Pub Date : 2016-12-01DOI: 10.1016/j.hkpj.2016.10.002
Veronika Schoeb PhD
{"title":"Non-communicable diseases are the biggest challenges of the 21st century: What is the physiotherapist's role in global health?","authors":"Veronika Schoeb PhD","doi":"10.1016/j.hkpj.2016.10.002","DOIUrl":"https://doi.org/10.1016/j.hkpj.2016.10.002","url":null,"abstract":"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Pages A1-A2"},"PeriodicalIF":1.5,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136837221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.1016/S1013-7025(16)30087-2
{"title":"Copyright Transfer Agreement","authors":"","doi":"10.1016/S1013-7025(16)30087-2","DOIUrl":"https://doi.org/10.1016/S1013-7025(16)30087-2","url":null,"abstract":"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Page e11"},"PeriodicalIF":1.5,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1013-7025(16)30087-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92265869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.hkpj.2015.09.036
Mi-Ra Kim MS, PT , Byoung-Hee Lee PhD , Dae-Sung Park PT, PhD
Background
Children with cerebral palsy (CP) exhibit diverse gait patterns depending on their neurological deficits and musculoskeletal problems. The Adeli suit treatment (AST) has been proposed as an intensive exercise protocol in the management of CP.
Objectives
The aim of this study was to compare the effects of a 6-week programme of combined AST and neurodevelopment treatment (NDT) with those of NDT alone on Gross Motor Function Measure (GMFM), balance, and gait in children with CP.
Methods
Twenty children with CP of Gross Motor Function Classification System levels I and II were randomly assigned to one of the following two groups: (1) NDT or (2) AST/NDT. The participants were assessed using the GMFM, Pediatric Balance Scale (PBS), Timed Up and Go (TUG) test, and spatiotemporal gait parameters.
Results
The GMFM, PBS, and TUG test for both groups showed a statistically significant increase (p < 0.05). Three children were excluded. Compared to the NDT group (n = 9), the AST/NDT group (n = 8) demonstrated a significant increase in spatiotemporal gait parameters (p < 0.05).
Conclusion
These results provide evidence for the greater effectiveness of combined AST/NDT than NDT alone in improving spatiotemporal gait parameters but not GMFM, PBS, and TUG test.
脑瘫儿童因其神经缺陷和肌肉骨骼问题表现出不同的步态模式。埃德里适合治疗(AST)已被建议作为一个密集的锻炼协议管理CP.ObjectivesThe本研究的目的是比较计划为期6周的影响结合AST和神经发育疗法与无损检测(NDT)独自粗大运动功能测量(GMFM),平衡,和儿童步态CP.MethodsTwenty CP患儿的粗大运动功能分类系统水平I和II被随机分配到下列两组:(1)无损检测或(2)AST/无损检测。采用GMFM、小儿平衡量表(PBS)、Timed Up and Go (TUG)测试和时空步态参数对参与者进行评估。结果两组患者GMFM、PBS、TUG评分均有统计学差异(p <0.05)。3名儿童被排除在外。与NDT组(n = 9)相比,AST/NDT组(n = 8)表现出时空步态参数的显著增加(p <0.05)。结论AST/NDT联合治疗对大鼠时空步态参数的改善效果优于NDT单独治疗,而GMFM、PBS和TUG试验对大鼠时空步态参数的改善效果不显著。
{"title":"Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II","authors":"Mi-Ra Kim MS, PT , Byoung-Hee Lee PhD , Dae-Sung Park PT, PhD","doi":"10.1016/j.hkpj.2015.09.036","DOIUrl":"10.1016/j.hkpj.2015.09.036","url":null,"abstract":"<div><h3>Background</h3><p>Children with cerebral palsy (CP) exhibit diverse gait patterns depending on their neurological deficits and musculoskeletal problems. The Adeli suit treatment (AST) has been proposed as an intensive exercise protocol in the management of CP.</p></div><div><h3>Objectives</h3><p>The aim of this study was to compare the effects of a 6-week programme of combined AST and neurodevelopment treatment (NDT) with those of NDT alone on Gross Motor Function Measure (GMFM), balance, and gait in children with CP.</p></div><div><h3>Methods</h3><p>Twenty children with CP of Gross Motor Function Classification System levels I and II were randomly assigned to one of the following two groups: (1) NDT or (2) AST/NDT. The participants were assessed using the GMFM, Pediatric Balance Scale (PBS), Timed Up and Go (TUG) test, and spatiotemporal gait parameters.</p></div><div><h3>Results</h3><p>The GMFM, PBS, and TUG test for both groups showed a statistically significant increase (<em>p</em> < 0.05). Three children were excluded. Compared to the NDT group (<em>n</em> = 9), the AST/NDT group (<em>n</em> = 8) demonstrated a significant increase in spatiotemporal gait parameters (<em>p</em> < 0.05).</p></div><div><h3>Conclusion</h3><p>These results provide evidence for the greater effectiveness of combined AST/NDT than NDT alone in improving spatiotemporal gait parameters but not GMFM, PBS, and TUG test.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"34 ","pages":"Pages 10-18"},"PeriodicalIF":1.5,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2015.09.036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37282572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.hkpj.2015.06.001
Omoyemi O. Ogwumike PhD , Ade Fatai Adeniyi PhD , Oluwakemi O. Orogbemi BPT
Background
Menopausal women experience musculoskeletal changes such as muscle atrophy, muscle weakness and osteoporosis—symptoms associated with advancing age coupled with depletion of the female sex hormone, estrogen. Estrogen is important in the maintenance of the integrity of the musculoskeletal system and its reduction in the circulation due to menopausal transition results in reduced resting metabolic rate, lowered energy expenditure, increase in fat mass, and central adipose tissue accumulation.
Objective
This study investigated the prevalence of musculoskeletal pain (MSP) in postmenopausal women (PMW) in Nigeria. We examined the association of overall and central obesity with complaints of MSP and the screening potential of obesity measures for risk of musculoskeletal problems among PMW in Nigeria.
Methods
This was a cross-sectional survey of MSP in 310 PMW in Ibadan, Nigeria. MSP was assessed using the Standardized Nordic Musculoskeletal Questionnaire, and overall and central obesity were assessed using body mass index (BMI), waist/height ratio (WHtR), waist circumference, and waist/hip ratio. Data were analysed using descriptive statistics, chi-square test, and logistic regression models with the probability level at p = 0.05.
Results
Participants were of the modal age group (51–60 years). The highest prevalence rates of MSP were in the lower extremity (189; 61.0%) and the back (164; 52.9%). A direct association was observed between the categories of BMI and lower extremity symptoms (p < 0.05), and the categories of WHtR and waist circumference were associated with back and lower extremity symptoms (p < 0.05). Postmenopausal women had greater odds of reporting MSP across various classes of BMI. WHtR revealed the greatest odds for back (odds ratio = 1.70, 95% confidence interval 1.07–2.75) and lower extremity symptoms (odds ratio = 2.33, 95% confidence interval 1.44–3.78).
Conclusion
Lower extremity and back pain symptoms were the most prevalent. For overall and central obesity directly associated with MSP, WHtR seemed the best obesity screening tool for MSP in postmenopausal women.
{"title":"Musculoskeletal pain among postmenopausal women in Nigeria: Association with overall and central obesity","authors":"Omoyemi O. Ogwumike PhD , Ade Fatai Adeniyi PhD , Oluwakemi O. Orogbemi BPT","doi":"10.1016/j.hkpj.2015.06.001","DOIUrl":"10.1016/j.hkpj.2015.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Menopausal women experience musculoskeletal changes such as muscle atrophy, muscle weakness and osteoporosis—symptoms associated with advancing age coupled with depletion of the female sex hormone, estrogen. Estrogen is important in the maintenance of the integrity of the musculoskeletal system and its reduction in the circulation due to menopausal transition results in reduced resting metabolic rate, lowered energy expenditure, increase in fat mass, and central adipose tissue accumulation.</p></div><div><h3>Objective</h3><p>This study investigated the prevalence of musculoskeletal pain (MSP) in postmenopausal women (PMW) in Nigeria. We examined the association of overall and central obesity with complaints of MSP and the screening potential of obesity measures for risk of musculoskeletal problems among PMW in Nigeria.</p></div><div><h3>Methods</h3><p>This was a cross-sectional survey of MSP in 310 PMW in Ibadan, Nigeria. MSP was assessed using the Standardized Nordic Musculoskeletal Questionnaire, and overall and central obesity were assessed using body mass index (BMI), waist/height ratio (WHtR), waist circumference, and waist/hip ratio. Data were analysed using descriptive statistics, chi-square test, and logistic regression models with the probability level at <em>p</em> = 0.05.</p></div><div><h3>Results</h3><p>Participants were of the modal age group (51–60 years). The highest prevalence rates of MSP were in the lower extremity (189; 61.0%) and the back (164; 52.9%). A direct association was observed between the categories of BMI and lower extremity symptoms (<em>p</em> < 0.05), and the categories of WHtR and waist circumference were associated with back and lower extremity symptoms (<em>p</em> < 0.05). Postmenopausal women had greater odds of reporting MSP across various classes of BMI. WHtR revealed the greatest odds for back (odds ratio = 1.70, 95% confidence interval 1.07–2.75) and lower extremity symptoms (odds ratio = 2.33, 95% confidence interval 1.44–3.78).</p></div><div><h3>Conclusion</h3><p>Lower extremity and back pain symptoms were the most prevalent. For overall and central obesity directly associated with MSP, WHtR seemed the best obesity screening tool for MSP in postmenopausal women.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"34 ","pages":"Pages 41-46"},"PeriodicalIF":1.5,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2015.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37108188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.hkpj.2016.03.001
Arnold Y.L. Wong PhD
{"title":"Musculoskeletal pain in postmenopausal women—Implications for future research","authors":"Arnold Y.L. Wong PhD","doi":"10.1016/j.hkpj.2016.03.001","DOIUrl":"https://doi.org/10.1016/j.hkpj.2016.03.001","url":null,"abstract":"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"34 ","pages":"Pages A1-A2"},"PeriodicalIF":1.5,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137074408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.hkpj.2015.10.001
Louise Larkin MSc , Stephen Gallagher PhD , Alexander D. Fraser MD, FRCPI , Norelee Kennedy PhD
Background
The benefits of physical activity (PA) in inflammatory arthritis (IA) patients are well-established. However, levels of PA in the IA population are suboptimal and the psychological determinants of PA are poorly understood.
Objective
The study aimed to examine the self-reported PA levels and psychological determinants of PA for the IA population.
Methods
A cross-sectional study of people with rheumatoid arthritis (RA) and psoriatic arthritis (PsA) was conducted to explore the association between demographic and psychological variables such as self-efficacy and belief about PA, and levels of PA and energy expenditure (EE). PA was recorded using the Yale Physical Activity Survey (YPAS).
Results
A total of 102 participants were included in the study. Participants reported low levels of PA [mean ± standard deviation (SD), 24.3 ± 18.2]. Beliefs about PA, but not self-efficacy, correlated with levels of self-report PA over the past week (r = 0.25, p = 0.01), over the past month (r = 0.21, p = 0.04), and EE (r = 0.31, p = 0.01).
Conclusion
People with IA have decreased levels of PA. Beliefs about PA are associated with levels of self-report PA and EE in this population. These data provide a useful signpost for guiding and designing interventions to improve PA levels in IA populations by altering beliefs about PA.
背景:身体活动(PA)对炎症性关节炎(IA)患者的益处是公认的。然而,IA人群的PA水平并不理想,而且对PA的心理决定因素了解甚少。目的研究IA人群自我报告的PA水平和PA的心理决定因素。方法对类风湿关节炎(RA)和银屑病关节炎(PsA)患者进行横断面研究,探讨自我效能感、PA信念、PA水平和能量消耗(EE)等人口学和心理变量之间的关系。使用耶鲁体育活动调查(YPAS)记录PA。结果本研究共纳入102名受试者。参与者报告低水平的PA[均数±标准差(SD), 24.3±18.2]。自我效能感与自我报告的过去一周(r = 0.25, p = 0.01)、过去一个月(r = 0.21, p = 0.04)和情感表达(r = 0.31, p = 0.01)相关。结论IA患者PA水平明显降低。在这一人群中,对PA的信念与自我报告的PA和情感表达水平有关。这些数据为指导和设计干预措施提供了有用的路标,通过改变对PA的信念来提高IA人群的PA水平。
{"title":"Relationship between self-efficacy, beliefs, and physical activity in inflammatory arthritis","authors":"Louise Larkin MSc , Stephen Gallagher PhD , Alexander D. Fraser MD, FRCPI , Norelee Kennedy PhD","doi":"10.1016/j.hkpj.2015.10.001","DOIUrl":"10.1016/j.hkpj.2015.10.001","url":null,"abstract":"<div><h3>Background</h3><p>The benefits of physical activity (PA) in inflammatory arthritis (IA) patients are well-established. However, levels of PA in the IA population are suboptimal and the psychological determinants of PA are poorly understood.</p></div><div><h3>Objective</h3><p>The study aimed to examine the self-reported PA levels and psychological determinants of PA for the IA population.</p></div><div><h3>Methods</h3><p>A cross-sectional study of people with rheumatoid arthritis (RA) and psoriatic arthritis (PsA) was conducted to explore the association between demographic and psychological variables such as self-efficacy and belief about PA, and levels of PA and energy expenditure (EE). PA was recorded using the Yale Physical Activity Survey (YPAS).</p></div><div><h3>Results</h3><p>A total of 102 participants were included in the study. Participants reported low levels of PA [mean ± standard deviation (SD), 24.3 ± 18.2]. Beliefs about PA, but not self-efficacy, correlated with levels of self-report PA over the past week (r = 0.25, <em>p</em> = 0.01), over the past month (r = 0.21, <em>p</em> = 0.04), and EE (r = 0.31, <em>p</em> = 0.01).</p></div><div><h3>Conclusion</h3><p>People with IA have decreased levels of PA. Beliefs about PA are associated with levels of self-report PA and EE in this population. These data provide a useful signpost for guiding and designing interventions to improve PA levels in IA populations by altering beliefs about PA.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"34 ","pages":"Pages 33-40"},"PeriodicalIF":1.5,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2015.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37108187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.hkpj.2016.03.003
Stasinopoulos Dimitrios PhD
{"title":"Extracorporeal shock-wave therapy: Can it be used for the management of any calcific tendinopathy?","authors":"Stasinopoulos Dimitrios PhD","doi":"10.1016/j.hkpj.2016.03.003","DOIUrl":"https://doi.org/10.1016/j.hkpj.2016.03.003","url":null,"abstract":"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"34 ","pages":"Pages 47-48"},"PeriodicalIF":1.5,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137074088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.hkpj.2015.12.001
Myoung-Kwon Kim PT, PhD , Sang-Gu Ji PT, PhD , Hyun-Gyu Cha PT, PhD
Background
Rehabilitation of subacute stroke patients represents a major challenge.
Objective
This study was conducted to examine the effects of mirror therapy on balance ability among subacute stroke patients.
Methods
The patients were assigned to a mirror therapy group (n = 17) or a sham therapy group (n = 17). Participants in the experimental group received mirror therapy and conventional rehabilitation therapy for a total of 60 minutes (mirror therapy: 30 minutes; conventional rehabilitation therapy: 30 minutes) per day, with a 10 minute rest period halfway through the session. Participants in the experimental group received training 5 days/week for 4 weeks. Participants in the control group received sham therapy and conventional rehabilitation therapy for a total of 60 minutes (sham therapy: 30 minutes, conventional rehabilitation therapy: 30 minutes) per day on the same day. Balance Index (BI) scores were obtained using a balance measurement system.
Results
A significant difference in post-training gains for the overall stability index and medial and lateral stability index was observed between the experimental group and the control group (p < 0.05).
Conclusion
We conclude that mirror therapy may be beneficial in improving balance ability among subacute stroke patients.
{"title":"The effect of mirror therapy on balance ability of subacute stroke patients","authors":"Myoung-Kwon Kim PT, PhD , Sang-Gu Ji PT, PhD , Hyun-Gyu Cha PT, PhD","doi":"10.1016/j.hkpj.2015.12.001","DOIUrl":"10.1016/j.hkpj.2015.12.001","url":null,"abstract":"<div><h3>Background</h3><p>Rehabilitation of subacute stroke patients represents a major challenge.</p></div><div><h3>Objective</h3><p>This study was conducted to examine the effects of mirror therapy on balance ability among subacute stroke patients.</p></div><div><h3>Methods</h3><p>The patients were assigned to a mirror therapy group (<em>n</em> = 17) or a sham therapy group (<em>n</em> = 17). Participants in the experimental group received mirror therapy and conventional rehabilitation therapy for a total of 60 minutes (mirror therapy: 30 minutes; conventional rehabilitation therapy: 30 minutes) per day, with a 10 minute rest period halfway through the session. Participants in the experimental group received training 5 days/week for 4 weeks. Participants in the control group received sham therapy and conventional rehabilitation therapy for a total of 60 minutes (sham therapy: 30 minutes, conventional rehabilitation therapy: 30 minutes) per day on the same day. Balance Index (BI) scores were obtained using a balance measurement system.</p></div><div><h3>Results</h3><p>A significant difference in post-training gains for the overall stability index and medial and lateral stability index was observed between the experimental group and the control group (<em>p</em> < 0.05).</p></div><div><h3>Conclusion</h3><p>We conclude that mirror therapy may be beneficial in improving balance ability among subacute stroke patients.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"34 ","pages":"Pages 27-32"},"PeriodicalIF":1.5,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2015.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37282574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obvious functional deterioration is demonstrated in elderly people aged 75 years and older. However, there is only little objective evidence relating to falls in these individuals.
Objective
This cross-sectional study compared functional abilities and health status in the elderly age at least 75 years with no fall, single fall (1 fall), and multiple falls (≥2 falls) during the past 6 months. Furthermore, the study describes fall information of the participants.
Methods
Ninety participants (30 individuals/group) were interviewed for their health status and fall history within the past 6 months. Then they were objectively assessed in terms of their functional ability to conduct daily activities independently.
Results
The findings indicated that the functional abilities of participants with multiple falls were significantly poorer, with the number of those requiring a walking device significantly greater than that in the other groups. These individuals reported loss of balance as a major factor for falls, whereas individuals with a single fall reported an environmental hazard as a common cause of falls.
Conclusion
Although the cross-sectional findings may be unable to clearly confirm the causal relationship of the outcomes, the data support the influence of intrinsic impairments and can be used to promote functional ability and minimise fall risk in these individuals.
{"title":"Functional ability and health status of community-dwelling late age elderly people with and without a history of falls","authors":"Thiwabhorn Thaweewannakij PT, PhD , Patcharawan Suwannarat PT, PhD candidate , Lugkana Mato PT, PhD , Sugalya Amatachaya PT, PhD","doi":"10.1016/j.hkpj.2015.08.001","DOIUrl":"10.1016/j.hkpj.2015.08.001","url":null,"abstract":"<div><h3>Background</h3><p>Obvious functional deterioration is demonstrated in elderly people aged 75 years and older. However, there is only little objective evidence relating to falls in these individuals.</p></div><div><h3>Objective</h3><p>This cross-sectional study compared functional abilities and health status in the elderly age at least 75 years with no fall, single fall (1 fall), and multiple falls (≥2 falls) during the past 6 months. Furthermore, the study describes fall information of the participants.</p></div><div><h3>Methods</h3><p>Ninety participants (30 individuals/group) were interviewed for their health status and fall history within the past 6 months. Then they were objectively assessed in terms of their functional ability to conduct daily activities independently.</p></div><div><h3>Results</h3><p>The findings indicated that the functional abilities of participants with multiple falls were significantly poorer, with the number of those requiring a walking device significantly greater than that in the other groups. These individuals reported loss of balance as a major factor for falls, whereas individuals with a single fall reported an environmental hazard as a common cause of falls.</p></div><div><h3>Conclusion</h3><p>Although the cross-sectional findings may be unable to clearly confirm the causal relationship of the outcomes, the data support the influence of intrinsic impairments and can be used to promote functional ability and minimise fall risk in these individuals.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"34 ","pages":"Pages 1-9"},"PeriodicalIF":1.5,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2015.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37282571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}