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タイトル: | Predicting the probability of falls in community-dwelling elderly individuals using the trail-walking test |
著者: | Yamada, Minoru Ichihashi, Noriaki ![]() ![]() ![]() |
著者名の別形: | 山田, 実 |
キーワード: | Fall Elderly Trail-walking test Predictor Complex-task condition |
発行日: | Nov-2010 |
出版者: | Springer Verlag |
誌名: | Environmental Health and Preventive Medicine |
巻: | 15 |
号: | 6 |
開始ページ: | 386 |
終了ページ: | 391 |
抄録: | Background Falling is a common problem in the fast-growing elderly population. Multitasking or engaging in two or more activities at the same time is common in daily living. Objective To determine the usefulness of the trail-walking test (TWT) for predicting a fall in community-dwelling elderly individuals. Methods This was a prospective study in which the TWT was used to evaluate the risk of falling among a group of community-dwelling elderly individuals (n = 171) with a mean age of 80.5 ± 5.6 years. The following tests were conducted: TWT, trail-making test (TMT), timed-up-and-go test (TUG), functional reach (FR) test, one-leg standing (OLS) test, and 10-m walking time test. Test–retest reliability was assessed by repeating the TWT within 2 weeks of the first trial, and there was a 1-year follow-up. Stepwise logistic regression analysis was used to analyze whether the TWT, TMT, TUG, FR, OLS, or 10-m walking tests predicted falling. Results The test–retest reliability of TWT was high (intraclass correlation coefficient 0.945, p < 0.001). Fifty-nine participants (34.5%) had reported a fall during the year preceding the 1-year follow-up. The stepwise logistic regression analysis revealed that only the TWT was significantly related to falling (odds ratio 1.160, 95% confidence interval 1.107–1.214; p < 0.001). In total, 77.8% of cases were correctly classified. Conclusion When reliability and validity were considered, the TWT was most useful test of those evaluated for assessing the risk of fall among our elderly cohort. |
著作権等: | The final publication is available at www.springerlink.com This is not the published version. Please cite only the published version. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。 |
URI: | http://hdl.handle.net/2433/131846 |
DOI(出版社版): | 10.1007/s12199-010-0154-1 |
PubMed ID: | 21432571 |
出現コレクション: | 学術雑誌掲載論文等 |
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