particularly those due to slips, constitute a major health risk for older adults. Past research has found that individuals can learn not to fall through repeated exposure to a slipping perturbation. Slips can be unpredictable, however. The goal of this study was to determine whether similar adaptations would occur for repeated slips in unpredictable directions. A sliding platform was used to cause 30 apparently healthy young adults to lose their balance while rising from a semi-squatted position during a lifting task. A series of 27 perturbations were administered in unpredictable directions, forcing participants to either fall or step to recover. Participants were grouped based on whether they fell or successfully recovered in response to the first perturbation. Twenty-two variables quantifying proactive and reactive behavior were derived from motion capture data and compared between groups and across the first, second, and fifth perturbations that caused a backward balance loss, as well as a final “predictable” perturbation. Eight participants fell upon first exposure to the perturbation. Fallers had a more rearward center of mass at recovery step liftoff and lower hip height at step touchdown than those who recovered. The fallers’ hips were also dropping much faster at step liftoff and touchdown than those who recovered. Hip height at step touchdown was able to predict 100% of falls upon the first perturbation exposure in a stepwise, logistic regression model. All of the fallers adapted their reactive responses, despite the unpredictability of the perturbation direction, leading to successful recoveries in all trials after the first. By the second backward balance loss, the fallers made improvements to each variable associated with falling to become similar to those who recovered on the first exposure. Over the course of the perturbations, the fallers also increased their hip height at step liftoff and maximum hip height during the initial recovery step. Those who recovered on the first perturbation also made adjustments across perturbations. Both groups decreased their response time to step liftoff, placed their stepping foot further behind the center of mass, and increased the lateral component of their initial recovery step. The “predictable” case differed primarily by the presence of proactive adjustments. Repeated exposures to this unpredictable perturbation produced evidence of learning and adaptation of the reflexive response for both those who fell and those who recovered as a result of their first exposure. The fact that learning does occur, even in unpredictable situations, may have application to the design of fall prevention programs. Advisors/Committee Members: Pavol, Michael J. (advisor), Hoffman, Mark A. (committee member).

Subjects/Keywords: Falls; Falls (Accidents)

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APA (6^th Edition):

Welsh, L. R. (2006). Preventing falls from unpredictable balance disturbances. (Masters Thesis). Oregon State University. Retrieved from http://hdl.handle.net/1957/3124

Chicago Manual of Style (16^th Edition):

Welsh, Lisa R. “Preventing falls from unpredictable balance disturbances.” 2006. Masters Thesis, Oregon State University. Accessed March 04, 2021. http://hdl.handle.net/1957/3124.

MLA Handbook (7^th Edition):

Welsh, Lisa R. “Preventing falls from unpredictable balance disturbances.” 2006. Web. 04 Mar 2021.

Vancouver:

Welsh LR. Preventing falls from unpredictable balance disturbances. [Internet] [Masters thesis]. Oregon State University; 2006. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/1957/3124.

Council of Science Editors:

Welsh LR. Preventing falls from unpredictable balance disturbances. [Masters Thesis]. Oregon State University; 2006. Available from: http://hdl.handle.net/1957/3124

University of Otago

5. Pal, Jaya. Exploring Falls in Individuals with Intellectual Disability .

Degree: 2012, University of Otago

URL: http://hdl.handle.net/10523/2392

► Introduction: Falling appears to be a concern for individuals with intellectual disability. To date few studies have looked at falls, fall-related injuries and risk factors… (more)

▼ Introduction: Falling appears to be a concern for individuals with intellectual disability. To date few studies have looked at falls, fall-related injuries and risk factors for falls in this population. In contrast, extensive fall-related research has been carried out in older population groups and has used a variety of methods to collect fall data. The use of similar methods to collect fall data might however be inappropriate for individuals with intellectual disability. Cognitive limitations, consenting issues and using proxy sources for collecting fall data are some research challenges evident in intellectual disability research. This thesis developed methods for collecting fall data about people with intellectual disability and tested these methods in two pilot studies. Furthermore, semi-structured interviews were conducted with occupational therapists and physiotherapists to discuss possible mobility/fall prevention strategies and to suggest future fall prevention programmes. Study Aims: The aims of this thesis were: 1. To develop an appropriate method to collect data on falls and fall-related injuries in adults with intellectual disability. 2. To develop a method to collect fall risk data in adults with intellectual disability. 3. To suggest suitable fall prevention strategies for adults with intellectual disability Methodology: A mixed method design was chosen for this thesis using a sequential exploratory design. The initial phase of the study involved qualitative data collection (stakeholder consultations and focus group discussions) and analysis, for developing and validating fall forms, followed by quantitative pilot studies (for testing these forms). An initial structured literature review explored how falls data had been collected in older adults, including those with dementia and Alzheimer’s disease, and with people with intellectual disability. The stakeholder consultations were completed to discuss falls and appropriate methods for collecting fall data. Based on the literature review findings and stakeholder consultations, three fall forms were developed – a fall risk form, a fall incident form and a fall calendar. These forms were discussed in focus group discussions. The fall risk form and the fall incident form were selected as suitable methods and tested in two pilot studies. An additional qualitative study was also conducted wherein therapists working with people with intellectual disability at risk of falling were interviewed to explore strategies they used to reduce falls. Findings from this latter study together with those from the pilot studies were used to suggest strategies to prevent falls for this population group. Results: 1. A fall incident form was developed and used to collect detailed fall-related data following a fall incident. A total of 135 individuals participated in two pilot studies and 125 falls were recorded. The fall incident form was considered as a useful and easy tool for collecting post-fall data in individuals with intellectual disability. The most common… Advisors/Committee Members: Hale, Leigh (advisor).

Subjects/Keywords: Falls; Intellectual Disability

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Pal, J. (2012). Exploring Falls in Individuals with Intellectual Disability . (Doctoral Dissertation). University of Otago. Retrieved from http://hdl.handle.net/10523/2392

Chicago Manual of Style (16^th Edition):

Pal, Jaya. “Exploring Falls in Individuals with Intellectual Disability .” 2012. Doctoral Dissertation, University of Otago. Accessed March 04, 2021. http://hdl.handle.net/10523/2392.

MLA Handbook (7^th Edition):

Pal, Jaya. “Exploring Falls in Individuals with Intellectual Disability .” 2012. Web. 04 Mar 2021.

Vancouver:

Pal J. Exploring Falls in Individuals with Intellectual Disability . [Internet] [Doctoral dissertation]. University of Otago; 2012. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/10523/2392.

Council of Science Editors:

Pal J. Exploring Falls in Individuals with Intellectual Disability . [Doctoral Dissertation]. University of Otago; 2012. Available from: http://hdl.handle.net/10523/2392

Texas A&M University

6. Lee, Sungmin. The Impact of the Neighborhood Environment on Falls Among Older Adults.

Degree: PhD, Urban and Regional Sciences, 2018, Texas A&M University

URL: http://hdl.handle.net/1969.1/173651

► Falls are substantial barriers to walking outside and outdoor physical activity among older adults. Although health and behavioral risk factors for falls were well explored,… (more)

▼ Falls are substantial barriers to walking outside and outdoor physical activity among older adults. Although health and behavioral risk factors for falls were well explored, neighborhood environmental factors for the risk of falling remain poorly understood. The over-arching goal of this dissertation is to understand the heterogeneity of falls in relation to neighborhood environmental features through multifaceted research approaches. This dissertation contains three independent studies, consisting of one systematic review paper and two quantitative studies with one as a cross-sectional study at the neighborhood level and another as a longitudinal study at the individual level. The first systematic review paper was to examine the risk factors of indoor and outdoor falls in relation to biological/ health, behavior, and socio-economic status through a systematic review. Findings from this study showed that the occurrence of indoor falls tended to be associated with being female and being frail, while outdoor falls are more common among males and those who are physically active. The second study explored the characteristics of neighborhood environments associated with fall injuries reported to emergency medical services (EMS) from 2011-2014 in the city of San Antonio (TX, USA) at the census tract level. The study showed that neighborhoods with higher residential density with a higher vacancy rate were associated with increased counts of fall injuries. Neighborhoods with higher residential stability captured as the percent of those who lived in the same house as the previous year were shown to be associated with a decreased count of fall injuries. Finally, the third study used data from the National Health and Aging Trends Study (NHATS). This prospective study examined prospective associations of changes in environmental perceptions (e.g., street conditions, walking surfaces, and physical disorders) with changes in fall occurrence through a longitudinal study. The results showed that safe and well-maintained outdoor environments helped prevent falls among those older adults who actively engage in outdoor activities. In the conclusion, the findings of this dissertation have underscored the importance of studies examining the risk factors of falls and fall prevention in relation to neighborhood environmental and policy interventions. Thus, environmental interventions to reduce the risk of falling should be considered by public health professionals, gerontologists, environmental psychologists, and urban planners interested in helping older adults reduce fall incidents. Advisors/Committee Members: Lee, Chanam (advisor), Li, Wei (committee member), Rodiek, Susan (committee member), Ory, Marcia G (committee member).

Subjects/Keywords: Neighborhood Environments; Falls

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Lee, S. (2018). The Impact of the Neighborhood Environment on Falls Among Older Adults. (Doctoral Dissertation). Texas A&M University. Retrieved from http://hdl.handle.net/1969.1/173651

Chicago Manual of Style (16^th Edition):

Lee, Sungmin. “The Impact of the Neighborhood Environment on Falls Among Older Adults.” 2018. Doctoral Dissertation, Texas A&M University. Accessed March 04, 2021. http://hdl.handle.net/1969.1/173651.

MLA Handbook (7^th Edition):

Lee, Sungmin. “The Impact of the Neighborhood Environment on Falls Among Older Adults.” 2018. Web. 04 Mar 2021.

Vancouver:

Lee S. The Impact of the Neighborhood Environment on Falls Among Older Adults. [Internet] [Doctoral dissertation]. Texas A&M University; 2018. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/1969.1/173651.

Council of Science Editors:

Lee S. The Impact of the Neighborhood Environment on Falls Among Older Adults. [Doctoral Dissertation]. Texas A&M University; 2018. Available from: http://hdl.handle.net/1969.1/173651

McMaster University

7. McLay, Rachel. Validating Short Balance Screening Tests for Assessing Fall Risk in People with Chronic Obstructive Pulmonary Disease (COPD).

Degree: MSc, 2019, McMaster University

URL: http://hdl.handle.net/11375/24736

►

Background: People with COPD have significant balance impairments and an increased risk of falls. The psychometric properties of short balance screening tests to inform fall… (more)

▼

Background: People with COPD have significant balance impairments and an increased risk of falls. The psychometric properties of short balance screening tests to inform fall risk assessment in COPD have not been studied. The objective of this study was to compare the validity of four short balance tests suitable for fall risk screening to identify the most optimal screening tool(s). Methods: Participants at least 60 years old with COPD attended a single physical assessment with completion of questionnaires. Correlation coefficients were used to describe relationships between the Brief Balance Evaluation Systems Test (Brief BESTest), Single-Leg Stance (SLS), Timed Up and Go (TUG) and Timed Up and Go Dual-Task (TUG-DT) tests, and other measures of balance, measures of muscle strength, exercise tolerance, functional limitation, disability and prognosis. Independent t-tests or Mann-Whitney U tests were used to examine differences between groups with respect to fall risk. Receiver operating characteristic curves were plotted to examine the ability to of the screening tests to identify individuals with previous falls. Results: Seventy-three participants with COPD completed the study (age 73.0 ± 6.9 years; FEV1 47.0 ± 19.8% predicted). All balance screening tests demonstrated moderate to strong correlations with the Berg Balance Scale (r= 0.47 to 0.80, p<0.05) and Activities-specific Balance Confidence scale (r= 0.44 to 0.61, p<0.05). The Brief BESTest and SLS showed the strongest correlations with other balance measures and demonstrated the most consistent ability to discriminate between fall risk groups. The Brief BESTest was the only screening test that identified individuals who reported a previous fall with acceptable accuracy (AUC= 0.7). Conclusions: The Brief BESTest and SLS show the most promise as balance screening tools for fall risk assessment in older adults with COPD. These results will need to be prospectively confirmed with a larger sample size.

Thesis

Master of Science Rehabilitation Science (MSc)

Advisors/Committee Members: Beauchamp, Marla, Rehabilitation Science.

Subjects/Keywords: Balance; Falls; COPD

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APA (6^th Edition):

McLay, R. (2019). Validating Short Balance Screening Tests for Assessing Fall Risk in People with Chronic Obstructive Pulmonary Disease (COPD). (Masters Thesis). McMaster University. Retrieved from http://hdl.handle.net/11375/24736

Chicago Manual of Style (16^th Edition):

McLay, Rachel. “Validating Short Balance Screening Tests for Assessing Fall Risk in People with Chronic Obstructive Pulmonary Disease (COPD).” 2019. Masters Thesis, McMaster University. Accessed March 04, 2021. http://hdl.handle.net/11375/24736.

MLA Handbook (7^th Edition):

McLay, Rachel. “Validating Short Balance Screening Tests for Assessing Fall Risk in People with Chronic Obstructive Pulmonary Disease (COPD).” 2019. Web. 04 Mar 2021.

Vancouver:

McLay R. Validating Short Balance Screening Tests for Assessing Fall Risk in People with Chronic Obstructive Pulmonary Disease (COPD). [Internet] [Masters thesis]. McMaster University; 2019. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/11375/24736.

Council of Science Editors:

McLay R. Validating Short Balance Screening Tests for Assessing Fall Risk in People with Chronic Obstructive Pulmonary Disease (COPD). [Masters Thesis]. McMaster University; 2019. Available from: http://hdl.handle.net/11375/24736

University of New South Wales

8. Meinrath, Daniela. Risk factors for dizziness in people aged over 50: cross-sectional and prospective data analysis.

Degree: Public Health & Community Medicine, 2017, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/58178 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:45527/SOURCE02?view=true

► Dizziness is a common health concern for older adults affecting up to 30% of people aged 65 years and over. Dizziness can be debilitating and… (more)

▼ Dizziness is a common health concern for older adults affecting up to 30% of people aged 65 years and over. Dizziness can be debilitating and significantly diminish quality of life and lead to depression, falls and functional disability. With population ageing, the burden of dizziness on health care systems will increase significantly. It is important, therefore, to better understand factors that predispose older people to this condition.The aims of this thesis were to identify key medical, physical and psychological factors associated with dizziness in two complementary cohorts: (1) 339 community-dwellers aged 75 years and older recruited through the electoral roll; (2) 313 people aged 50 years and older who experienced at least one significant dizziness episode in the past year. Participants completed questionnaires related to dizziness episodes, demographics, health and psychological well being. They also underwent assessments of sensorimotor function, vestibular function, dynamic balance, gait and cardiovascular health. Relationships between dizziness and these factors were then explored in both samples.In the general sample, the prevalence of dizziness was 23%. Within this group, participants who reported dizziness in the past year were more likely to also report back pain, motion sickness and fear of falling, than those who did not report any dizziness. Amongst the dizziness sufferers (cohort 2), a multivariate logistic regression analysis revealed that higher physiological fall risk, unilateral vestibular hypofunction and increased anxiety were significantly and independently associated with increased dizziness frequency. 28% of dizziness sufferers reported moderate to severe handicap. Cardiovascular medication use, increased anxiety, a positive test of Benign Paroxysmal Positional Vertigo, and higher physiological fall risk were identified as significant and independent predictors of higher dizziness handicap in multivariate logistic regression analysis. These findings indicate that dizziness is prevalent in older people, with many people with this condition experiencing significant handicap. Dizziness handicap was associated with both physical and psychological impairments. While it is difficult to establish causal relationships among all the associated factors, the significant associations uncovered provide insight into how dizziness affects older people, and information for possible strategies for treating this condition. Advisors/Committee Members: Lord, Stephen, Neuroscience Research Australia, Menant, Jasmine, Neuroscience Research Australia.

Subjects/Keywords: Aged; Dizziness; Falls

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APA (6^th Edition):

Meinrath, D. (2017). Risk factors for dizziness in people aged over 50: cross-sectional and prospective data analysis. (Masters Thesis). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/58178 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:45527/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Meinrath, Daniela. “Risk factors for dizziness in people aged over 50: cross-sectional and prospective data analysis.” 2017. Masters Thesis, University of New South Wales. Accessed March 04, 2021. http://handle.unsw.edu.au/1959.4/58178 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:45527/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Meinrath, Daniela. “Risk factors for dizziness in people aged over 50: cross-sectional and prospective data analysis.” 2017. Web. 04 Mar 2021.

Vancouver:

Meinrath D. Risk factors for dizziness in people aged over 50: cross-sectional and prospective data analysis. [Internet] [Masters thesis]. University of New South Wales; 2017. [cited 2021 Mar 04]. Available from: http://handle.unsw.edu.au/1959.4/58178 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:45527/SOURCE02?view=true.

Council of Science Editors:

Meinrath D. Risk factors for dizziness in people aged over 50: cross-sectional and prospective data analysis. [Masters Thesis]. University of New South Wales; 2017. Available from: http://handle.unsw.edu.au/1959.4/58178 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:45527/SOURCE02?view=true

9. Hernandez-Ramirez, Norma. Patient Falls in the Telemetry Unit of a Large Metropolitan Hospital.

Degree: MSN, 2017, University of San Francisco

URL: https://repository.usfca.edu/capstone/698

► Background: The American Nurses Association defined a fall in 2009 as an unplanned descent to the floor with or without injury to the patient… (more)

Subjects/Keywords: patient falls; client falls; telemetry unit; toileting; falls; cardiac unit

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APA (6^th Edition):

Hernandez-Ramirez, N. (2017). Patient Falls in the Telemetry Unit of a Large Metropolitan Hospital. (Thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/capstone/698

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Hernandez-Ramirez, Norma. “Patient Falls in the Telemetry Unit of a Large Metropolitan Hospital.” 2017. Thesis, University of San Francisco. Accessed March 04, 2021. https://repository.usfca.edu/capstone/698.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Hernandez-Ramirez, Norma. “Patient Falls in the Telemetry Unit of a Large Metropolitan Hospital.” 2017. Web. 04 Mar 2021.

Vancouver:

Hernandez-Ramirez N. Patient Falls in the Telemetry Unit of a Large Metropolitan Hospital. [Internet] [Thesis]. University of San Francisco; 2017. [cited 2021 Mar 04]. Available from: https://repository.usfca.edu/capstone/698.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Hernandez-Ramirez N. Patient Falls in the Telemetry Unit of a Large Metropolitan Hospital. [Thesis]. University of San Francisco; 2017. Available from: https://repository.usfca.edu/capstone/698

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Texas A&M University

10. Geetha Byju, Achu. Alternative Measures of Toe Trajectory More Accurately Predict the Probability of Tripping than Minimum Toe Clearance.

Degree: MS, Biomedical Engineering, 2016, Texas A&M University

URL: http://hdl.handle.net/1969.1/158639

► Tripping is responsible for a large percentage of falls. Minimum toe clearance (MTC) during the swing phase of gait is commonly used to infer the… (more)

Subjects/Keywords: biomechanics; trips; falls; gait; locomotion

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APA (6^th Edition):

Geetha Byju, A. (2016). Alternative Measures of Toe Trajectory More Accurately Predict the Probability of Tripping than Minimum Toe Clearance. (Masters Thesis). Texas A&M University. Retrieved from http://hdl.handle.net/1969.1/158639

Chicago Manual of Style (16^th Edition):

Geetha Byju, Achu. “Alternative Measures of Toe Trajectory More Accurately Predict the Probability of Tripping than Minimum Toe Clearance.” 2016. Masters Thesis, Texas A&M University. Accessed March 04, 2021. http://hdl.handle.net/1969.1/158639.

MLA Handbook (7^th Edition):

Geetha Byju, Achu. “Alternative Measures of Toe Trajectory More Accurately Predict the Probability of Tripping than Minimum Toe Clearance.” 2016. Web. 04 Mar 2021.

Vancouver:

Geetha Byju A. Alternative Measures of Toe Trajectory More Accurately Predict the Probability of Tripping than Minimum Toe Clearance. [Internet] [Masters thesis]. Texas A&M University; 2016. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/1969.1/158639.

Council of Science Editors:

Geetha Byju A. Alternative Measures of Toe Trajectory More Accurately Predict the Probability of Tripping than Minimum Toe Clearance. [Masters Thesis]. Texas A&M University; 2016. Available from: http://hdl.handle.net/1969.1/158639

University of Illinois – Chicago

11. Subramaniam, Savitha. Dance-based exergaming to improve physical function in aging and stroke.

Degree: 2018, University of Illinois – Chicago

URL: http://hdl.handle.net/10027/23270

► Background: Aging and stroke-induced sensori-motor and balance impairments increase postural instability, thus leading to increased fall risk. Thus developing a training paradigm that promotes cardiovascular… (more)

▼ Background: Aging and stroke-induced sensori-motor and balance impairments increase postural instability, thus leading to increased fall risk. Thus developing a training paradigm that promotes cardiovascular fitness while addressing postural stability and ambulatory function might be crucial in addressing community based activity profiles among these population groups. Purpose: To examine the effect of a multidimensional, dance-based exergaming training on improving postural stability, walking function, cardiac autonomic modulation and to further assess if these improvements would be carried over to community based activity profiles. Methods: Community dwelling individuals with hemiparethic stroke (N = 15) and healthy older adults (N =15) received dance-based exergaming training for 6 weeks using the commercially available Kinect dance gaming “ Just Dance 2014” for one hour and thirty minutes. Change in balance control was evaluated by the Limits of Stability test (Neurocom Inc.). The post-training changes in self-initiated center of pressure response time (RT), the movement velocity (MV), the maximum excursion (MXE) were examined. Heart rate variability was determined for pre- and post-intervention for 10 minutes in (1) supine. Gait speed and cadence were recorded using an electronic walkway. Changes in PA during community ambulation (one week before and after intervention) were assessed using Omran HJ-321 Tri-Axis Pedometer. To determine if the changes in functional measures assessing mobility (Berg Balance Scale [BERG]), endurance (six-minute walk test [6MWT]), and gait (speed and cadence) correlated with improved community ambulation, the difference in clinical measures and gait performance from pre- to post intervention was linearly regressed with the changes in community ambulation. Results: Post-training the RT was significantly reduced (p<0.05). Similarly, post-training, MV and MXE were significantly higher (p<0.05). Post-training there was a significant improvement in autonomic modulation in the supine position, indicating an improvement in LF, HF and LF/HF (p<0.05). Maximum work load and maximum oxygen uptake increased significantly post-training (p<0.05). The change in number of steps recorded in daily living from pre-to post intervention correlated with the pre-post change scores for functional measures BERG, 6MWT, gait speed, and cadence (p<0.05). Conclusion: The dance-based exergaming provides a benchmark for incorporating long-term adherent PA regimen in aging and stroke population, which along with improving cardiovascular functioning and walking function, improves community based activity profiles. Advisors/Committee Members: Bhatt, Tanvi (advisor), Phillips, Shane (committee member), Aruin, Alexander (committee member), Girolami, Gay (committee member), Hughes, Susan (committee member), Bhatt, Tanvi (chair).

Subjects/Keywords: older adults; stroke; exergaming; falls

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APA (6^th Edition):

Subramaniam, S. (2018). Dance-based exergaming to improve physical function in aging and stroke. (Thesis). University of Illinois – Chicago. Retrieved from http://hdl.handle.net/10027/23270

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Subramaniam, Savitha. “Dance-based exergaming to improve physical function in aging and stroke.” 2018. Thesis, University of Illinois – Chicago. Accessed March 04, 2021. http://hdl.handle.net/10027/23270.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Subramaniam, Savitha. “Dance-based exergaming to improve physical function in aging and stroke.” 2018. Web. 04 Mar 2021.

Vancouver:

Subramaniam S. Dance-based exergaming to improve physical function in aging and stroke. [Internet] [Thesis]. University of Illinois – Chicago; 2018. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/10027/23270.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Subramaniam S. Dance-based exergaming to improve physical function in aging and stroke. [Thesis]. University of Illinois – Chicago; 2018. Available from: http://hdl.handle.net/10027/23270

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Univerzitet u Beogradu

12. Adamović, Milosav, 1980-. Процена равнотеже и ризика од пада код старих особа.

Degree: Fakultet za specijalnu edukaciju i rehabilitaciju, 2019, Univerzitet u Beogradu

URL: https://fedorabg.bg.ac.rs/fedora/get/o:19351/bdef:Content/get

►

Специјална едукација и рехабилитација - Соматопедија / Special Education and Rehabilitation - Motor Disability

Равнотежа тела човеку омогућава извођење фундаменталних моторних активности, као што су… (more)

▼

Специјална едукација и рехабилитација - Соматопедија / Special Education and Rehabilitation - Motor Disability

Равнотежа тела човеку омогућава извођење фундаменталних моторних активности, као што су седење, стајање, окретање, савијање, ходање, скакање и трчање у оквиру којих он извршава своје свакодневне животне потребе. Како човек постепено стари, поготову након 65. године живота, тако слабе системи и органи задужени за одржавање равнотеже тела. Тешкоће у одржавању равнотеже тела представљају најважнији фактор ризика за доживљавање падова код старих особа. Падови код старих особа остављају значајне негативне физичке, психичке, социјалне и економске последице, у великој мери компромитују квалитет живота и ограничавају самосталност особе. Основни циљ истраживања био је испитивање статичке и динамичке равнотеже и ризика од пада код особа старије животне доби путем различитих функционалних тестова. Код тестова за процену статичке равнотеже испитивана је Wii платформа за балансирање у циљу побољшавања метријских карактеристика функционалних тестова. Додатни циљ истраживања јесте и испитивање утицаја пола, узраста, телесне масе, когнитивног функционисања, депресије и апатије на способност одржавања статичке и динамичке равнотеже и ризика од пада код групе старих особа која је доживела пад и старих који нису пали, као и независност у обављању свакодневних животних активности. Истраживањем су биле обухваћене 142 особе, од тога 75 (52,8%) мушког и 67 (47,2%) женског пола, који су били подељени на групу A, која је доживела пад (N = 82; 53,7% мушког пола) и групу Б, која није доживела пад (N = 60; 51,7% мушког пола). Старост испитаника се кретала у распону од 64 године и пет месеци до 89 година и шест месеци (AS = 73 године и 11 месеци, SD = 6 година и два месеца). Истраживање је спроведено током јула и августа 2017. године у Дому за одрасла и стара лица „Бежанијска коса“ (Београд), као и у дневним центрима и клубовима за дневни боравак старих особа, који се налазе под покровитељством Геронтолошког центра Београд...

Advisors/Committee Members: Stošljević, Miodrag, 1964-.

Subjects/Keywords: elderly persons; balance; falls

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APA (6^th Edition):

Adamović, Milosav, 1. (2019). Процена равнотеже и ризика од пада код старих особа. (Thesis). Univerzitet u Beogradu. Retrieved from https://fedorabg.bg.ac.rs/fedora/get/o:19351/bdef:Content/get

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Adamović, Milosav, 1980-. “Процена равнотеже и ризика од пада код старих особа.” 2019. Thesis, Univerzitet u Beogradu. Accessed March 04, 2021. https://fedorabg.bg.ac.rs/fedora/get/o:19351/bdef:Content/get.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Adamović, Milosav, 1980-. “Процена равнотеже и ризика од пада код старих особа.” 2019. Web. 04 Mar 2021.

Vancouver:

Adamović, Milosav 1. Процена равнотеже и ризика од пада код старих особа. [Internet] [Thesis]. Univerzitet u Beogradu; 2019. [cited 2021 Mar 04]. Available from: https://fedorabg.bg.ac.rs/fedora/get/o:19351/bdef:Content/get.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Adamović, Milosav 1. Процена равнотеже и ризика од пада код старих особа. [Thesis]. Univerzitet u Beogradu; 2019. Available from: https://fedorabg.bg.ac.rs/fedora/get/o:19351/bdef:Content/get

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Illinois – Chicago

13. Patel, Prakruti J. Cognitive-Motor Interference During Dual-Tasking Among Healthy Adults and Chronic Stroke Survivors.

Degree: 2017, University of Illinois – Chicago

URL: http://hdl.handle.net/10027/22018

► Postural stability during dynamic postural tasks is achieved through an interaction between sensory systems, different movement strategies, and cognitive processing to attain the central goal… (more)

▼ Postural stability during dynamic postural tasks is achieved through an interaction between sensory systems, different movement strategies, and cognitive processing to attain the central goal of maintaining stability. Due to dynamic nature of the environment, events causing falls are unexpected and sudden. This places a substantial demand on an individual’s ability to attend to sudden changes in the environment to prevent a fall. The overall purpose of this dissertation to understand attentional demands locomotor and balance tasks using a dual-task paradigm among healthy adults and how presence of cerebral injury such as a stroke impacts attentional demands of postural tasks. Chapter 1 focuses on the interference between walking and different higher cognitive tasks focused on functions considered to play a role in locomotion. It also examines the effect of altering walking speed on the interference between walking and cognitive tasks. Healthy young adults walked at preferred and slow speeds while performing a visuomotor reaction time (VMRT), memory recall (word list generation), working memory (serial subtraction) and an executive function (Stroop) task. Effect of dual-tasking on walking and cognitive tasks was measured as the cost of dual-tasking for walking speed and cognitive performance. Results show that the motor and cognitive cost of dual-task walking depends heavily on the type and perceived complexity of cognitive task being performed. Cognitive costs for the Stroop task were low irrespective of walking speed, suggesting that at preferred-speed individuals prefer to prioritize complex cognitive tasks requiring higher processing resources over the walking. While performing VMRT, individuals preferred to prioritize more complex walking task over VMRT task resulting in lesser motor cost and increased cognitive cost for VMRT task. Chapter 2 compares the cognitive-motor interference (CMI) pattern of walking among chronic ambulatory stroke survivors and young adults to understand the effect of chronic stroke on dual-tasking function in comparison with individuals without any effect of aging or neurological condition. Community-dwelling chronic stroke survivors and young adults performed visuomotor (VMRT), serial subtraction (SS) and Stroop tasks while sitting and walking. Dual-task walking led to significant decline in motor and cognitive performance in both the groups. The stroke group showed highest motor cost for SS task, whereas young group showed highest motor cost for Stroop task. Although cognitive costs for both the groups were highest for VMRT and least for Stroop tasks, the cost for SS task was significantly greater among stroke survivors than young adults. The findings suggest that CMI pattern in chronic stroke survivors differs significantly with the type of cognitive task. Gradual cognitive decline with chronicity of the condition superimposed with aging might have a role in altering the CMI pattern post stroke. Chapter 3 examined the CMI of reactive balance control under dual-task condition in… Advisors/Committee Members: Bhatt, Tanvi (advisor), Pai, Clive (committee member), Wang, Edward (committee member), Girolami, Gay (committee member), Weisenbach, Sara (committee member), Bhatt, Tanvi (chair).

Subjects/Keywords: dual-task; hemiparesis; balance; falls

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APA (6^th Edition):

Patel, P. J. (2017). Cognitive-Motor Interference During Dual-Tasking Among Healthy Adults and Chronic Stroke Survivors. (Thesis). University of Illinois – Chicago. Retrieved from http://hdl.handle.net/10027/22018

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Patel, Prakruti J. “Cognitive-Motor Interference During Dual-Tasking Among Healthy Adults and Chronic Stroke Survivors.” 2017. Thesis, University of Illinois – Chicago. Accessed March 04, 2021. http://hdl.handle.net/10027/22018.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Patel, Prakruti J. “Cognitive-Motor Interference During Dual-Tasking Among Healthy Adults and Chronic Stroke Survivors.” 2017. Web. 04 Mar 2021.

Vancouver:

Patel PJ. Cognitive-Motor Interference During Dual-Tasking Among Healthy Adults and Chronic Stroke Survivors. [Internet] [Thesis]. University of Illinois – Chicago; 2017. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/10027/22018.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Patel PJ. Cognitive-Motor Interference During Dual-Tasking Among Healthy Adults and Chronic Stroke Survivors. [Thesis]. University of Illinois – Chicago; 2017. Available from: http://hdl.handle.net/10027/22018

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Victoria

14. Scott, Victoria Janice. Study of factors associated with fall-related injuries among frail older adults.

Degree: School of Nursing, 2018, University of Victoria

URL: https://dspace.library.uvic.ca//handle/1828/9038

► Falls are the most frequent cause of injury-related hospitalization and death for people 65 years and older in Canada (Canadian Institute of Health Information, 1998;… (more)

▼ Falls are the most frequent cause of injury-related hospitalization and death for people 65 years and older in Canada (Canadian Institute of Health Information, 1998; Langlois et al., 1995; Raina & Torrance, 1996). Studies show the etiology of a falls to be a complex combination of factors that reflect physical, behavioral and social conditions operating alone, or in conjunction with environmental hazards (Speechley & Tinetti, 1991; O'Loughlin et al., 1993). However, the particular role of these factors in relation to falls that result in injury— the subject of this study— is less well understood. Fall-related injuries among frail, older, community-dwelling adults are the focus of this study due to the growing numbers of seniors living in the community who have multiple chronic conditions, the serious consequences of many of these events for this population, and the mounting costs related to treatment. The purpose of this study was to understand the extent and nature of fall-related injuries among frail older adults and to examine the patterns and compounding effects of a wide range of variables representing biological, behavioural, environmental, social and economic risk factors. Differences were examined for risk factors among fallers, nonfallers, injured and non-injured persons. The secondary data used for this study were provided through the University of Victoria Centre on Aging in British Columbia and are based on the Capital Regional District (CRD) Patterns of Care Survey 1995-96 (Centre on Aging, 1996). The data from the CRD Survey are based on interviews with frail community-dwelling seniors represented by two purposefully selected groups. One group consisted of over 3,000 seniors in the CRD receiving publicly-funded home support services in 1995, and the other, a matched sample of 810 seniors screened by age, gender and functional limitations, drawn from the 56,774 seniors in the CRD not receiving home support services. Five hundred and six participants were randomly selected from each group. Of the 1012 respondents to the CRD Survey, 245 reported a fall with an injury, 91 reported falling without an injury and 675 were non-fallers (fall data were missing for one case). Findings showed that 72.9% of those who fell reported being injured as a result of one or more of their falls. This injury rate is considerably higher than that found in other studies that look at the general population of persons aged 65 and over. These differences are explained by the precondition of frailty that defines the population in the CRD Survey. Findings also differ from most other studies in the lack of association found between falls with injury and advanced age or female gender, indicating the strong influence of frailty, regardless of age or gender, for this sample. The results indicate that considerable differences exist in the patterns and combined effect of multiple risk factors between older adults who fall and sustain an injury and those who do not. The findings both confirm and… Advisors/Committee Members: Gallagher, Elaine (supervisor), Wharf, Brian (supervisor).

Subjects/Keywords: Falls (Accidents) in old age

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Scott, V. J. (2018). Study of factors associated with fall-related injuries among frail older adults. (Thesis). University of Victoria. Retrieved from https://dspace.library.uvic.ca//handle/1828/9038

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Scott, Victoria Janice. “Study of factors associated with fall-related injuries among frail older adults.” 2018. Thesis, University of Victoria. Accessed March 04, 2021. https://dspace.library.uvic.ca//handle/1828/9038.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Scott, Victoria Janice. “Study of factors associated with fall-related injuries among frail older adults.” 2018. Web. 04 Mar 2021.

Vancouver:

Scott VJ. Study of factors associated with fall-related injuries among frail older adults. [Internet] [Thesis]. University of Victoria; 2018. [cited 2021 Mar 04]. Available from: https://dspace.library.uvic.ca//handle/1828/9038.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Scott VJ. Study of factors associated with fall-related injuries among frail older adults. [Thesis]. University of Victoria; 2018. Available from: https://dspace.library.uvic.ca//handle/1828/9038

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Illinois – Urbana-Champaign

15. Hsieh, Katherine L. The role of mobile technology for fall risk assessment for individuals with multiple sclerosis.

Degree: PhD, Kinesiology, 2020, University of Illinois – Urbana-Champaign

URL: http://hdl.handle.net/2142/108434

► Multiple Sclerosis (MS) is a chronic, progressive neurogenerative disease that affects one million people in the United States (Wallin et al., 2019). Common MS symptoms… (more)

▼ Multiple Sclerosis (MS) is a chronic, progressive neurogenerative disease that affects one million people in the United States (Wallin et al., 2019). Common MS symptoms include impaired coordination, poor walking and balance, and fatigue, and these symptoms put people with MS (pwMS) at a higher risk for falls (Cameron & Nilsagard, 2018). Falls are highly prevalent among pwMS and can result in detrimental consequences including bone fractures and even death (Matsuda et al., 2011). To prevent falls and fall related injuries, it is important to first assess for multiple risk factors and then intervene through targeted treatments (Palumbo et al., 2015). Fall risk can be assessed through self-report measures, clinical performance tests, or with technology such as force plates and motion capture systems (Kanekar & Aruin, 2013). However, clinicians have time constraints, technology is expensive, and trained personnel is needed. Moreover, due to the COVID-19 pandemic, access to in-person clinical visits is limited. As a result, pwMS may not receive fall risk screening and remain vulnerable to fall related injuries. Mobile technology offers a solution to increase access to fall risk screening using an affordable, ubiquitous, and portable tool (Guise et al., 2014; Marrie et al., 2019). Therefore, the overarching goal of this study was to develop a usable fall risk health application (app) for pwMS to self-assess their fall risk in the home setting. Four studies were performed: 1) smartphone accelerometry was tested to measure postural control in pwMS; 2) a fall risk algorithm was developed for a mobile health app; 3) a fall risk app, Steady-MS, was developed and its usability was tested; and 4) the feasibility of home-based procedures for using Steady-MS was determined. Results suggest that smartphone accelerometry can assess postural control in pwMS. This information was used to develop an algorithm to measure overall fall risk in pwMS and was then incorporated into Steady-MS. Steady-MS was found to be usable among MS users and feasible to use in the home setting. The results from this project demonstrate that pwMS can independently assess their fall risk with Steady-MS in their homes. For the first time, pwMS are equipped to self-assess their fall risk and can monitor and manage their risk. Home-based assessments also opens the potential to offer individualized and targeted treatments to prevent falls. Ultimately, Steady-MS increases access to home-based assessments to reduce falls and improve functional independence for those with MS. Advisors/Committee Members: Sosnoff, Jacob J (advisor), Sosnoff, Jacob J (Committee Chair), Fanning, Jason T (committee member), Rice, Laura A (committee member), Rogers, Wendy A (committee member).

Subjects/Keywords: Falls; Multiple Sclerosis; Smartphone Technology

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Hsieh, K. L. (2020). The role of mobile technology for fall risk assessment for individuals with multiple sclerosis. (Doctoral Dissertation). University of Illinois – Urbana-Champaign. Retrieved from http://hdl.handle.net/2142/108434

Chicago Manual of Style (16^th Edition):

Hsieh, Katherine L. “The role of mobile technology for fall risk assessment for individuals with multiple sclerosis.” 2020. Doctoral Dissertation, University of Illinois – Urbana-Champaign. Accessed March 04, 2021. http://hdl.handle.net/2142/108434.

MLA Handbook (7^th Edition):

Hsieh, Katherine L. “The role of mobile technology for fall risk assessment for individuals with multiple sclerosis.” 2020. Web. 04 Mar 2021.

Vancouver:

Hsieh KL. The role of mobile technology for fall risk assessment for individuals with multiple sclerosis. [Internet] [Doctoral dissertation]. University of Illinois – Urbana-Champaign; 2020. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/2142/108434.

Council of Science Editors:

Hsieh KL. The role of mobile technology for fall risk assessment for individuals with multiple sclerosis. [Doctoral Dissertation]. University of Illinois – Urbana-Champaign; 2020. Available from: http://hdl.handle.net/2142/108434

16. Chander, Harish. Biomechanics Of Slips In Alternative Footwear.

Degree: PhD, Health, Exercise Science, and Recreation Management, 2014, University of Mississippi

URL: https://egrove.olemiss.edu/etd/1026

► Injuries in the workplace pose a significant burden to the health of human beings as well as financial or economic losses to occupational organizations. Slips,… (more)

▼ Injuries in the workplace pose a significant burden to the health of human beings as well as financial or economic losses to occupational organizations. Slips, trips and an induced loss of balance have been identified as the major causative factor for workplace injuries involving falls (Courtney et al, 2001; Redfern et al, 2001). The bureau of labor statistics reported 15% of a total of 4,693 workplace fatalities and a total of 299,090 cases of non-fatal workplace injuries that were due to slips, trips and falls (BLS, 2011). The purpose of the study was to analyze the biomechanics of human locomotion under normal dry flooring conditions and under slippery flooring conditions with three commonly used alternative casual footwear [thong style flip-flops (ff), crocs with clogs (cc) and slip resistant low-top shoe (lt)]. The study will follow a within-subjects repeated measures design with each participant exposed to all three footwear using a counter balanced design. Eighteen healthy male participants with no orthopedic, cardiovascular or neurological abnormalities completed the study. Participants were required to come in for three testing sessions separated by at least 24 hours of rest interval and an initial familiarization day. On each testing day, participants were provided with an alternative footwear based on a counterbalanced selection and were tested for maximal voluntary contraction for lower extremity muscles and were exposed to a series of walking trails that included a normal dry surface non slip gait trial (ns); unexpected slip (us), alert slip (as) and expected slip (es). A 3 x 4 [3 (ff, cc, lt) x 4 (ns, us, as, es)] within-subjects repeated measures anova was used to analyze the dependent slip parameters (heel slip distance and mean heel slip velocity), kinematic and kinetic gait variables (mean and peak vertical ground reaction forces and lower extremity joint angles) and muscle activity (mean, peak and % maximal voluntary contraction in lower extremity muscles). Significant interactions between the footwear and gait trials were found for the slip parameters, gait parameters and muscle activity variables (p<0.05). Significant interactions were followed up with post-hoc multiple comparisons using a Sidak Bonferroni correction. Based on the results from the study the alternative footwear (cc & ff) had greater slip parameters, reduced ground reaction forces and a plantar flexed foot position at heel strike compared to the lt. The us and as had greater incidence of slips than ng and es and moreover with the a priori knowledge of the slippery flooring conditions (es), the individuals were able to modify the gait kinematic and kinetic parameters rather than lower extremity muscle activity to reduce the potential for a slip. Overall, the most hazardous slips were seen with alternative footwear and during the unexpected slips followed by the alert slips. The lt had lower incidence of slips and maintained a normal gait pattern during all gait trial conditions and demonstrates to be the choice of footwear for… Advisors/Committee Members: John C. Garner, John Bentley, Yang-Chieh Fu.

Subjects/Keywords: Ergonomics; Falls; Footwear; Slips; Biomechanics

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Chander, H. (2014). Biomechanics Of Slips In Alternative Footwear. (Doctoral Dissertation). University of Mississippi. Retrieved from https://egrove.olemiss.edu/etd/1026

Chicago Manual of Style (16^th Edition):

Chander, Harish. “Biomechanics Of Slips In Alternative Footwear.” 2014. Doctoral Dissertation, University of Mississippi. Accessed March 04, 2021. https://egrove.olemiss.edu/etd/1026.

MLA Handbook (7^th Edition):

Chander, Harish. “Biomechanics Of Slips In Alternative Footwear.” 2014. Web. 04 Mar 2021.

Vancouver:

Chander H. Biomechanics Of Slips In Alternative Footwear. [Internet] [Doctoral dissertation]. University of Mississippi; 2014. [cited 2021 Mar 04]. Available from: https://egrove.olemiss.edu/etd/1026.

Council of Science Editors:

Chander H. Biomechanics Of Slips In Alternative Footwear. [Doctoral Dissertation]. University of Mississippi; 2014. Available from: https://egrove.olemiss.edu/etd/1026

17. Wilson, Samuel J. The Slippery Slope Between Falling And Recovering: An Examination Of Sensory And Somatic Factors Influencing Recovery After A Slip.

Degree: PhD, Health, Exercise Science, and Recreation Management, 2018, University of Mississippi

URL: https://egrove.olemiss.edu/etd/610

► Background: Slips and falls account for large rates of injury and mortality in multiple populations. During an unexpected slip, sensory mechanisms are responsible for signaling… (more)

▼ Background: Slips and falls account for large rates of injury and mortality in multiple populations. During an unexpected slip, sensory mechanisms are responsible for signaling the slip to the central nervous system, and a series of corrective responses is generated to arrest the slip and prevent a fall. While previous research has examined the corrective responses elicited, the answer of how these systems break down during a fall remains elusive. Purpose: To examine differences in postural control (slip detection), lower extremity corrective responses (slip recovery), and cortical control of the slip recovery response between individuals who fall and those who recover. Methods: One hundred participants were recruited for this study (50 males & 50 females). Participant’s gait kinematics and kinetics were collected during normal gait (NG) and an unexpected slip (US). The slip was classified as a fall or recovery, and by slip severity. Once classified, postural control, reaction times, corrective moments, and cortical contribution were examined between groups using ANOVAs and independent t-tests. Additionally, prediction equations for slip outcome, and slip severity were created using a binary logistic regression model. Slip Detection Results: Postural sway when the proprioceptive (OR = 0.02, CI: 0.01-1.34) and vestibular (OR = 0.60, CI: 0.26-1.39) systems are stressed were negatively associated with odds of falling. While postural sway when the visual system was stressed (OR = 3.18, CI: 0.887-11.445) was positively associated with odds of falling. Slip Recovery Results: Increased time to peak hip extension (OR = 1.006, CI: 1.00-1.01) and ankle dorsiflexion (OR = 1.005, CI: 1.00-1.01) moments increased the odds of falling. While the average ankle moment was negatively associated with falling (OR = 0.001, CI: 0.001-0.005). Cortical Contribution Results: Spectral power in the Piper frequency band was increased in US trials compared to NG. Further, fallers exhibited an increase in cortical activity compared to those who recovered. Conclusions: Rapid lower extremity corrective responses appear critical in arresting the slip and preventing a fall, and the temporal nature of this response may depend on slip detection and subsequent response selection. Moreover, our results suggest that more severe slips may require increased activation of higher centers of the motor cortex. Advisors/Committee Members: Dwight E. Waddell, John C. Garner, John P. Bentley.

Subjects/Keywords: Balance; Falls; Gait; Slips; Biomechanics

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Wilson, S. J. (2018). The Slippery Slope Between Falling And Recovering: An Examination Of Sensory And Somatic Factors Influencing Recovery After A Slip. (Doctoral Dissertation). University of Mississippi. Retrieved from https://egrove.olemiss.edu/etd/610

Chicago Manual of Style (16^th Edition):

Wilson, Samuel J. “The Slippery Slope Between Falling And Recovering: An Examination Of Sensory And Somatic Factors Influencing Recovery After A Slip.” 2018. Doctoral Dissertation, University of Mississippi. Accessed March 04, 2021. https://egrove.olemiss.edu/etd/610.

MLA Handbook (7^th Edition):

Wilson, Samuel J. “The Slippery Slope Between Falling And Recovering: An Examination Of Sensory And Somatic Factors Influencing Recovery After A Slip.” 2018. Web. 04 Mar 2021.

Vancouver:

Wilson SJ. The Slippery Slope Between Falling And Recovering: An Examination Of Sensory And Somatic Factors Influencing Recovery After A Slip. [Internet] [Doctoral dissertation]. University of Mississippi; 2018. [cited 2021 Mar 04]. Available from: https://egrove.olemiss.edu/etd/610.

Council of Science Editors:

Wilson SJ. The Slippery Slope Between Falling And Recovering: An Examination Of Sensory And Somatic Factors Influencing Recovery After A Slip. [Doctoral Dissertation]. University of Mississippi; 2018. Available from: https://egrove.olemiss.edu/etd/610

University of Manchester

18. Ounjaichon, Sasiporn. Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand.

Degree: 2020, University of Manchester

URL: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:325846

► INTRODUCTION: Falls are the leading cause of injuries in older adults in Thailand. Strong evidence shows that strength and balance exercise reduces risk and rate… (more)

▼ INTRODUCTION: Falls are the leading cause of injuries in older adults in Thailand. Strong evidence shows that strength and balance exercise reduces risk and rate of falls among older adults. There is a need to develop a fall prevention exercise programme in the home setting, to encourage participation and adherence. The adapted Lifestyle-integrated Functional Exercise (aLiFE) programme may be suitable by integrating exercise into daily routines, as opposed to attending an exercise class. This study aimed to explore the acceptability and feasibility of the aLiFE programme in Thai context (TLiFE) among older Thai adults. METHODS: This feasibility study comprised two phases. Phase one: A qualitative study was undertaken to obtain perspectives on aLiFE by conducting focus groups and in-depth interviews with community-dwelling older Thai adults aged 60 years and above, and semi-structured interviews with stakeholders in Thailand. Framework analysis was used to inform the modifications of aLiFE to TLiFE. Phase two: A feasibility randomised controlled trial (fRCT) of TLiFE was conducted among community-dwelling older adults aged 60-75, comparing the TLiFE intervention group with a usual care control group. Outcome assessments were completed at baseline, three, and six months. Participants undertook physical performance tests and completed questionnaires to identify demographic characteristics, medical conditions, history of falls, fear of falling, health status, attitudes to falls-related interventions, and exercise adherence. RESULTS: Findings from the qualitative study of 40 older adults and 14 stakeholders revealed positive views and allowed the modification of aLiFE to TLiFE, including the implementation of TLiFE activities suitable to the Thai cultural context. Based on the findings of the qualitative study, seven balance and eight strength TLiFE activities were taken forward, with some adaptations. We recruited a total of 72 older adults aged 60-75 (mean age 66 years; SD 4.48) into the fRCT, randomised to TLiFE (n=36) and Control (n=36). Recruitment lasted two months. Retention rate at the 6-month follow-up was high (91.7%). Participation in the TLiFE intervention group was good (82.9%). The majority of TLiFE participants were fully adherent to TLiFE at six-month follow-up (57.1%) or partially adherent (40.0%). There were no differences in fall incidence between the groups. Participant satisfaction with TLiFE was high. Acceptability questionnaires revealed that TLiFE was easy to perform in daily life, safe, and useful. No adverse events were reported. CONCLUSIONS: Results suggest that the TLiFE programme appears to be acceptable and safe to deliver to community-dwelling older Thai adults and it is feasible to conduct a larger RCT of TLiFE. This feasibility study provides important information for the planning of a future study, but it was not powered to detect a difference between groups. A further fully powered definitive RCT of TLiFE is needed, to evaluate long-term outcomes and cost-effectiveness, before it is… Advisors/Committee Members: STANMORE, EMMA EK, BOULTON, ELISABETH ER, Todd, Chris, Stanmore, Emma, Boulton, Elisabeth.

Subjects/Keywords: Exercise; Falls prevention; Older adults

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APA (6^th Edition):

Ounjaichon, S. (2020). Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand. (Doctoral Dissertation). University of Manchester. Retrieved from http://www.manchester.ac.uk/escholar/uk-ac-man-scw:325846

Chicago Manual of Style (16^th Edition):

Ounjaichon, Sasiporn. “Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand.” 2020. Doctoral Dissertation, University of Manchester. Accessed March 04, 2021. http://www.manchester.ac.uk/escholar/uk-ac-man-scw:325846.

MLA Handbook (7^th Edition):

Ounjaichon, Sasiporn. “Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand.” 2020. Web. 04 Mar 2021.

Vancouver:

Ounjaichon S. Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand. [Internet] [Doctoral dissertation]. University of Manchester; 2020. [cited 2021 Mar 04]. Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:325846.

Council of Science Editors:

Ounjaichon S. Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand. [Doctoral Dissertation]. University of Manchester; 2020. Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:325846

Drexel University

19. Vadyak, Karen. Reducing the Risk of Major Injury from Falls in Hospitalized Adults.

Degree: 2016, Drexel University

URL: http://hdl.handle.net/1860/idea:7091

►

Literature indicates that more than one million falls occur annually in American hospitals. Thirty to fifty percent of these falls result in injury (Joint Commission,… (more)

Subjects/Keywords: Nursing; Falls (Accidents); Hospitals

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APA (6^th Edition):

Vadyak, K. (2016). Reducing the Risk of Major Injury from Falls in Hospitalized Adults. (Thesis). Drexel University. Retrieved from http://hdl.handle.net/1860/idea:7091

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Vadyak, Karen. “Reducing the Risk of Major Injury from Falls in Hospitalized Adults.” 2016. Thesis, Drexel University. Accessed March 04, 2021. http://hdl.handle.net/1860/idea:7091.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Vadyak, Karen. “Reducing the Risk of Major Injury from Falls in Hospitalized Adults.” 2016. Web. 04 Mar 2021.

Vancouver:

Vadyak K. Reducing the Risk of Major Injury from Falls in Hospitalized Adults. [Internet] [Thesis]. Drexel University; 2016. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/1860/idea:7091.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Vadyak K. Reducing the Risk of Major Injury from Falls in Hospitalized Adults. [Thesis]. Drexel University; 2016. Available from: http://hdl.handle.net/1860/idea:7091

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Toronto

20. Sattar, Schroder. Falls in Community-dwelling Older Adults with Cancer: Impact on Cancer Treatment, Circumstances, Assessment, Management, and Reporting.

Degree: PhD, 2018, University of Toronto

URL: http://hdl.handle.net/1807/92038

► Falls are major health issues among older adults and even more so in older cancer patients due to cancer and its treatment. Knowledge on circumstances… (more)

▼ Falls are major health issues among older adults and even more so in older cancer patients due to cancer and its treatment. Knowledge on circumstances surrounding falls and fear of falling is vital for understanding how various factors may precipitate falls and for informing development of effective interventions to prevent falls in this population. Delays in cancer treatment caused by fall injuries may have significant implications on disease trajectory and patient outcomes. However, a systematic review found gaps in knowledge in terms of how falls impact cancer treatment in this population. The aim of this research was to explore the circumstances of falls and fear of falling in community-dwelling older adults with cancer, as well as to examine how falls are assessed, reported, and managed in outpatient oncology clinics, and how falls might impact cancer treatment in this population. A cross-sectional study using a convergent-parallel mixed-methods design was conducted at the Princess Margaret Cancer Centre in Toronto, Canada. Data were collected by self-reported survey, chart review, and open-ended interviews. One hundred older adults (aged >=65) and 14 oncologists participated in this study. Falls were not commonly reported by patients to their oncologists (43%), and were rarely assessed by oncologists (7%). One in twenty who fall appears to lead to change in cancer management. However, falls were not commonly reported by patients nor prioritized by oncologists. Older patients perceived falls as minor incidents not worth mentioning (57%). When a fall was reported, oncologists’ actions included determining cause of falls (64%), asking circumstances of falls (36%), and referrals (29%). Oncologists indicated that the majority of older patients were not forthcoming in reporting falls. Circumstances of falls seem to be similar to those in the general geriatric population. This research shows that incorporating routine fall assessment in oncology clinic appointments may help identify those at risk for falls so that timely interventions can be triggered. Additionally, strategies for fall prevention and management used in the general geriatric population can potentially benefit this population as well. Attention may be warranted regarding medication review, health-teaching on fall safety, home evaluation, and referral for balance training. Advisors/Committee Members: Puts, Martine, Nursing Science.

Subjects/Keywords: aging; Cancer; falls; geriatrics; 0569

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Sattar, S. (2018). Falls in Community-dwelling Older Adults with Cancer: Impact on Cancer Treatment, Circumstances, Assessment, Management, and Reporting. (Doctoral Dissertation). University of Toronto. Retrieved from http://hdl.handle.net/1807/92038

Chicago Manual of Style (16^th Edition):

Sattar, Schroder. “Falls in Community-dwelling Older Adults with Cancer: Impact on Cancer Treatment, Circumstances, Assessment, Management, and Reporting.” 2018. Doctoral Dissertation, University of Toronto. Accessed March 04, 2021. http://hdl.handle.net/1807/92038.

MLA Handbook (7^th Edition):

Sattar, Schroder. “Falls in Community-dwelling Older Adults with Cancer: Impact on Cancer Treatment, Circumstances, Assessment, Management, and Reporting.” 2018. Web. 04 Mar 2021.

Vancouver:

Sattar S. Falls in Community-dwelling Older Adults with Cancer: Impact on Cancer Treatment, Circumstances, Assessment, Management, and Reporting. [Internet] [Doctoral dissertation]. University of Toronto; 2018. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/1807/92038.

Council of Science Editors:

Sattar S. Falls in Community-dwelling Older Adults with Cancer: Impact on Cancer Treatment, Circumstances, Assessment, Management, and Reporting. [Doctoral Dissertation]. University of Toronto; 2018. Available from: http://hdl.handle.net/1807/92038

University of Limerick

21. Quinn, Gillian. Development of a falls risk prediction tool for use with people with multiple sclerosis.

Degree: 2019, University of Limerick

URL: http://hdl.handle.net/10344/8317

►

peer-reviewed

People with Multiple Sclerosis (MS) present with a wide range of symptoms including sensory, motor and visual impairment as well as cognitive dysfunction and… (more)

▼

peer-reviewed

People with Multiple Sclerosis (MS) present with a wide range of symptoms including sensory, motor and visual impairment as well as cognitive dysfunction and fatigue. Many of these symptoms affect mobility and balance and have been shown to be associated with falls risk among this population. It is known that falls are prevalent among people with MS, with a high rate of multiple falls and injurious falls. While much is known about the factors and serious consequences associated with falls, as of yet there is no reliable stand-alone clinical measure or multivariable model suitable to assess falls risk in a busy clinic setting. Thus, the aim of this thesis was to develop a simple falls risk screening model suitable for use in everyday clinical practice. To understand what clinical measures of balance are currently useful in identifying falls risk in MS, a systematic review and meta-analysis was carried out. There was significant heterogeneity across the included studies and discriminative ability of the measures is commonly not reported. The Timed Up and Go (TUG) did show significant difference between fallers and non-fallers in retrospective study designs, is commonly used and does not require specialist equipment, and thus was investigated in a prospective cohort that monitored falls using diaries for 3 months. The association between dual task cost and falls was explored in more depth by examining objectively measured dual task cost and subjective problems dual tasking. Different patterns of cognitive -motor interference and their association to faller status was also analysed. Results showed that objectively measured dual task cost is not associated with an increased falls risk but self-report problems of difficulty doing two things at once doubled the risk of falling with an associated risk ratio of 2.07 (CI 1.15-3.71). From the main longitudinal study multiple clinical and objective variables were analysed to determine the model with the greatest sensitivity and best discriminative ability for identifying falls risk in people with MS. Following multivariable regression analysis, the model with the greatest sensitivity (88%) and predictive validity (AUC = 0.72, 95% CI 0.62-0.82), included the variables of history of a fall, no visual problems, problems with bladder control and a slower speed on the TUG. The clinical implications arising from this research are important; firstly, all healthcare professionals working with people with MS should ask about history of falls, visual problems, problems with bladder control and difficulty dual tasking. Clinicians should not rely on a clinical measure of balance alone to identify falls risk but consider a multivariable model that would be more sensitive and provide more useful information. Future research should validate this falls risk model using a larger sample size, with a wider range of EDSS levels and disease subtypes. Following validation, implementation could be carried out and if used successfully in daily clinical practice this model could…

Advisors/Committee Members: Coote, Susan, Galvin, Rose.

Subjects/Keywords: multiple sclerosis; falls risk; fatique

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APA (6^th Edition):

Quinn, G. (2019). Development of a falls risk prediction tool for use with people with multiple sclerosis. (Thesis). University of Limerick. Retrieved from http://hdl.handle.net/10344/8317

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Quinn, Gillian. “Development of a falls risk prediction tool for use with people with multiple sclerosis.” 2019. Thesis, University of Limerick. Accessed March 04, 2021. http://hdl.handle.net/10344/8317.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Quinn, Gillian. “Development of a falls risk prediction tool for use with people with multiple sclerosis.” 2019. Web. 04 Mar 2021.

Vancouver:

Quinn G. Development of a falls risk prediction tool for use with people with multiple sclerosis. [Internet] [Thesis]. University of Limerick; 2019. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/10344/8317.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Quinn G. Development of a falls risk prediction tool for use with people with multiple sclerosis. [Thesis]. University of Limerick; 2019. Available from: http://hdl.handle.net/10344/8317

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

California State University – Sacramento

22. Plumb, Erica Marie. Evaluation of a fall prevention program for older adults in affordable housing communities.

Degree: MA, Special Major (Community Development for Aging Populations, 2016, California State University – Sacramento

URL: http://hdl.handle.net/10211.3/171190

► Falls present significant health, psychological, financial, and environmental burdens for older adults, society, and health care systems. As the number of older adults increases, the… (more)

Subjects/Keywords: Older adults; Falls; Fall prevention

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APA (6^th Edition):

Plumb, E. M. (2016). Evaluation of a fall prevention program for older adults in affordable housing communities. (Masters Thesis). California State University – Sacramento. Retrieved from http://hdl.handle.net/10211.3/171190

Chicago Manual of Style (16^th Edition):

Plumb, Erica Marie. “Evaluation of a fall prevention program for older adults in affordable housing communities.” 2016. Masters Thesis, California State University – Sacramento. Accessed March 04, 2021. http://hdl.handle.net/10211.3/171190.

MLA Handbook (7^th Edition):

Plumb, Erica Marie. “Evaluation of a fall prevention program for older adults in affordable housing communities.” 2016. Web. 04 Mar 2021.

Vancouver:

Plumb EM. Evaluation of a fall prevention program for older adults in affordable housing communities. [Internet] [Masters thesis]. California State University – Sacramento; 2016. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/10211.3/171190.

Council of Science Editors:

Plumb EM. Evaluation of a fall prevention program for older adults in affordable housing communities. [Masters Thesis]. California State University – Sacramento; 2016. Available from: http://hdl.handle.net/10211.3/171190

University of New South Wales

23. Kwan, Marcella Mun San. Falls in Chinese Older People.

Degree: Public Health & Community Medicine, 2012, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/52299 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10971/SOURCE01?view=true

► Previous studies suggest that Chinese older people report markedly fewer falls thanCaucasian older people, while prevalence and types of fall risk factors are similar betweenthe… (more)

▼ Previous studies suggest that Chinese older people report markedly fewer falls thanCaucasian older people, while prevalence and types of fall risk factors are similar betweenthe two populations. To gain a better understanding of fall risk in Chinese older people, asystematic review and four studies examining socio-demographic, physical, functional andpsychological fall risk factors were conducted in large cohorts of older Chinese people livingin Taiwan, Hong Kong and Australia and in older Caucasian people living in Australia.In study one, the Minimal Chair Height Standing (MCHS) - a novel functional test similar todeep squatting - was found to be underpinned by strength and balance and constitute anindependent falls risk factor.In study two, performance of the Timed Up & Go (TUG) test was shown to be determined bya range of sensorimotor, balance and psychological measures, and TUG test performance wascorrelated with concern about falls, functional disability but not falls.Study three developed the Chinese version of the Fall Efficacy Scale International (FESI(Ch)), which provides a valid and reliable measure of fall efficacy in Chinese older people.Study four showed depression was an important risk factor for falls in the Taiwanese cohort,and that this risk was independent of established sensorimotor and balance risk factors.The final study identifies the key explanatory factors that contribute to the observeddifference in fall rates between older Chinese and Caucasians people using a cross-cultural,migrant study design. Fall rates were at least 50% lower in all Chinese cohorts whencompared to the Australian Cohort. Negative binomial regression analyses revealed that lowfall rates in Chinese cohorts resulted from higher levels of concern about falls (increasedcaution) and reduced exposure to risk due to more structured activity patterns.In conclusion, this thesis adds to the understanding of what factors contribute to thesignificantly lower falls rate found in Chinese older people. As such it provides importantinsights for fall risk assessments and fall prevention strategies for both Chinese and non-Chinese older people. Advisors/Committee Members: Lord, Stephen, Neuroscience Research Australia, Faculty of Medicine, UNSW, Close, Jacqueline, Neuroscience Research Australia, Faculty of Medicine, UNSW.

Subjects/Keywords: Chinese; Falls; Aged; Risk factor

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APA (6^th Edition):

Kwan, M. M. S. (2012). Falls in Chinese Older People. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/52299 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10971/SOURCE01?view=true

Chicago Manual of Style (16^th Edition):

Kwan, Marcella Mun San. “Falls in Chinese Older People.” 2012. Doctoral Dissertation, University of New South Wales. Accessed March 04, 2021. http://handle.unsw.edu.au/1959.4/52299 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10971/SOURCE01?view=true.

MLA Handbook (7^th Edition):

Kwan, Marcella Mun San. “Falls in Chinese Older People.” 2012. Web. 04 Mar 2021.

Vancouver:

Kwan MMS. Falls in Chinese Older People. [Internet] [Doctoral dissertation]. University of New South Wales; 2012. [cited 2021 Mar 04]. Available from: http://handle.unsw.edu.au/1959.4/52299 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10971/SOURCE01?view=true.

Council of Science Editors:

Kwan MMS. Falls in Chinese Older People. [Doctoral Dissertation]. University of New South Wales; 2012. Available from: http://handle.unsw.edu.au/1959.4/52299 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10971/SOURCE01?view=true

University of New South Wales

24. Simpson, Paul. Epidemiology of older fallers attended by paramedics: A study of clinical and operational outcomes.

Degree: Neuroscience Research Australia, 2014, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/54144 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:13289/SOURCE02?view=true

► ‘Falls’ is the most common incident category to which an emergency ambulance is dispatched in New South Wales (NSW), with approximately 60% of these involving… (more)

▼ ‘Falls’ is the most common incident category to which an emergency ambulance is dispatched in New South Wales (NSW), with approximately 60% of these involving patients aged 65 years or more. This thesis explores the epidemiology of older fallers attended by paramedics, employing a mix of quantitative and qualitative research methods with the aim of providing new information in an area of paramedic practice about which little is known. A retrospective, population-level study (n=42,331), prospective cohort study (n=1,610), and retrospective linked data analysis (n=34,313) form the basis of the epidemiological analyses, reporting operational and clinical outcomes arising from an ambulance response and paramedic intervention. A qualitative investigation, using grounded theory methodology, presents a theoretical model exploring paramedic decision making when providing care to older people who have fallen. Significant findings include:1. Older fallers constitute 5.1% of the annual emergency ambulance workload in NSW; 28% are not transported to hospital.2. 1 in 10 older fallers who receive an ambulance response experience a ‘long lie’ (>1 hour on the ground).3. Prediction of non-transport at time of dispatch is not feasible for cases involving older fallers, making risk management through dispatch of specialised resources unfeasible.4. Rates of analgesia administration among fallers with suspected hip fracture (67%) has increased compared to earlier research, but almost one third still receive no prehospital pain relief.5. Non-transported older fallers are at twice the risk of death at 28 days compared to those transported to ED and discharged without admission. Ambulance re-attendance within one month is common.6. Paramedics do not perceive cases involving older fallers to be ‘real paramedic work’. This arises from confusion around role perception, and impacts negatively on the clinical decision making relating to the treatment of older fallers.The findings of this thesis constitute a comprehensive analysis of an area of paramedicine about which little was previously known in an Australasian context. The results will inform clinical and operational strategy being developed by ambulance services and will make a meaningful contribution to optimising prehospital service delivery to, and improving outcomes of, older people who have fallen. Advisors/Committee Members: Lord, Stephen, Neuroscience Research Australia, Faculty of Medicine, UNSW, Close, Jacqueline, Neuroscience Research Australia, Faculty of Medicine, UNSW, Bendall, Jason, Gosford Hospital, Department of Anaesthetics, Gosford.

Subjects/Keywords: Paramedics; Falls; Ambulance; Emergency; Geriatric

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APA (6^th Edition):

Simpson, P. (2014). Epidemiology of older fallers attended by paramedics: A study of clinical and operational outcomes. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/54144 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:13289/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Simpson, Paul. “Epidemiology of older fallers attended by paramedics: A study of clinical and operational outcomes.” 2014. Doctoral Dissertation, University of New South Wales. Accessed March 04, 2021. http://handle.unsw.edu.au/1959.4/54144 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:13289/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Simpson, Paul. “Epidemiology of older fallers attended by paramedics: A study of clinical and operational outcomes.” 2014. Web. 04 Mar 2021.

Vancouver:

Simpson P. Epidemiology of older fallers attended by paramedics: A study of clinical and operational outcomes. [Internet] [Doctoral dissertation]. University of New South Wales; 2014. [cited 2021 Mar 04]. Available from: http://handle.unsw.edu.au/1959.4/54144 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:13289/SOURCE02?view=true.

Council of Science Editors:

Simpson P. Epidemiology of older fallers attended by paramedics: A study of clinical and operational outcomes. [Doctoral Dissertation]. University of New South Wales; 2014. Available from: http://handle.unsw.edu.au/1959.4/54144 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:13289/SOURCE02?view=true

University of Manchester

25. Ounjaichon, Sasiporn. Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) programme : an intervention to prevent falls among older adults in Thailand.

Degree: PhD, 2020, University of Manchester

URL: https://www.research.manchester.ac.uk/portal/en/theses/developing-the-thai-lifestyleintegrated-functional-exercise-tlife-programme-an-intervention-to-prevent-falls-among-older-adults-in-thailand(76a46576-dd56-4578-81b9-c162611e9755).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.816394

► Introduction: Falls are the leading cause of injuries in older adults in Thailand. Strong evidence shows that strength and balance exercise reduces risk and rate… (more)

▼ Introduction: Falls are the leading cause of injuries in older adults in Thailand. Strong evidence shows that strength and balance exercise reduces risk and rate of falls among older adults. There is a need to develop a fall prevention exercise programme in the home setting, to encourage participation and adherence. The adapted Lifestyle-integrated Functional Exercise (aLiFE) programme may be suitable by integrating exercise into daily routines, as opposed to attending an exercise class. This study aimed to explore the acceptability and feasibility of the aLiFE programme in Thai context (TLiFE) among older Thai adults. Methods: This feasibility study comprised two phases. Phase one: A qualitative study was undertaken to obtain perspectives on aLiFE by conducting focus groups and in-depth interviews with community-dwelling older Thai adults aged 60 years and above, and semi-structured interviews with stakeholders in Thailand. Framework analysis was used to inform the modifications of aLiFE to TLiFE. Phase two: A feasibility randomised controlled trial (fRCT) of TLiFE was conducted among community-dwelling older adults aged 60-75, comparing the TLiFE intervention group with a usual care control group. Outcome assessments were completed at baseline, three, and six months. Participants undertook physical performance tests and completed questionnaires to identify demographic characteristics, medical conditions, history of falls, fear of falling, health status, attitudes to falls-related interventions, and exercise adherence. Results: Findings from the qualitative study of 40 older adults and 14 stakeholders revealed positive views and allowed the modification of aLiFE to TLiFE, including the implementation of TLiFE activities suitable to the Thai cultural context. Based on the findings of the qualitative study, seven balance and eight strength TLiFE activities were taken forward, with some adaptations. We recruited a total of 72 older adults aged 60-75 (mean age 66 years; SD 4.48) into the fRCT, randomised to TLiFE (n=36) and Control (n=36). Recruitment lasted two months. Retention rate at the 6-month follow-up was high (91.7%). Participation in the TLiFE intervention group was good (82.9%). The majority of TLiFE participants were fully adherent to TLiFE at six-month follow-up (57.1%) or partially adherent (40.0%). There were no differences in fall incidence between the groups. Participant satisfaction with TLiFE was high. Acceptability questionnaires revealed that TLiFE was easy to perform in daily life, safe, and useful. No adverse events were reported. Conclusions: Results suggest that the TLiFE programme appears to be acceptable and safe to deliver to community-dwelling older Thai adults and it is feasible to conduct a larger RCT of TLiFE. This feasibility study provides important information for the planning of a future study, but it was not powered to detect a difference between groups. A further fully powered definitive RCT of TLiFE is needed, to evaluate long-term outcomes and cost-effectiveness, before it is…

Subjects/Keywords: Exercise; Falls prevention; Older adults

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APA (6^th Edition):

Ounjaichon, S. (2020). Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) programme : an intervention to prevent falls among older adults in Thailand. (Doctoral Dissertation). University of Manchester. Retrieved from https://www.research.manchester.ac.uk/portal/en/theses/developing-the-thai-lifestyleintegrated-functional-exercise-tlife-programme-an-intervention-to-prevent-falls-among-older-adults-in-thailand(76a46576-dd56-4578-81b9-c162611e9755).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.816394

Chicago Manual of Style (16^th Edition):

Ounjaichon, Sasiporn. “Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) programme : an intervention to prevent falls among older adults in Thailand.” 2020. Doctoral Dissertation, University of Manchester. Accessed March 04, 2021. https://www.research.manchester.ac.uk/portal/en/theses/developing-the-thai-lifestyleintegrated-functional-exercise-tlife-programme-an-intervention-to-prevent-falls-among-older-adults-in-thailand(76a46576-dd56-4578-81b9-c162611e9755).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.816394.

MLA Handbook (7^th Edition):

Ounjaichon, Sasiporn. “Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) programme : an intervention to prevent falls among older adults in Thailand.” 2020. Web. 04 Mar 2021.

Vancouver:

Ounjaichon S. Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) programme : an intervention to prevent falls among older adults in Thailand. [Internet] [Doctoral dissertation]. University of Manchester; 2020. [cited 2021 Mar 04]. Available from: https://www.research.manchester.ac.uk/portal/en/theses/developing-the-thai-lifestyleintegrated-functional-exercise-tlife-programme-an-intervention-to-prevent-falls-among-older-adults-in-thailand(76a46576-dd56-4578-81b9-c162611e9755).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.816394.

Council of Science Editors:

Ounjaichon S. Developing the Thai Lifestyle-integrated Functional Exercise (TLiFE) programme : an intervention to prevent falls among older adults in Thailand. [Doctoral Dissertation]. University of Manchester; 2020. Available from: https://www.research.manchester.ac.uk/portal/en/theses/developing-the-thai-lifestyleintegrated-functional-exercise-tlife-programme-an-intervention-to-prevent-falls-among-older-adults-in-thailand(76a46576-dd56-4578-81b9-c162611e9755).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.816394

Texas A&M University

26. Yoshikawa, Aya. Fear of Falling, Fall-Related Efficacy, and Functional Mobility in a Falls Prevention Program: A Matter of Balance Volunteer Lay Leader Model.

Degree: Doctor of Public Health, Health Promotion and Community Health Sciences, 2018, Texas A&M University

URL: http://hdl.handle.net/1969.1/174443

► Reducing fear of falling and improving fall-related efficacy (i.e., the confidence of carrying out daily activity without falling) are essential parts of maintaining an active… (more)

▼ Reducing fear of falling and improving fall-related efficacy (i.e., the confidence of carrying out daily activity without falling) are essential parts of maintaining an active lifestyle among older adults. A Matter of Balance Volunteer Lay Leader (AMOB/VLL) model is an evidence-based program that aims to reduce fear of falling and promote daily activities among community-dwelling older adults. It has been implemented across the US since 1998, yet the statistical synthesis of the individual studies, the role of fall-related efficacy, and factors related to changes in functional mobility in the AMOB/VLL had not been fully examined. The following topics were investigated to fill the research gaps: 1) the magnitude of the overall program effect on improving fall-related efficacy, 2) the mediating role of fall-related efficacy between fear of falling and functional mobility, and 3) factors associated with improvement in functional mobility. The secondary data of 522 older adults who enrolled in the AMOB/VLL in Central Texas were analyzed. A small to moderate program effect of improving fall-related efficacy was found. Variability in effects among the studies was partially due to outcome measures used for program evaluation. The mediating role of fall-related efficacy between fear of falling and functional mobility was confirmed. Three dimensions of fall-related efficacy, including steadiness/balance, gait, falls management, were identified using the Perceived Ability to Prevent and Manage Fall Risks scale. Improvement in functional mobility was particularly significant among older adults who were older, perceived poorer health, had mobility limitation and had lower levels of fall-related efficacy. Findings may provide guidance to program implementers in communities charged with selecting appropriate fall prevention programs to meet the needs of older adults. Greater consistency is needed regarding outcome measures. Such consistency will provide more definitive fall prevention programming recommendations for different settings and populations. The findings of the mediation testing also may help to further develop theories and models explaining a cognitive behavioral approach for reducing fall risks in older adults. More research is needed to further understand factors associated with improvement of mobility performance in older persons using an objectively measured functional assessment. Advisors/Committee Members: Ory, Marcia G (advisor), Smith, Matthew Lee (committee member), Ramirez, Gilbert (committee member), Mehta, Ranjana K (committee member).

Subjects/Keywords: falls; aging; efficacy; mobility

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APA (6^th Edition):

Yoshikawa, A. (2018). Fear of Falling, Fall-Related Efficacy, and Functional Mobility in a Falls Prevention Program: A Matter of Balance Volunteer Lay Leader Model. (Doctoral Dissertation). Texas A&M University. Retrieved from http://hdl.handle.net/1969.1/174443

Chicago Manual of Style (16^th Edition):

Yoshikawa, Aya. “Fear of Falling, Fall-Related Efficacy, and Functional Mobility in a Falls Prevention Program: A Matter of Balance Volunteer Lay Leader Model.” 2018. Doctoral Dissertation, Texas A&M University. Accessed March 04, 2021. http://hdl.handle.net/1969.1/174443.

MLA Handbook (7^th Edition):

Yoshikawa, Aya. “Fear of Falling, Fall-Related Efficacy, and Functional Mobility in a Falls Prevention Program: A Matter of Balance Volunteer Lay Leader Model.” 2018. Web. 04 Mar 2021.

Vancouver:

Yoshikawa A. Fear of Falling, Fall-Related Efficacy, and Functional Mobility in a Falls Prevention Program: A Matter of Balance Volunteer Lay Leader Model. [Internet] [Doctoral dissertation]. Texas A&M University; 2018. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/1969.1/174443.

Council of Science Editors:

Yoshikawa A. Fear of Falling, Fall-Related Efficacy, and Functional Mobility in a Falls Prevention Program: A Matter of Balance Volunteer Lay Leader Model. [Doctoral Dissertation]. Texas A&M University; 2018. Available from: http://hdl.handle.net/1969.1/174443

University of Texas Medical Branch – Galveston

27. [No author]. Effectiveness of a Fall Prevention Educational Program for Long-Term Care Nursing Staff .

Degree: University of Texas Medical Branch – Galveston

URL: http://hdl.handle.net/2152.3/11185

► The goal of the research study was to evaluate the impact of an educational intervention on falls in a long-term care facility by (a) measuring… (more)

▼ The goal of the research study was to evaluate the impact of an educational intervention on falls in a long-term care facility by (a) measuring staff knowledge of fall prevention, (b) behavioral assessment of fall prevention approaches, and (c) evaluation of fall rates and fall injury rates. The study used convenience sampling of nursing staff members, which included nursing assistants and medication aides. A Single-Group-Repeated Measures study design was used to evaluate knowledge and use of fall prevention strategies. The nursing staff members received face-to-face educational sessions on fall prevention using AHRQ guidelines on universal fall precautions. Pre-test, one month post-intervention, and three months post-intervention questionnaires were administered to assess knowledge and behavior. Data on fall rates, fall injury rates, severity of injuries, and repeated falls were collected at three months pre-intervention and throughout the three-month post-intervention period. The Friedman test was used to analyze the Fall Prevention Knowledge test scores and showed a statistically significant difference between the Fall Prevention Knowledge test scores on fall prevention approach (FPT) scores across the three time points. The Wilcoxon signed rank and sign test were used to analyze the Behavior Assessment subscale scores across two time points and showed no statistically significant difference across time points. The Pearson correlation was used to determine the relationship between knowledge and behavioral change scores before time 1 and after time 2 and time 3. At one-month and three-month post educational intervention, there were significant positive correlations between knowledge and behavioral assessment scores associated with several dependent variables. This indicated a likely relationship between knowledge and behavior in the study. At three-month post-intervention, fall rates in the healthcare living setting decreased and there were no major injuries reported. Implications for nursing relate to a need to stimulate interest in learning by staff, the importance of including all care providers in fall prevention efforts, and improvement of retention and recruitment strategies by long-term care facilities. Interest in learning may be improved through the use of incentives, time-off for education, mandatory educational training, tuition reimbursement, and an increase in hourly wag

Subjects/Keywords: falls; repeat falls; Minor falls; Major falls

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APA (6^th Edition):

author], [. (n.d.). Effectiveness of a Fall Prevention Educational Program for Long-Term Care Nursing Staff . (Thesis). University of Texas Medical Branch – Galveston. Retrieved from http://hdl.handle.net/2152.3/11185

Note: this citation may be lacking information needed for this citation format:
No year of publication.
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

author], [No. “Effectiveness of a Fall Prevention Educational Program for Long-Term Care Nursing Staff .” Thesis, University of Texas Medical Branch – Galveston. Accessed March 04, 2021. http://hdl.handle.net/2152.3/11185.

Note: this citation may be lacking information needed for this citation format:
No year of publication.
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

author], [No. “Effectiveness of a Fall Prevention Educational Program for Long-Term Care Nursing Staff .” Web. 04 Mar 2021.

Note: this citation may be lacking information needed for this citation format:
No year of publication.

Vancouver:

author] [. Effectiveness of a Fall Prevention Educational Program for Long-Term Care Nursing Staff . [Internet] [Thesis]. University of Texas Medical Branch – Galveston; [cited 2021 Mar 04]. Available from: http://hdl.handle.net/2152.3/11185.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
No year of publication.

Council of Science Editors:

author] [. Effectiveness of a Fall Prevention Educational Program for Long-Term Care Nursing Staff . [Thesis]. University of Texas Medical Branch – Galveston; Available from: http://hdl.handle.net/2152.3/11185

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
No year of publication.

Boston University

28. Tirrell, Gregory. The emergency department evaluation and outcomes of elderly fallers.

Degree: MS, Medical Sciences, 2014, Boston University

URL: http://hdl.handle.net/2144/15371

► BACKGROUND: Approximately one-third of community dwelling elderly people (age ≥65 years) falls each year contributing to over 2 million elderly emergency department (ED) visits for… (more)

▼ BACKGROUND: Approximately one-third of community dwelling elderly people (age ≥65 years) falls each year contributing to over 2 million elderly emergency department (ED) visits for falls annually. The cost of care for fatal falls by elderly patients in the US was 179 million in 2000, and was 19 billion for non-fatal falls. The risk of falling increases with various risk factors including advancing age. Despite the frequency and costs associated with elderly falls, it is not clear what evaluation elderly fallers receive in the ED, after the ED, and the outcomes of the care provided. OBJECTIVES: We sought to examine the ED and post-ED workup of elderly fallers, and to compare this evaluation to that recommended by published ED fall evaluation and treatment guidelines. We also examined the disposition of these patients and the rate of adverse events which occurred within 1 year of discharge. METHODS: This study was a retrospective chart review of elderly ED fall patients from one urban teaching hospital with >90,000 visits per year. Patients aged ≥65 years who had an ED visit in 2012 with fall related ICD-9 codes E880-886, E888 and who had been seen by a primary care physician (PCP) within our hospital network during the past 3 years were included. We excluded patients who were transferred to our hospital and subsequent visits related to the original fall. We randomly selected 350 eligible patients for chart review. We adapted our data collection instrument from published fall evaluation recommendations including the American Geriatric Society. Categorical data were presented as percentages and continuous data were recorded as mean with standard deviation (SD) if normally distributed or medians with inter-quartile ranges (IQR) if non-normally distributed. RESULTS: A random sample of 450 charts were taken, 100 were subsequently excluded for erroneous identification. The average age was 80 (SD±9) years; 124 (35%) were male, with an average Charlson comorbidity index of 7.6 (SD 2.9). In terms of history, 251/350 (72%) took 5 or more medications, 144/350 (41%) had their visual acuity checked in the past 12 months, and 34/350 (10%) had fallen two or more times in the past 3 months. In the physical exam, only 43/350 (12%) had orthostatics done. 168/350 (48%) patients had their extremity strength recorded, of these 16/168 (10%) had decreased muscle strength. Only 128/350 (37%) patients had their gait recorded, of which 108/128 (84%) were noted to have an abnormal gait. Basic chemistry laboratory tests and hematology were sent on 199/350 (57%) of patients in the ED. X-rays were taken of 275/350 (79%) patients, and CTs were taken of 184/350 (53%) patients in the ED. 277/350 (79%) patients were discharged to their place of preadmission residence from the ED, ED observation unit, or hospital while 70/350 (20%) were discharged to a skilled rehab facility, all after being admitted to the hospital. 196/350 (56%) patients returned to the ED for any reason within 1 year of discharge, averaging 2.4 ± 1.9 visits. 161/350…

Subjects/Keywords: Medicine; Elderly; Elderly falls; Evaluation; Falls; Outcomes; Emergency department

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APA (6^th Edition):

Tirrell, G. (2014). The emergency department evaluation and outcomes of elderly fallers. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/15371

Chicago Manual of Style (16^th Edition):

Tirrell, Gregory. “The emergency department evaluation and outcomes of elderly fallers.” 2014. Masters Thesis, Boston University. Accessed March 04, 2021. http://hdl.handle.net/2144/15371.

MLA Handbook (7^th Edition):

Tirrell, Gregory. “The emergency department evaluation and outcomes of elderly fallers.” 2014. Web. 04 Mar 2021.

Vancouver:

Tirrell G. The emergency department evaluation and outcomes of elderly fallers. [Internet] [Masters thesis]. Boston University; 2014. [cited 2021 Mar 04]. Available from: http://hdl.handle.net/2144/15371.

Council of Science Editors:

Tirrell G. The emergency department evaluation and outcomes of elderly fallers. [Masters Thesis]. Boston University; 2014. Available from: http://hdl.handle.net/2144/15371

Lithuanian Academy of Physical Education

29. Kvietkutė, Ieva. Specialių pusiausvyrą lavinančių pratimų poveikis pagyvenusių moterų griuvimų rizikai.

Degree: Master, Nursing, 2010, Lithuanian Academy of Physical Education

URL: http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20100526_110304-27990 ;

►

Tyrimo objektas: pagyvenusio amžiaus moterų pusiausvyros gerinimas. Tyrimo problema: pagyvenusio bei senyvo amžiaus žmonių populiacijai sparčiai didėjant labai svarbu išlaikyti jų fizinį aktyvumą ir savarankiškumą… (more)

▼

Tyrimo objektas: pagyvenusio amžiaus moterų pusiausvyros gerinimas. Tyrimo problema: pagyvenusio bei senyvo amžiaus žmonių populiacijai sparčiai didėjant labai svarbu išlaikyti jų fizinį aktyvumą ir savarankiškumą kasdienėje veikloje. Griuvimai laikomi vienu iš pagrindinių pagyvenusių žmonių sergamumą ir mirštamumą įtakojančių veiksnių. Todėl labai svarbu anksti nustatyti pagyvenusių žmonių griuvimų riziką ir pritaikyti tinkamas prevencijos priemones. Tyrimo tikslas: nustatyti specialių pusiausvyrą lavinančių pratimų poveikį pagyvenusių moterų griuvimų rizikai. Tyrimo uždaviniai: 1. Nustatyti veiksnius, įtakojančius pagyvenusių moterų griuvimų riziką. 2. Įvertinti specialių pusiausvyrą lavinančių pratimų poveikį pagyvenusių moterų statinei ir dinaminei pusiausvyrai. 3. Įvertinti specialių pusiausvyrą lavinančių pratimų poveikį pagyvenusių moterų ėjimo greičiui. Tyrimo metodai ir organizavimas: tyrimas atliktas VšĮ Respublikinės Vilniaus psichiatrijos ligoninės Gerontopsichiatrijos skyriuje 2009–2010 metais. Tyrime dalyvavo 28 pagyvenusio amžiaus moterys, kurių amžius buvo nuo 55 iki 75 metų. Tiriamosios buvo suskirstytos į dvi grupes: 14 kontrolinėje grupėje ir 14 tiriamojoje grupėje. Tiriamąjai grupei kasdien 4 savaites taikyti specialūs pusiausvyrą lavinantys pratimai. Kontrolinei grupei nebuvo taikyta jokia intervencija. Išvados: 1. Pagyvenusių moterų griuvimų riziką įtakoja šie veiksniai: praeityje buvę griuvimai, sutrikusi pusiausvyra, ortostatinė hipotenzija ir... [toliau žr. visą tekstą]

Object of study: elderly women balance improvement. Problem of study: while elderly and old-age people population is rapidly increasing, it is very important to maintain their physical activity and independence in daily activities. The main factor that influences elderly people morbidity and mortality is falls. It is very important to detect elderly people risk of falls and apply appropriate preventive measures as soon as possible. Aim of study: to define effect of special balance exercises for risk of elderly women falls. Goals of study: 1. To identify factors that influence elderly women's risk of falls. 2. To estimate effect of special balance excercises for static and dynamic balance of elderly woman. 3. To estimate effect of special balance excercises for speed of walking of elderly woman. Methods and organization of study: this study was performed at 2009–2010 years in the department of Old age psychiatry of Republican Vilnius psychiatric hospital. The study included 28 elderly women, whose age ranges from 55 to 75 years. The subjects were divided to two groups: 14 in the control and 14 in the study group. Study group was performing special balance exercises daily for 4 weeks. There wasn’t any intervention for control group. Conclusions: 1. The elderly woman likelhood of falls is influenced by these factors: falls in past, impairments in balance, postural hypotension and inactivity. 2. After performing special balance excercises there was detected significant... [to full text]

Advisors/Committee Members: Dudonienė, Vilma (Master’s thesis supervisor), Šakalienė, Rasa (Master’s thesis reviewer), Kriščiūnas , Aleksandras (Master’s degree committee chair), Gorinienė , Galinda (Master’s degree committee member), Dudonienė, Vilma (Master’s degree committee member), Krutulytė , Gražina (Master’s degree committee member), Imbrasienė , Daiva (Master’s degree committee member), Vaitauskienė , Vida (Master’s degree session secretary).

Subjects/Keywords: Griuvimai; Pagyvenęs amžius; Pusiausvyra; Griuvimų rizika; Falls; Elderly; Balance; Falls risk

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APA (6^th Edition):

Kvietkutė, Ieva. (2010). Specialių pusiausvyrą lavinančių pratimų poveikis pagyvenusių moterų griuvimų rizikai. (Masters Thesis). Lithuanian Academy of Physical Education. Retrieved from http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20100526_110304-27990 ;

Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete

Chicago Manual of Style (16^th Edition):

Kvietkutė, Ieva. “Specialių pusiausvyrą lavinančių pratimų poveikis pagyvenusių moterų griuvimų rizikai.” 2010. Masters Thesis, Lithuanian Academy of Physical Education. Accessed March 04, 2021. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20100526_110304-27990 ;.

Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete

MLA Handbook (7^th Edition):

Kvietkutė, Ieva. “Specialių pusiausvyrą lavinančių pratimų poveikis pagyvenusių moterų griuvimų rizikai.” 2010. Web. 04 Mar 2021.

Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete

Vancouver:

Kvietkutė, Ieva. Specialių pusiausvyrą lavinančių pratimų poveikis pagyvenusių moterų griuvimų rizikai. [Internet] [Masters thesis]. Lithuanian Academy of Physical Education; 2010. [cited 2021 Mar 04]. Available from: http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20100526_110304-27990 ;.

Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete

Council of Science Editors:

Kvietkutė, Ieva. Specialių pusiausvyrą lavinančių pratimų poveikis pagyvenusių moterų griuvimų rizikai. [Masters Thesis]. Lithuanian Academy of Physical Education; 2010. Available from: http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20100526_110304-27990 ;

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University of Otago

30. Salanoa Haar, Amber Juliana. Community-Dwelling Older People and Falls Reporting: A Qualitative Descriptive Study .

Degree: University of Otago

URL: http://hdl.handle.net/10523/7979

► One third of people aged over 65 years fall each year. Falls, and their consequences, are major concerns for individuals, health care providers and funders… (more)

▼ One third of people aged over 65 years fall each year. Falls, and their consequences, are major concerns for individuals, health care providers and funders in terms of injury, reduced independence, and financial costs. Some risk factors for falls are modifiable if health professionals know people are falling. Not reporting falls is a well-known phenomenon, however the extent of the problem, and reasons for non-reporting, are not well understood. In the context of developing a falls-prevention service for community-dwelling older people the aim of this research was to explore why older people may not report falls to health professionals. Qualitative description was used to explore what influenced older people, living alone at home, to report a fall. A purposive sample of ten community-dwelling older people were recruited through community nursing services and interviews of these participants provided the research material. Thematic analysis was used to identify factors influencing reporting of falls. Three themes were derived from this analysis: ‘Consequences determine what participants classify as a fall’, ‘Minimisation - Don’t mention the ‘F’ words’, and ‘Sharing and acquiring knowledge of a fall’. These themes were understood within the context of ‘Occupational independence’, which reflected the participants desire to remain independent with their daily occupations, and remain at home. Classifying a ‘fall event’ as a fall was dependent on consequences of the fall. Participants’ perceptions of what constituted a fall were different from international research-based definitions. A number of fall events that were described met international definitions of a fall, but were not considered as falls by the participants. Participants strongly valued remaining independent at home, and fall events not affecting a person's ability to manage were viewed as inconsequential. Participants reported talking about falls with their contemporaries; however, falls were mentioned in passing, or as a joke, in order to minimise fuss. General Practitioners (GPs) were rarely told about falls and participants saw no reason to report a fall if they continued to manage at home. GPs were not viewed as having a role in falls prevention, but viewed as only having a role in dealing with consequences of falls, such as broken bones or ongoing pain. These results suggest older people may not see the need to report a fall if it has no consequences for them. Within clinical settings a shared understanding of falls should not be assumed. When health professionals ask about falls, older people may be helped to recall and report events if reminded this includes occasions where they have fallen without injury. A fall is a complex concept that is still not accurately described in a way that is congruent with, and encompasses, the understanding of researchers, clinicians, and older people. A better definition of the concept is an area for further research. Any proposed definition of falls needs to incorporate the older persons’ perspective in… Advisors/Committee Members: Hay-Smith, Elizabeth Jean (advisor).

Subjects/Keywords: falls reporting; older people; falls

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APA (6^th Edition):

Salanoa Haar, A. J. (n.d.). Community-Dwelling Older People and Falls Reporting: A Qualitative Descriptive Study . (Masters Thesis). University of Otago. Retrieved from http://hdl.handle.net/10523/7979

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Chicago Manual of Style (16^th Edition):

Salanoa Haar, Amber Juliana. “Community-Dwelling Older People and Falls Reporting: A Qualitative Descriptive Study .” Masters Thesis, University of Otago. Accessed March 04, 2021. http://hdl.handle.net/10523/7979.

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MLA Handbook (7^th Edition):

Salanoa Haar, Amber Juliana. “Community-Dwelling Older People and Falls Reporting: A Qualitative Descriptive Study .” Web. 04 Mar 2021.

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Vancouver:

Salanoa Haar AJ. Community-Dwelling Older People and Falls Reporting: A Qualitative Descriptive Study . [Internet] [Masters thesis]. University of Otago; [cited 2021 Mar 04]. Available from: http://hdl.handle.net/10523/7979.

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Council of Science Editors:

Salanoa Haar AJ. Community-Dwelling Older People and Falls Reporting: A Qualitative Descriptive Study . [Masters Thesis]. University of Otago; Available from: http://hdl.handle.net/10523/7979

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