Outcome measures correlated with falls in nursing home residents—A pilot study

Heidi S. Moyer, Jeffrey Gale, Stephen Severe, Heather J. Braden, Scott Hasson

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Most fall risk and normal values are collected from the community-dwelling population, which is not representative of nursing home residents. The purpose of this study was twofold: 1) to determine the relationship of clinical impairment and activity limitation variables to the number of falls in nursing home residents; and 2) to determine the amount of variability that can be explained for the number of falls from these predictor variables. Seventeen active nursing home residents (83.7 ± 11.7 years) consented to participate. Mini-Mental Status Examination (MMSE), lower extremity handheld dynamometry, ankle plantar flexion (PF)/dorsiflexion (DF) active range of motion (AROM), hand grip strength, gait speed (GS), Timed Up and Go (TUG), and 5 Times Sit-to-Stand (5TSTS) were recorded in a single visit. Regression analysis was performed to identify the better clinical outcome tool to determine falls. This was followed by a stepwise multiple regression model to predict the criterion variable—number of falls. Of the clinical impairment measures collected, significant correlations with past falls include the following: right DF AROM (−0.436; p = 0.040) and right DF strength (−0.504; p = 0.023). Of the activity limitation measures collected, significant correlations with past falls include the following: 5TSTS (0.585; p = 0.007); TUG time (0.475; p = 0.027); and GS (0.457; p = 0.032). The stepwise multiple regression model explained 59% of the variance using right DF AROM, right DF strength, 5TSTS, and TUG time. These measures are benchmarks for the community dwelling population. The present study indicates that these measures might also be useful in determining fall risk screening for ambulatory nursing home residents.

Original languageEnglish (US)
Pages (from-to)725-732
Number of pages8
JournalPhysiotherapy theory and practice
Volume33
Issue number9
DOIs
StatePublished - Sep 2 2017

Fingerprint

Nursing Homes
Articular Range of Motion
Outcome Assessment (Health Care)
Independent Living
Hand Strength
Benchmarking
Ankle
Population
Lower Extremity
Reference Values
Regression Analysis
Walking Speed

Keywords

  • Activity limitations
  • impairments
  • nursing homes
  • outcomes measures

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Outcome measures correlated with falls in nursing home residents—A pilot study. / Moyer, Heidi S.; Gale, Jeffrey; Severe, Stephen; Braden, Heather J.; Hasson, Scott.

In: Physiotherapy theory and practice, Vol. 33, No. 9, 02.09.2017, p. 725-732.

Research output: Contribution to journalArticle

Moyer, Heidi S. ; Gale, Jeffrey ; Severe, Stephen ; Braden, Heather J. ; Hasson, Scott. / Outcome measures correlated with falls in nursing home residents—A pilot study. In: Physiotherapy theory and practice. 2017 ; Vol. 33, No. 9. pp. 725-732.
@article{d53b289794d14c61843dda69abb9b3a9,
title = "Outcome measures correlated with falls in nursing home residents—A pilot study",
abstract = "Most fall risk and normal values are collected from the community-dwelling population, which is not representative of nursing home residents. The purpose of this study was twofold: 1) to determine the relationship of clinical impairment and activity limitation variables to the number of falls in nursing home residents; and 2) to determine the amount of variability that can be explained for the number of falls from these predictor variables. Seventeen active nursing home residents (83.7 ± 11.7 years) consented to participate. Mini-Mental Status Examination (MMSE), lower extremity handheld dynamometry, ankle plantar flexion (PF)/dorsiflexion (DF) active range of motion (AROM), hand grip strength, gait speed (GS), Timed Up and Go (TUG), and 5 Times Sit-to-Stand (5TSTS) were recorded in a single visit. Regression analysis was performed to identify the better clinical outcome tool to determine falls. This was followed by a stepwise multiple regression model to predict the criterion variable—number of falls. Of the clinical impairment measures collected, significant correlations with past falls include the following: right DF AROM (−0.436; p = 0.040) and right DF strength (−0.504; p = 0.023). Of the activity limitation measures collected, significant correlations with past falls include the following: 5TSTS (0.585; p = 0.007); TUG time (0.475; p = 0.027); and GS (0.457; p = 0.032). The stepwise multiple regression model explained 59{\%} of the variance using right DF AROM, right DF strength, 5TSTS, and TUG time. These measures are benchmarks for the community dwelling population. The present study indicates that these measures might also be useful in determining fall risk screening for ambulatory nursing home residents.",
keywords = "Activity limitations, impairments, nursing homes, outcomes measures",
author = "Moyer, {Heidi S.} and Jeffrey Gale and Stephen Severe and Braden, {Heather J.} and Scott Hasson",
year = "2017",
month = "9",
day = "2",
doi = "10.1080/09593985.2017.1345027",
language = "English (US)",
volume = "33",
pages = "725--732",
journal = "Physiotherapy Theory and Practice",
issn = "0959-3985",
publisher = "Informa Healthcare",
number = "9",

}

TY - JOUR

T1 - Outcome measures correlated with falls in nursing home residents—A pilot study

AU - Moyer, Heidi S.

AU - Gale, Jeffrey

AU - Severe, Stephen

AU - Braden, Heather J.

AU - Hasson, Scott

PY - 2017/9/2

Y1 - 2017/9/2

N2 - Most fall risk and normal values are collected from the community-dwelling population, which is not representative of nursing home residents. The purpose of this study was twofold: 1) to determine the relationship of clinical impairment and activity limitation variables to the number of falls in nursing home residents; and 2) to determine the amount of variability that can be explained for the number of falls from these predictor variables. Seventeen active nursing home residents (83.7 ± 11.7 years) consented to participate. Mini-Mental Status Examination (MMSE), lower extremity handheld dynamometry, ankle plantar flexion (PF)/dorsiflexion (DF) active range of motion (AROM), hand grip strength, gait speed (GS), Timed Up and Go (TUG), and 5 Times Sit-to-Stand (5TSTS) were recorded in a single visit. Regression analysis was performed to identify the better clinical outcome tool to determine falls. This was followed by a stepwise multiple regression model to predict the criterion variable—number of falls. Of the clinical impairment measures collected, significant correlations with past falls include the following: right DF AROM (−0.436; p = 0.040) and right DF strength (−0.504; p = 0.023). Of the activity limitation measures collected, significant correlations with past falls include the following: 5TSTS (0.585; p = 0.007); TUG time (0.475; p = 0.027); and GS (0.457; p = 0.032). The stepwise multiple regression model explained 59% of the variance using right DF AROM, right DF strength, 5TSTS, and TUG time. These measures are benchmarks for the community dwelling population. The present study indicates that these measures might also be useful in determining fall risk screening for ambulatory nursing home residents.

AB - Most fall risk and normal values are collected from the community-dwelling population, which is not representative of nursing home residents. The purpose of this study was twofold: 1) to determine the relationship of clinical impairment and activity limitation variables to the number of falls in nursing home residents; and 2) to determine the amount of variability that can be explained for the number of falls from these predictor variables. Seventeen active nursing home residents (83.7 ± 11.7 years) consented to participate. Mini-Mental Status Examination (MMSE), lower extremity handheld dynamometry, ankle plantar flexion (PF)/dorsiflexion (DF) active range of motion (AROM), hand grip strength, gait speed (GS), Timed Up and Go (TUG), and 5 Times Sit-to-Stand (5TSTS) were recorded in a single visit. Regression analysis was performed to identify the better clinical outcome tool to determine falls. This was followed by a stepwise multiple regression model to predict the criterion variable—number of falls. Of the clinical impairment measures collected, significant correlations with past falls include the following: right DF AROM (−0.436; p = 0.040) and right DF strength (−0.504; p = 0.023). Of the activity limitation measures collected, significant correlations with past falls include the following: 5TSTS (0.585; p = 0.007); TUG time (0.475; p = 0.027); and GS (0.457; p = 0.032). The stepwise multiple regression model explained 59% of the variance using right DF AROM, right DF strength, 5TSTS, and TUG time. These measures are benchmarks for the community dwelling population. The present study indicates that these measures might also be useful in determining fall risk screening for ambulatory nursing home residents.

KW - Activity limitations

KW - impairments

KW - nursing homes

KW - outcomes measures

UR - http://www.scopus.com/inward/record.url?scp=85024401527&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85024401527&partnerID=8YFLogxK

U2 - 10.1080/09593985.2017.1345027

DO - 10.1080/09593985.2017.1345027

M3 - Article

C2 - 28715287

AN - SCOPUS:85024401527

VL - 33

SP - 725

EP - 732

JO - Physiotherapy Theory and Practice

JF - Physiotherapy Theory and Practice

SN - 0959-3985

IS - 9

ER -