Research Article
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Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results

Year 2024, , 75 - 84, 31.01.2024
https://doi.org/10.30621/jbachs.1270520

Abstract

Purpose: Physiotherapists frequently interact with older adults. We aimed to determine the physiotherapists’ practices for fall risk and prevention in clients at 65 years and older.
Material and Methods: 72 physiotherapists responded to online survey including questions about demographic and professional characteristics, the awareness and practices of physiotherapists on falling and preventing falls.
Results: 91.7% of physiotherapists reported that fall risk should be determined in all clients at 65 years and older. 30.6% of them stated that they evaluated the risk of falling in case of necessity, 83.3% stated that they did not use a standard assessment-treatment flow chart for risk of falling. In elderly clients with low or no risk of falling, 8.1% of physiotherapists; In elderly clients with high risk of falling 83.3% of physiotherapist applied a preventive physiotherapy approach to prevent falls. 67.9% of physiotherapists provide training and advice on fall prevention to elderly clients with low or no fall risk; 73.5% prefer assistive device reclamation in elderly clients with a high risk of falling.
Conclusion: Interventions should be planned to improve fall risk awareness and practices among physiotherapists by following a standard assessment-treatment flow chart for their clients 65 years and older.

Project Number

yok

References

  • Florence CS, Bergen G, Atherly A, Burns E, Stevens J, Drake C. Medical costs of fatal and nonfatal falls in older adults. J Am Geriatr Soc 2018;66:693-698.
  • Galet C, Zhou Y, Eyck PT, Romanowski KS. Fall injuries, associated deaths, and 30-day readmission for subsequent falls are increasing in the elderly US population: a query of the WHO mortality database and National Readmission Database from 2010 to 2014. Clin Epidemiol 2018;10:1627-1637.
  • Vieira ER, Palmer RC, Chaves PH. Prevention of falls in older people living in the community. BMJ 2016;353:i1419.
  • Telatar TG, Üner S, Özcebe H, Biçer BK, Küçük B, Sarı ÖY. Defining falls and associated risk factors in elderly among age groups and sex. Selcuk Med J.2020;36(2):101-108.
  • Özer FF, Akın S. Düşmenin epidemiyolojisi. Aegean J Med Sci 2018;1(4):126-128.
  • Güner SG, Nural N. Yaşlılarda düşme: Ülkemizde yapılmış tez çalışmaları kapsamında durum saptama. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2017;2:9-15.
  • Rasche P, Nitschet V, Rentemeister L et al. The aachen falls prevention scale: multi-study evaluation and comparison. JMIR Aging 2019:2(1):e12114.
  • Shubert TE. Evidence-based exercise prescription for balance and falls prevention: a current review of the literature. J Geriatr Phys Ther 2011;34(3):100-108.
  • Thomas E, Battaglia G, Patti A et al. Physical activity programs for balance and fall prevention in elderly: a systematic review. Medicine (Baltimore) 2019;98(27):e16218
  • Kruschke C, Butcher HK. Evidence-based practice guideline: fall prevention for older adults. J Gerontol Nurs 2017;43(11):15-21.
  • Phelan EA, Mahoney JE, Voit JC, Stevens JA. Assessment and management of fall risk in primary care settings. Med Clin North Am 2015;99(2):281-93.
  • Ishigaki EY, Ramos LG, Carvalho ES, Lunardi AC. Effectiveness of muscle strengthening and description of protocols for preventing falls in the elderly: a systematic review. Braz J Phys Ther 2014;18(2):111-118.
  • Nunan S, Brown Wilson C, Henwood T, Parker D. Fall risk assessment tools for use among older adults in long-term care settings: A systematic review of the literature. Australas J Ageing 2018;37(1):23-33.
  • Panel on prevention of falls in older persons. Summary of the updated American Geriatrics Society & British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc 2011;59:148-57.
  • Muir SW, Berg K, Chesworth B, Klar N, Speechley M. Balance impairment as a risk factor for falls in community-dwelling older adults who are high functioning: a prospective study. Phys Ther 2010;90:338-347.
  • Muir SW, Berg K, Chesworth B, Speechley M. Use of the berg balance scale for predicting multiple falls in community-dwelling elderly people: a prospective study. Phys Ther 2008;88:449-459.
  • Li F, Eckstrom E, Harmer P, Fitzgerald K, Voit J, Cameron KA. Exercise and fall prevention: narrowing the research-to-practice gap and enhancing ıntegration of clinical and community practice. J Am Geriatr Soc 2016;64(2):425-431.
  • Ang SGM, O'Brien AP, Wilson A. Understanding carers' fall concern and their management of fall risk among older people at home. BMC Geriatr 2019;19(1):144. Bulut S, Türk G, Şahbaz M. Hemşirelerin hasta düşmelerini önlemeye yönelik uygulamalarının belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2013;16(3):163-169.
  • Laing SS, Silver IF, York S, Phelan EA. Fall prevention knowledge, attitude, and practices of community stakeholders and older adults. J Aging Res 2011;2011:1–9.
  • Asiri F, ALMohiza MA, Faia Aseeri M et al. Fall prevention knowledge and practice patterns among home healthcare professionals in southern Saudi Arabia: an observational study. J Int Med Res 2018;46(12):5062-5073.
  • Peel C, Brown CJ, Lane A, Milliken E, Patel K. A survey of fall prevention knowledge and practice patterns in home health physical therapists. J Geriatr Phys Ther 2008;31(2):64-70.
  • Kalu ME, Vlachantoni A, Norman KE. Knowledge about risk factors for falls and practice about fall prevention in older adults among physiotherapists in Nigeria. Physiother Res Int 2019;24(1):e1742.
  • Park SH. Tools for assessing fall risk in the elderly: a systematic review and meta-analysis. Aging Clin Exp Res 2018;30:1-16.
  • Longridge NS. Clinical Romberg testing does not detect vestibular disease. Otol Neurotol 2010;31(5):803-6.
  • Agrawal Y. The modified Romberg balance test: normative data in US adults. Otol Neurotol 2011;32(8):1309–1311.
  • Budson AE, Solomon PR. Evaluating the patient with memory loss or dementia. In: Budson AE, Solomon PR, editors. Memory Loss, Alzheimer's Disease, and Dementia. Elsevie;2016.p.5-38.
  • van Poelgeest, EP, Pronk AC, Rhebergen D et al. Depression, antidepressants and fall risk: therapeutic dilemmas-a clinical review. Eur Geriatr Med 2021;12:585-596.
  • Byers AL, Sheeran T, Mlodzianowski AE et al. Depression and risk for adverse falls in older home health care patients. Res Gerontol Nurs 2008;1(4):245-251.
  • Phelan EA, Mahoney JE, Voit JC, Stevens JA. Assessment and management of fall risk in primary care settings. Med Clin North Am 2015;99(2):281-93Ott LD.
  • The impact of implementing a fall prevention educational session for community-dwelling physical therapy patients. Nurs Open 2018;5(4):567-574.

Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results

Year 2024, , 75 - 84, 31.01.2024
https://doi.org/10.30621/jbachs.1270520

Abstract

Supporting Institution

yok

Project Number

yok

Thanks

yok

References

  • Florence CS, Bergen G, Atherly A, Burns E, Stevens J, Drake C. Medical costs of fatal and nonfatal falls in older adults. J Am Geriatr Soc 2018;66:693-698.
  • Galet C, Zhou Y, Eyck PT, Romanowski KS. Fall injuries, associated deaths, and 30-day readmission for subsequent falls are increasing in the elderly US population: a query of the WHO mortality database and National Readmission Database from 2010 to 2014. Clin Epidemiol 2018;10:1627-1637.
  • Vieira ER, Palmer RC, Chaves PH. Prevention of falls in older people living in the community. BMJ 2016;353:i1419.
  • Telatar TG, Üner S, Özcebe H, Biçer BK, Küçük B, Sarı ÖY. Defining falls and associated risk factors in elderly among age groups and sex. Selcuk Med J.2020;36(2):101-108.
  • Özer FF, Akın S. Düşmenin epidemiyolojisi. Aegean J Med Sci 2018;1(4):126-128.
  • Güner SG, Nural N. Yaşlılarda düşme: Ülkemizde yapılmış tez çalışmaları kapsamında durum saptama. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2017;2:9-15.
  • Rasche P, Nitschet V, Rentemeister L et al. The aachen falls prevention scale: multi-study evaluation and comparison. JMIR Aging 2019:2(1):e12114.
  • Shubert TE. Evidence-based exercise prescription for balance and falls prevention: a current review of the literature. J Geriatr Phys Ther 2011;34(3):100-108.
  • Thomas E, Battaglia G, Patti A et al. Physical activity programs for balance and fall prevention in elderly: a systematic review. Medicine (Baltimore) 2019;98(27):e16218
  • Kruschke C, Butcher HK. Evidence-based practice guideline: fall prevention for older adults. J Gerontol Nurs 2017;43(11):15-21.
  • Phelan EA, Mahoney JE, Voit JC, Stevens JA. Assessment and management of fall risk in primary care settings. Med Clin North Am 2015;99(2):281-93.
  • Ishigaki EY, Ramos LG, Carvalho ES, Lunardi AC. Effectiveness of muscle strengthening and description of protocols for preventing falls in the elderly: a systematic review. Braz J Phys Ther 2014;18(2):111-118.
  • Nunan S, Brown Wilson C, Henwood T, Parker D. Fall risk assessment tools for use among older adults in long-term care settings: A systematic review of the literature. Australas J Ageing 2018;37(1):23-33.
  • Panel on prevention of falls in older persons. Summary of the updated American Geriatrics Society & British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc 2011;59:148-57.
  • Muir SW, Berg K, Chesworth B, Klar N, Speechley M. Balance impairment as a risk factor for falls in community-dwelling older adults who are high functioning: a prospective study. Phys Ther 2010;90:338-347.
  • Muir SW, Berg K, Chesworth B, Speechley M. Use of the berg balance scale for predicting multiple falls in community-dwelling elderly people: a prospective study. Phys Ther 2008;88:449-459.
  • Li F, Eckstrom E, Harmer P, Fitzgerald K, Voit J, Cameron KA. Exercise and fall prevention: narrowing the research-to-practice gap and enhancing ıntegration of clinical and community practice. J Am Geriatr Soc 2016;64(2):425-431.
  • Ang SGM, O'Brien AP, Wilson A. Understanding carers' fall concern and their management of fall risk among older people at home. BMC Geriatr 2019;19(1):144. Bulut S, Türk G, Şahbaz M. Hemşirelerin hasta düşmelerini önlemeye yönelik uygulamalarının belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2013;16(3):163-169.
  • Laing SS, Silver IF, York S, Phelan EA. Fall prevention knowledge, attitude, and practices of community stakeholders and older adults. J Aging Res 2011;2011:1–9.
  • Asiri F, ALMohiza MA, Faia Aseeri M et al. Fall prevention knowledge and practice patterns among home healthcare professionals in southern Saudi Arabia: an observational study. J Int Med Res 2018;46(12):5062-5073.
  • Peel C, Brown CJ, Lane A, Milliken E, Patel K. A survey of fall prevention knowledge and practice patterns in home health physical therapists. J Geriatr Phys Ther 2008;31(2):64-70.
  • Kalu ME, Vlachantoni A, Norman KE. Knowledge about risk factors for falls and practice about fall prevention in older adults among physiotherapists in Nigeria. Physiother Res Int 2019;24(1):e1742.
  • Park SH. Tools for assessing fall risk in the elderly: a systematic review and meta-analysis. Aging Clin Exp Res 2018;30:1-16.
  • Longridge NS. Clinical Romberg testing does not detect vestibular disease. Otol Neurotol 2010;31(5):803-6.
  • Agrawal Y. The modified Romberg balance test: normative data in US adults. Otol Neurotol 2011;32(8):1309–1311.
  • Budson AE, Solomon PR. Evaluating the patient with memory loss or dementia. In: Budson AE, Solomon PR, editors. Memory Loss, Alzheimer's Disease, and Dementia. Elsevie;2016.p.5-38.
  • van Poelgeest, EP, Pronk AC, Rhebergen D et al. Depression, antidepressants and fall risk: therapeutic dilemmas-a clinical review. Eur Geriatr Med 2021;12:585-596.
  • Byers AL, Sheeran T, Mlodzianowski AE et al. Depression and risk for adverse falls in older home health care patients. Res Gerontol Nurs 2008;1(4):245-251.
  • Phelan EA, Mahoney JE, Voit JC, Stevens JA. Assessment and management of fall risk in primary care settings. Med Clin North Am 2015;99(2):281-93Ott LD.
  • The impact of implementing a fall prevention educational session for community-dwelling physical therapy patients. Nurs Open 2018;5(4):567-574.
There are 30 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Hülya Tuna 0000-0002-7093-7670

Barış Gürpınar 0000-0003-3886-4819

Nursen İlçin 0000-0003-0174-8224

Project Number yok
Early Pub Date January 31, 2024
Publication Date January 31, 2024
Submission Date March 24, 2023
Published in Issue Year 2024

Cite

APA Tuna, H., Gürpınar, B., & İlçin, N. (2024). Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results. Journal of Basic and Clinical Health Sciences, 8(1), 75-84. https://doi.org/10.30621/jbachs.1270520
AMA Tuna H, Gürpınar B, İlçin N. Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results. JBACHS. January 2024;8(1):75-84. doi:10.30621/jbachs.1270520
Chicago Tuna, Hülya, Barış Gürpınar, and Nursen İlçin. “Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results”. Journal of Basic and Clinical Health Sciences 8, no. 1 (January 2024): 75-84. https://doi.org/10.30621/jbachs.1270520.
EndNote Tuna H, Gürpınar B, İlçin N (January 1, 2024) Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results. Journal of Basic and Clinical Health Sciences 8 1 75–84.
IEEE H. Tuna, B. Gürpınar, and N. İlçin, “Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results”, JBACHS, vol. 8, no. 1, pp. 75–84, 2024, doi: 10.30621/jbachs.1270520.
ISNAD Tuna, Hülya et al. “Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results”. Journal of Basic and Clinical Health Sciences 8/1 (January 2024), 75-84. https://doi.org/10.30621/jbachs.1270520.
JAMA Tuna H, Gürpınar B, İlçin N. Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results. JBACHS. 2024;8:75–84.
MLA Tuna, Hülya et al. “Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results”. Journal of Basic and Clinical Health Sciences, vol. 8, no. 1, 2024, pp. 75-84, doi:10.30621/jbachs.1270520.
Vancouver Tuna H, Gürpınar B, İlçin N. Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results. JBACHS. 2024;8(1):75-84.