scholarly journals Use of Fall Risk–Increasing Drugs Around a Fall‐Related Injury in Older Adults: A Systematic Review

2020 ◽  
Vol 68 (6) ◽  
pp. 1334-1343
Author(s):  
Laura A. Hart ◽  
Elizabeth A. Phelan ◽  
Julia Y. Yi ◽  
Zachary A. Marcum ◽  
Shelly L. Gray
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Fall Risk

scholarly journals Lower-Limb Factors Associated with Balance and Falls in Older Adults: A Systematic Review and Clinical Synthesis

2019 ◽  
Vol 110 (5) ◽  
Author(s):  
Christopher Neville ◽  
Hung Nguyen ◽  
Kim Ross ◽  
Mariana Wingood ◽  
Elizabeth Walker Peterson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Lower Limb ◽  
Fall Risk ◽  
Community Dwelling ◽  
Sufficient Evidence ◽  
Cochrane Library ◽  
Direct Link ◽  
Age Related ◽  
Falls In Older Adults

Background Despite sufficient evidence to suggest that lower-limb–related factors may contribute to fall risk in older adults, lower-limb and footwear influences on fall risk have not been systematically summarized for readers and clinicians. The purpose of this study was to systematically review and synethesize the literature related to lower-limb, foot, and footwear factors that may increase the risk of falling among community-dwelling older adults. Methods We searched PubMed, Embase, PsycINFO, CINAHL, Web of Science, Cochrane Library, and AgeLine. To describe the trajectory toward increasing risk of falls, we examined those articles that linked age-related changes in the lower limb or footwear to prospective falls or linked them to evidenced-based fall risk factors, such as gait and balance impairment. Results This systematic review consisted of 81 articles that met the review criteria, and the results reflect a narrative review of the appraised literature for eight pathways of lower-limb–related influences on fall risk in older adults. Six of the eight pathways support a direct link to fall risk. Two other pathways link to the intermediate factors but lack studies that provide evidence of a direct link. Conclusions This review provides strong guidance to advance understanding and assist with managing the link between lower-limb factors and falls in older adults. Due to the lack of literature in specific areas, some recommendations were based on observational studies and should be applied with caution until further research can be completed.

scholarly journals Effectiveness of Olympic Combat Sports on Balance, Fall Risk or Falls in Older Adults: A Systematic Review

Biology ◽  
2022 ◽  
Vol 11 (1) ◽  
pp. 74
Author(s):  
Pablo Valdés-Badilla ◽  
Rodrigo Ramirez-Campillo ◽  
Tomás Herrera-Valenzuela ◽  
Braulio Henrique Magnani Branco ◽  
Eduardo Guzmán-Muñoz ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Fall Risk ◽  
Meta Analysis ◽  
Combat Sports ◽  
High Quality ◽  
Grade Scale ◽  
Falls In Older Adults ◽  
Final Manuscript ◽  
Meta Analyses

This systematic review and meta-analysis aimed to assess the available body of published peer-reviewed articles related to the effects of Olympic combat sports (OCS), compared with active/passive controls, on balance, fall risk, or falls in older adults. The TESTEX and GRADE scales assessed the methodological quality and certainty of the evidence. The protocol was registered in PROSPERO (code: CRD42020204034). From 1496 records, eight studies were included, involving 322 older adults (64% female; mean age = 71.1 years). The TESTEX scale revealed all studies with a score ≥ 60% (moderate-high quality). The GRADE scale indicated all studies with at least some concerns, up to a high risk of bias (i.e., was rated very low). Meta-analyses were planned, although the reduced number of studies precluded its incorporation in the final manuscript. Only two from six studies that assessed balance found improvements after OCS compared to controls. No differences were found between OCS vs. control groups for fall risk or falls. The available evidence does not allow a definitive recommendation for or against OCS interventions as an effective strategy to improve balance and reduce the fall risk or falls in older adults. Therefore, more high-quality studies are required to draw definitive conclusions.

Factors included in adult fall risk assessment tools (FRATs): a systematic review

2020 ◽  
pp. 1-25
Author(s):  
Hendrika de Clercq ◽  
Alida Naudé ◽  
Juan Bornman
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Risk Assessment ◽  
Fall Risk ◽  
The Body ◽  
Assessment Tools ◽  
Personal Factors ◽  
Fall Risk Assessment ◽  
Environmental Consequences ◽  
Preventative Measures

Abstract Falls often have severe financial and environmental consequences, not only for those who fall, but also for their families and society at large. Identifying fall risk in older adults can be of great use in preventing or reducing falls and fall risk, and preventative measures that are then introduced can help reduce the incidence and severity of falls in older adults. The overall aim of our systematic review was to provide an analysis of existing mechanisms and measures for evaluating fall risk in older adults. The 43 included FRATs produced a total of 493 FRAT items which, when linked to the ICF, resulted in a total of 952 ICF codes. The ICF domain with the most used codes was body function, with 381 of the 952 codes used (40%), followed by activities and participation with 273 codes (28%), body structure with 238 codes (25%) and, lastly, environmental and personal factors with only 60 codes (7%). This review highlights the fact that current FRATs focus on the body, neglecting environmental and personal factors and, to a lesser extent, activities and participation. This over-reliance on the body as the point of failure in fall risk assessment clearly highlights the need for gathering qualitative data, such as from focus group discussions with older adults, to capture the perspectives and views of the older adults themselves about the factors that increase their risk of falling and comparing these perspectives to the data gathered from published FRATs as described in this review.

scholarly journals Validated Fall Risk Assessment Tools for Use with Older Adults: A Systematic Review

2018 ◽  
Vol 36 (4) ◽  
pp. 331-353 ◽  
Author(s):  
Marcello Ruggieri ◽  
Biagio Palmisano ◽  
Giancarlo Fratocchi ◽  
Valter Santilli ◽  
Roberta Mollica ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Risk Assessment ◽  
Fall Risk ◽  
Assessment Tools ◽  
Fall Risk Assessment ◽  
Risk Assessment Tools
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