Fallskip® Parameters and Their Relationship with the Risk of Falls in Older Individuals with and Without Diabetes.

Abstract

Background/objectives: the assessment and prevention of fall risk is an essential component of healthcare, particularly for vulnerable populations such as older adults with or without diabetes. The use of objective and validated tools to assess balance, gait, and other risk factors enables healthcare professionals to make informed clinical decisions and design personalized prevention programs. An observational cross-sectional study was conducted with a probabilistic sample of older patients, with and without diabetes, attending a podiatric clinic (Valencia, Spain).

Methods: fall risk was assessed using the Tinetti Scale and the FallSkip^® device, which measures posture (i.e., medial-lateral and anterior-posterior displacements), gait (vertical and medial-lateral ranges), turn-to-sit (time) and sit-to-stand (power) tests, total time and gait reaction time.

Results: the results showed a significant association between the values obtained with FallSkip^® and the Tinetti Scale (p < 0.001), identifying the older individuals at high risk of falls. The "reaction time" parameter measured by FallSkip^® showed a significant difference between diabetic and non-diabetic patients (p < 0.05), as well as the balance score assessed by the Tinetti Scale (p < 0.05). Having experienced falls in the previous year had a strong (p < 0.001) significant influence on the results evaluated using both the Tinetti Scale and FallSkip^®. Among the FallSkip^® parameters in the multivariate analysis, the 'Total Time (%)' parameter significantly (p < 0.01, Exp(B) = 0.974 (CI 95%: 0.961-0.988) discriminates individuals with or without falls in the previous year.

Conclusions: this study supports the usefulness of the FallSkip^® device as an objective, efficient, and easy-to-use tool for fall risk assessment in primary care settings.