Y.G. Yi et al. / Annals of Physical and Rehabilitation Medicine 61S (2018) e309–e433 e335
functional BOS i.e. the real stability boundary and the factors that can affect this ability. Aim The new index of anterior stability limit (IASL) explaining the functional base of support (BOS) in sagittal plane (while par- ticipants voluntarily displace their COP in the front direction) that can assess fear and risk of falling. Material and method Twenty five students of the University of the Third Age voluntarily participated in the study. The force plate measurements allowed to investigate functional limit of stability in addition to clinical tests (BBS, Duncan, TUG). The FES-I ques- tionnaire was used to evaluate fear of falling. Additionally, the anthropometric parameters of the foot were measured. The IALS is proportion between range of COP displacement during maximum forward lean and distance from the ankle joint to the head of first metatarsal bone. The Pearson’s linear correlation between FES-I, BBS, Duncan test, TUG test and IASL was conducted. Results High negative correlation was observed between IASL and main scores of FES-I (r = −0.64, P < 0.05) and also between IASL and TUG test (r = −0.76, P < 0.05). Positive correlation was noticed between IASL and Duncan test (r = 0.66, P < 0.05), as well as BBS (r = 0.6, P < 0.05). Conclusion The use of IASL indicate that elderly people used on average 70% of their functional BOS. Use of smaller functional BOS determines increase the fear of falling. Lower values of IASL corre- late with clinical test, which assess risk of falling. IASL has potential as screening tools for fear and risk of falls. Keywords Postural control; Fear and risk of falling; Index of anterior stability limit Disclosure of interest The authors declare that they have no com- peting interest.
ISPR8-2228
The added value of combined functional tests on predicting future falls in Chinese community-dwelling elderly L. Wang 1,∗, Q. Guo 2 1 TEDA International Cardiovascular Hospital, Rehabilitation Medicine, Tianjin, China 2 Tianjin Medical University, Department of Rehabilitation Medicine, Tianjin, China ∗ Corresponding author. E-mail address: [email protected] (L. Wang)
Introduction/Background Falls are one of the major causes of mor- tality and morbidity in older adults, which needs a practical fall risk assessment tool to predict future falls. Recent researches sug- gested various functional tests produce more power than a single test in many aspects. So we aimed to determine whether combined functional tests could increase predictive ability of future falls, especially recurrent-falls, which may result in stronger adverse impacts. Material and method This was a prospective cohort study (N = 875) among residents of Hangu area of Tianjin, China, who were ≥ 60 years old. Falls were ascertained after one year. Mean- while, sociodemographic information, medical history and physical performance data were also collected. The Timed Up and Go Test (TUGT), walking speed (WS) and grip strength (GS) are more recommended as tests targeting on bal- ance, mobility and muscle strength by many studies. Therefore, we selected these three tests to clarity our hypothesis. Results The mean age was 67.1 years; 58.6% were women. According to ROC area, the cutoff point of TUGT, GS and WS of falls is 10.31 s, 0.3742 kg/kg and 0.9467 m/s, respectively. There- fore we defined good performance on the tests as “ + ”, and poor performance as “ − ” with the cutoff point. Towards any-falls, com- bination of “TUGT−, GS−, WS + ” was most correlated with its
occurrence, with odds ratio (OR) 2.197, 95% CI: 1.204–4.009. Mean- while, combined “TUGT−, WS + ” (OR: 2.103, 1.367–3.235) and combined “TUGT−, GS+, WS − ” (OR2.071, 1.124-3.814) were also more related to any-falls than a single test, like TUGT− (OR: 1.676, 1.170–2.401). However, compared with a single test (TUGT−, OR: 2.192, 1.225–3.922), only the combination of “TUGT−, GS−,WS + ” (OR: 2.536, 1.025–6.272) was a more stronger predictor. Conclusion A simple tool using TUGT, GS and WS has better pre- dictive power on future falls. Based on this result, individuals who show poor ability in TUGT and WS but have good grip strength ought to be more concerned about the high-risk of future falls, especially the likelihood of recurrent-falls. Keywords Combined functional tests; Falls; Elderly Disclosure of interest The authors declare that they have no com- peting interest.
ISPR8-0195
Factors associated with the risk of fall in stroke inpatients T. Enishi 1,∗, N. Yamasaki 1, A. Matsumoto 1, T. Higuchi 2, M. Takeuchi 2, M. Kashima 2, S. Yoshioka 2, M. Nakamura 2, S. Nakano 2 1 Tokushima Municipal Hospital, Rehabilitation Medicine, Tokushima, Japan 2 Tokushima Municipal Hospital, Orthopedics, Tokushima, Japan ∗ Corresponding author. E-mail address: [email protected] (T. Enishi)
Introduction/Background Falls are popular and major problem for stroke patient during their hospital stay. The aim of this study is to reveal the factors associated with the risk of fall in stroke inpatients. Material and method Retrospective study carried out with stroke hospitalized patients. Thirty-four stroke patients who fell and 34 stroke patients who did not fall during their hospital stay underwent structured medical examinations to identify factors associated with fall. The control subjects were matched for age, height, body weight, body mass index (BMI), and primary diagnosis. Potential variables related to fall risk factors were collected from medical records. A conditional logistic regression was performed to calculate odds ratios using SPSS. Clinical data were collected from January to December 2016. “An unexpected displacement of the body to a lower level than the initial position without loss of consciousness” was regarded as fall. Results Nutrition status, evaluated with modified CONUT score at admission, was significantly associated with fall risk (odds ratio = 3.11, 95% CI: 1.18–9.94). There were no statistically signif- icant differences in the other candidate factors (e.g. sarcopenia, activities of daily living, and rehabilitation intervention) between the two groups. Conclusion Our findings demonstrated that nutrition status was associated with fall risk in stroke hospitalized patients. Further studies are needed to reveal that nutritional intervention can con- tribute to falls prevention in stroke patients. Keywords Fall prevention; Nutrition; Stroke Disclosure of interest The authors declare that they have no com- peting interest.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Our Services
Ace Writing Center has stood as the world’s leading custom essay writing services providers. Once you enter all the details in the order form under the place order button, the rest is up to us.
Essays
At Ace Writing Center, Nowadays, students normally have extremely busy schedules. You will note that some of them have to take on some evening or weekend jobs in order to get some income that can help them to sustain in college or in the university. This can deny them a chance to write all the essays given. Others usually get bombarded with a lot of work by their lecturers. This can still delay such students from working on all their essays. However, some of them usually try to work on all these essays but end up delivering their work late. This can prevent them from graduating since most lecturers are strict on deadlines. If you want to write a business essay, the wise way is to hire an outstanding essay writing service like us, so that you can get the best results. If you are keen, you will note that many companies usually overcharge their customers. Some of them are there only to make money. And in reality, they really don’t care to build a long term commitment with students. You should not choose such companies. You should take your time and choose a reliable company to work with. Ace Writing Center is the ultimate solution for you. We have been offering our writing service for more than 7 years. This is a clear indication that you will get quality essay writing service. We have a wide range of writers who can work on any business essay that you might have. We believe in doing extensive research so that we can provide quality work to all our clients. .
Admissions
Admission and Business Papers
Have you ever had to write an admission essay for college? The majority of students face the same issues when applying to a university or college and many in such situations decide they need professional help to cope with this matter. They get in a situation when the deadline keeps coming closer but lack motivation to start because they are just not sure if their writing skills are strong enough. We have a solution for you! Ace Writing Center is the best admission essay writing service with a large professional team and years of experience in providing high-quality papers to students of all levels and faculties. The mission of our team is to help students make their dreams of entering a good college come true and that’s what we offer!.
Editing
Editing and Proofreading
Sometimes all the words for your paper just flow out of your mind and into your fingers. You type quickly at your keyboard and there they are, your beautiful words right there on the screen. But you have no idea how to polish it up. You may be wishing there was a paper writing service that offered this type of writing service. Look no more! Here at Ace Writing Center, we offer you an editing and proofreading option that you can't find anywhere else..
Coursework
College Essay Writing
In case you are familiar Ace Writing Center, you know the way to distinguish a better company from a cheap one exactly. First of all, poor service website does not have a sufficient support. We think support team is an essential part of success; it has to answer all clients’ questions and be a connecting link between clients and their writers. On our web-service you will get answers about anything you need and your writer will receive all your instructions, assignments and requirements exactly and swiftly. A writing service that we run has got a flexible pricing system that will save you from senseless wastes and many bonus systems that let you sparing money for something important for you.