Investigating the relationship between sagittal spinal curvature and fall incidence and fall risk among elderly nursing home residents.

IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Osteoporosis International Pub Date : 2024-11-01 Epub Date: 2024-08-22 DOI:10.1007/s00198-024-07232-z
Samaneh Osanlou, Hadi Miri, Jeanne F Nichols, Mahdi Hosseinzadeh
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Abstract

Designing appropriate diagnostic and treatment methods to reduce fall risk and improve quality of life, as well as reduce the cost of care in elderlies. Our findings have potential for early diagnosis of those with a high probability of falling based on fairly simple clinical measures of hyperkyphosis, forward head, and lordosis.

Introduction: Poor balance is an underlying cause of falling in the elderly, for which a change in the natural curvature of the spine plays a major role. Little is known about the relationship between spinal curvatures and fall incidence in this population. We primarily aimed to investigate the relationship between sagittal plane spinal curvatures and fall incidence over 1 year among nursing facility residents. Secondarily, we aim to determine associations of sagittal plane spinal curvatures with participants' perception of fall risk and balance capability.

Methods: Participants (100 residents mean age 70.17 ± 6.01 years) underwent standing measures of sagittal plane spinal curvatures (flexible ruler technique) and forward displacement of the head relative to the cervical spine. The Tinetti Performance Oriented Mobility Assessment (POMA) and Fall Efficacy Scale assessed participants' perception of balance and fear of falling. Incident falls were self-reported monthly and tracked across 1 year. Spearman's correlations and logistic regression evaluated associations between fall incidence and spinal curvature. Predictive performance of spinal curvature and fall risk was determined by the corresponding ROC for defining a cut-off for variables of spinal curvature and fall risk indicators.

Results: Predictive performance of spinal curvature and fall risk factors indicated 84% and 77% of participants were correctly classified using models of kyphosis and head angle, respectively.

Conclusions: Our study adds new data on spinal curvatures and incident falls among nursing facility residents. Efforts are needed to intervene to counter progression of spinal curvatures and improve fall prevention practices.

Abstract Image

调查矢状脊柱弯曲度与养老院老人跌倒发生率和跌倒风险之间的关系。
设计适当的诊断和治疗方法,以降低跌倒风险、改善生活质量并降低老年人的护理成本。我们的研究结果有可能根据相当简单的脊柱后凸、头前倾和前倾的临床测量方法,早期诊断出那些极有可能跌倒的人:平衡能力差是导致老年人跌倒的一个根本原因,而脊柱自然弯曲的变化在其中起着重要作用。人们对老年人脊柱弯曲与跌倒发生率之间的关系知之甚少。我们的主要目的是调查矢状面脊柱弯曲度与护理机构居民一年内跌倒发生率之间的关系。其次,我们还旨在确定脊柱矢状面弯曲与参与者对跌倒风险和平衡能力的认知之间的关系:参与者(100 名居民,平均年龄为 70.17 ± 6.01 岁)接受矢状面脊柱弯曲度(软尺技术)和头部相对于颈椎前移的站立测量。蒂内蒂运动能力评估(POMA)和跌倒效能量表评估参与者的平衡感和跌倒恐惧感。参与者每月自行报告跌倒事件,并在一年内进行跟踪。斯皮尔曼相关性和逻辑回归评估了跌倒发生率与脊柱弯曲度之间的关联。脊柱弯曲度和跌倒风险的预测性能由相应的ROC决定,ROC用于定义脊柱弯曲度变量和跌倒风险指标的临界值:脊柱弯曲度和跌倒风险因素的预测结果表明,使用脊柱后凸和头部角度模型,分别有84%和77%的参与者被正确分类:我们的研究为护理机构居民的脊柱弯曲和跌倒事故增加了新的数据。我们需要努力采取干预措施,阻止脊柱弯曲的发展,并改进跌倒预防措施。
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来源期刊
Osteoporosis International
Osteoporosis International 医学-内分泌学与代谢
CiteScore
8.10
自引率
10.00%
发文量
224
审稿时长
3 months
期刊介绍: An international multi-disciplinary journal which is a joint initiative between the International Osteoporosis Foundation and the National Osteoporosis Foundation of the USA, Osteoporosis International provides a forum for the communication and exchange of current ideas concerning the diagnosis, prevention, treatment and management of osteoporosis and other metabolic bone diseases. It publishes: original papers - reporting progress and results in all areas of osteoporosis and its related fields; review articles - reflecting the present state of knowledge in special areas of summarizing limited themes in which discussion has led to clearly defined conclusions; educational articles - giving information on the progress of a topic of particular interest; case reports - of uncommon or interesting presentations of the condition. While focusing on clinical research, the Journal will also accept submissions on more basic aspects of research, where they are considered by the editors to be relevant to the human disease spectrum.
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