Fall risk screening in the elderly: A comparison of the minimal chair height standing ability test and 5-repetition sit-to-stand test
| Autor: | Catherine A. Gaul, Nadia C. Reider |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Aging medicine.medical_specialty Health (social science) Activities of daily living Population Poison control 03 medical and health sciences 0302 clinical medicine Injury prevention Activities of Daily Living medicine Humans Mass Screening 030212 general & internal medicine education Stroke Geriatric Assessment Postural Balance Mass screening Aged Aged 80 and over education.field_of_study business.industry Area under the curve medicine.disease Test (assessment) Motor Skills Area Under Curve Physical therapy Accidental Falls Female Geriatrics and Gerontology business Gerontology 030217 neurology & neurosurgery |
| Zdroj: | Archives of gerontology and geriatrics. 65 |
| ISSN: | 1872-6976 |
| Popis: | Background Successfully identifying older adults with a high risk of falling can be complicated, time consuming and not feasible in daily medical practice. This study compared the effectiveness of the Minimal Chair Height Standing Ability Test (MCHSAT) and 5-repetition sit-to-stand tst (5R-STS) as fall risk-screening instruments for the elderly. Methods 167 community-dwelling older adults (mean age = 83.6 ± 7.3 years) were interviewed for demographics, fall history, cognition, and mobility status. MCHSAT performance was assessed using a chair whose seat height was modifiable by increments of 5 cm, starting at 47 cm and lowering after each successful attempt. 5R-STS performance was assessed by recording the time it took to rise and sit back down five consecutive times from a chair of 47 cm high. Operating Receiving Characteristic (ROC) curves and Area under the Curve (AUC) were calculated for each test as well as for sub-groups of participants classified based on medical comorbidities (e.g. cardiac disease/stroke, lower limb arthritis). Results The MCHSAT and 5R-STS were equally effective fall-risk screening instruments for the overall population (AUC (95% CI) = 0.72 (0.63–0.82) and 0.73(0.64–0.81) respectively). The 5R-STS was more effective than the MCHSAT for participants suffering from lower limb arthritis (AUC (95% CI) = 0.81(0.70–0.92) and 0.71(0.58–0.85) respectively) while the opposite was true for participants with a history of cardiac disease or stroke (AUC (95% CI) = 0.59 (0.44–0.80) and 0.65 (0.47–0.84) respectively). Conclusion Due to their simplicity and quick administration time, the MCHSAT and 5R-STS are equally suitable for implementation in clinical settings. |
| Databáze: | OpenAIRE |
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