Safe Mobility Program: a comprehensive falls prevention program for a multilevel geriatric setting.

L Bernick; I Bretholz

Home/Archive/PubMed

PubMed · 12026411

Safe Mobility Program: a comprehensive falls prevention program for a multilevel geriatric setting.

L Bernick·I Bretholz

View original source ↗Export metadata ↓

Abstract

The source did not provide an abstract. Follow the original record for more information.

Explore related subjects

Accidental Falls Aged Humans Program Development Quality Assurance, Health Care Residential Facilities Restraint, Physical Safety Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

L Bernick, I Bretholz. 1999. Safe Mobility Program: a comprehensive falls prevention program for a multilevel geriatric setting.. https://pubmed.ncbi.nlm.nih.gov/12026411/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2004

Quantitative ultrasound at the hand phalanges in subjects with poor visual acuity.

OBJECTIVE: The aim of the study was an assessment of skeletal status in a group of subjects with impaired vision. METHOD: 91 subjects with poor visual acuity (44 males, mean age: 61.4 +/- 10.9 years and 47 females, mean age: 61.3 +/- 16.8 years) were evaluated and compared with age-matched normal, healthy population (230 males and 964 females). Patients were recruited from members of Polish Blind Association and subjects living in a nursing home. In both patients and controls any reasons (medications or diseases) known to affect bone metabolism were not present. Skeletal status was assessed using the DBM Sonic 1200 (IGEA, Carpi, Italy) which measures amplitude-dependent speed of sound (Ad-SoS, m/s) at the hand phalanges. Binocular visual acuity was established using a Snellen chart. RESULTS: Mean binocular visual acuity was in males 0.09 +/- 0.14 and in females 0.179 +/- 0.2 and was significantly lower in males (P < 0.01). Place of stay (community or nursing home), previous fractures, and kind of work did not affect skeletal measurements. Ad-SoS, T-score, and Z-score in male patients were 1993 +/- 74 m/s, -1.89 +/- 1.05, and -0.97 +/- 1.03, respectively and were significantly higher than in male controls (1968 +/- 69 m/s, -2.25 +/- 0.99, and -1.29 +/- 0.92; P < 0.05. Ad-SoS, T-score, and Z-score in female patients were 1946 +/- 103 m/s, -2.54 +/- 1.5, and -0.7 +/- 1.05, respectively and did not differ significantly in comparison with data in control females (1946 +/- 75 m/s, -2.54 +/- 1.07, and -0.6 +/- 0.78). In both genders visual acuity did not correlate with Ad-SoS values. CONCLUSION: The association between poor visual acuity and skeletal status assessed by quantitative ultrasound (QUS) is dependent on gender and in females does not differ from controls; in males ultrasound parameter measured is even significantly higher than in male controls.

Accidental Falls↗

PubMed2004

A new significant and independent risk factor for falls in elderly men and women: a low creatinine clearance of less than 65 ml/min.

OBJECTIVES: Because impaired renal function is detrimental for the conversion of calcidiol to calcitriol (D-hormone) and since D-hormone analogues have been shown to decrease the risk of falls, we investigated whether creatinine clearance (CrCl) is associated with the number of fallers and falls in elderly men and women. METHODS: Within a randomized controlled study, we observed for 36 weeks 186 placebo-treated community-dwelling elderly men and women over 70, in an attempt to determine the influence of baseline CrCl on calcitropic hormone serum levels, as well as the influence of baseline CrCl on the number of fallers and falls over time. With the help of questionnaires, we regularly assessed fall incidence and frequency. The risk of falls and the risk of becoming a faller were assessed in multivariate-controlled logistic regression models according to a cutoff value of the CrCl set at 65 ml/min. RESULTS: At baseline, serum levels of 1.25(OH)(2)D(3) and iPTH were, in multivariate-controlled analyses, significantly associated with CrCl (p<0.0001, p=0.001, respectively), whereas serum levels of 25(OH)D(3) were not associated with CrCl. Below a CrCl of 65 ml/min, 1.25(OH)(2)D(3) serum levels steadily declined. We therefore chose a CrCl of 65 ml/min as cutoff for further analyses. During the 36 weeks of observation, elderly people with a CrCl of < 65 ml/min had, in multivariate controlled analyses, compared with elderly with a CrCl of > or =65 ml/min, a significantly higher incidence of number of fallers (25/70 vs 21/116; OR=4.01; 95% CI, 1.48-10.98; p=0.006), and a significantly higher incidence of falls (28/70 vs 23/116; OR=3.68; 95% CI, 1.38-9.82; p=0.009). CONCLUSIONS: For the first time we showed that in a community-dwelling population of elderly men and women, a CrCl of less than 65 ml/min is a significant and independent risk factor for fallers and falls.

Accidental Falls↗

PubMed2004

The effect of surface waviness on friction between Neolite and quarry tiles.

Friction is widely used as an indicator of surface slipperiness in preventing accidents in slips and falls. Surface texture affects friction, but it is not clear which surface characteristics are better correlated with friction. Highly correlated surface characteristics could be used as potential interventions to prevent slip and fall accidents. The dynamic friction between quarry tiles and a commonly used sole testing material, Neolite, using three different mixtures of glycerol and water as contaminants at the interface was correlated with the surface parameters of the tile surfaces. The surface texture was quantified with various surface roughness and surface waviness parameters using three different cut-off lengths to filter the measured profiles for obtaining the profiles of either surface roughness or surface waviness. The correlation coefficients between the surface parameters and the measured friction were affected by the glycerol contents and cut-off lengths. Surface waviness parameters could potentially be better indicators of friction than commonly used surface roughness parameters, especially when they were measured with commonly used cut-off lengths or when the viscosity of the liquid contaminant was high.

Accidental Falls↗