The relationship between balance and falls: a prospective study

Thesis (M.A.)--Boston University PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would...

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Bibliographic Details
Main Author: Galica, Andrew
Language:en_US
Published: Boston University 2015
Online Access:https://hdl.handle.net/2144/12391
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Summary:Thesis (M.A.)--Boston University PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. === Introduction: Falls due to poor balance are a serious health issue for older adults; yet, identifying those at risk for future falls is a clinical challenge. Clinical balance tests and traditional or complexity-based measures of standing postural control may measure different aspects of balance. This prospective, population based cohort study hypothesized these balance measures may offer greater insights in distinguishing those who experience future falls. Methods: The MOBILIZE Boston study is a prospective, population-based study of 764 elderly participants tracked for falls following a baseline visit. In this analysis, baseline measures of balance were used to predict the likelihood of all falls, indoor falls, and outdoor falls using least square mean models. Results: The distinction between indoor and outdoor recurrent fallers was necessary to capture differences in balance measures. Whereas outdoor fallers demonstrated significantly faster walking speed, indoor falls demonstrated worse balance and postural control as measured by clinical and trad itional sway measures. Discussion: Outdoor fallers do not appear to suffer from balance deficits. Indoor fallers, on the other hand, exhibit significant balance and postural control disturbances and may potentially benefit from balance-related interventions.