Examining the effect of the relationship between falls and mild cognitive impairment on mobility and executive functions in community-dwelling older adults.
March 20, 2015
J Am Geriatr Soc. 2015 Mar;63(3):590-3. doi: 10.1111/jgs.13290. Background Cognitive impairment and falls are geriatric “giants” that significantly increase morbidity and mortality in older adults. Even mild cognitive impairment (MCI) is a significant risk factor for falls. Clinical gait abnormalities including slow gait and falls are early biomarkers of cognitive impairment, suggesting that impaired cognitive function and mobility share common underlying pathophysiology. Despite the vast interest in the interplay between impaired cognitive function and mobility, few studies to date have investigated whether their co-manifestation results in a broader and greater degree of deficits, potentially due to greater burden of pathology, than singular domain (i.e., cognitive or mobility) impairment. Understanding the specific and … Read moreCategory: Falls Prevention, Healthy Cognitive Aging, Publication
August 6, 2013
Originally published at UBC CPD, by Dr. Teresa Liu-Ambrose What I did before Falls are a common geriatric syndrome and are the third leading cause of chronic disability worldwide. Falls are not random events and occur, at least in part, due to impaired physiological function, such as impaired balance, and cognitive impairment. Primary care physicians can use the Physiological Profile Assessment screening tool – it has normative data (65 and up) and provides information for patients as well.1 Results from both systematic reviews and meta-analyses highlight that exercise can play an important role in falls prevention.2 The Otago Exercise Program (OEP) – a physical therapist-delivered, or nurse-delivered, progressive home-based strength and … Read moreCategory: Falls Prevention, Healthy Cognitive Aging, Publication
A comparison of the ICECAP-O with EQ-5D in a falls prevention clinical setting: are they complements or substitutes?
June 22, 2013
Qual Life Res. 2013 Jun;22(5):969-77. doi: 10.1007/s11136-012-0225-4. Epub 2012 Jun 22. Among older adults living in the community, high quality research indicates the best way to reduce you risk of falling is to modify multiple risk factors based on your own personal risk factor profile for falling. Purpose Our research explored whether two preference-based outcome measures (EuroQol EQ-5D and ICECAP-O) are complements or substitutes in the context of the Vancouver Falls Prevention Clinic for seniors. Methods The EQ-5D and ICECAP-O were administered once at 12 months post first clinic attendance. We report descriptive statistics for all baseline characteristics collected at first clinic visit and primary outcomes of interest. We ascertain … Read moreCategory: Adding Quality to Later Life Years, Publication
September 12, 2012
Cochrane Database Syst Rev. 2012 Sep 12;9:CD007146. doi: 10.1002/14651858.CD007146.pub3. As people get older, they may fall more often for a variety of reasons including problems with balance, poor vision, and dementia. Up to 30% may fall per year. Although one in five falls may require medical attention, less than one in 10 results in a fracture. Fear of falling can result in self-restricted activity levels. It may not be possible to prevent falls completely, but people who tend to fall frequently may be enabled to fall less often. This review looked at which methods are effective for older people living in the community, and includes 111 randomised controlled trials, with a … Read moreCategory: Falls Prevention, Publication