Zusammenfassung
In einer Querschnittsuntersuchung wurden die Ergebnisse von drei Tests zur Einschätzung des Sturzrisikos auf einen Zusammenhang mit dem Alter der Teilnehmer untersucht. Bei jedem der 188 Teilnehmer aus einem Kollektiv mobiler Menschen ab dem 40. Lebensjahr mit Kniegelenksbeschwerden wurden ein Timed-Up-And-Go-Test, ein leistungsorientiertes Mobilitätsassessment (POMA, sog. Tinetti-Test) und ein noch wenig etablierter einfacher Test zur dynamischen Balance, der Schritt-Test in vier Quadraten (Four-Square-Step-Test, FSST) durchgeführt. Die aus anderen Untersuchungen bekannte Altersabhängigkeit des Tinetti-Tests und des Timed-Up- And-Go-Tests konnten in diesem Kollektiv ebenfalls nachgewiesen werden. Für den Four-Square-Step-Test wurde ein Zusammenhang zwischen Testergebnis und Alter in dieser Studie erstmalig gezeigt. Weitere Untersuchungen sind erforderlich, um die klinimetrische Qualität der drei Tests zur Identifikation eines hohen Sturzrisikos bei Patienten mit Kniegelenksbeschwerden zu beurteilen.
Summary
In the present crosssectional study the results of three tests to assess the risk of falling were examined for a correlation with advancing age of the participants. Each of the 188 communitydwelling active participants aged 40 years or older with a history of knee pain performed the Timed Up and Go (TUG), the Performance Oriented Mobility Assessment (POMA, “Tinetti Test”) and a less established simple test of dynamic balance, the Four Square Step Test (FSST). Age-related differences in performance in the Timed Up and Go and the Performance Oriented Mobility Assessment have been shown in previous studies and are also present in this sample. For the Four Square Step Test an association of test performance and age has been shown for the first time in this study. Further investigation is required to determine the quality of these three tests regarding their ability to assess the risk of falling in patients with knee pain.
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Literatur
Armstrong C, Swarbrick DM, Pye SR, O’Neill TW (2005) Occurrence and risk factors for falls in rheumatoid arthritis. Ann Rheum Dis 64:1602– 1604
Baloh RW, Corona S, Jacobson KM, Enrietto JA, Bell T (1998) A prospective study of posturography in normal older people. J Am Geriatr Soc 46:438–443
Bassey EJ (2000) The benefits of exercise for the health of older people. Rev Clin Gerontol 10:17–31
Dite W, Temple VA (2002) A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil 83:1566–1571
Gardner MM, Robertson MC, Campbell AJ (2000) Ecercise in preventing falls and fall related injuries in older people: a review of randomized controlled trials. Br J Sports Med 34:7–17
Gunter KB, White KN, Hayes WC, Snow CM (2000) Functional mobility discriminates nonfallers from onetime and frequent fallers. J Gerontol A Biol Sci Med Sci 55:M672–676
Hauer K, Pfisterer M, Schuler M, Bärtsch P, Oster P (2003) Two years later: a prospective long-term followup of a training intervention in geriatric patients with a history of severe falls. Arch Phys Med Rehabil 84:1426–1432
Hofmann W, Nikolaus T, Pientka L, Stuck AE (1995) Arbeitsgruppe „Geriatrisches Assessment“ (AGAST): Empfehlungen für den Einsatz von Assessment-Verfahren. Z Gerontol Geriatr 28:29–34
Lipsitz L, Jonsson P, Kelley M, Koestner J (1991) Causes and correlates of recurrent falls in ambulatory frail elderly. J Gerontol 46:M114–122
O’Brien K, Pickles B, Culham E (1998) Clinical measures of balance in community-dwelling elderly female fallers and non-fallers. Physiother Can 50:212–217
Okumiya K, Matsubayashi K, Nakamura T, Fujisawa M, Osaki Y, Doi Y, Ozawa T (1998) The timed Up & Go test is a useful predictor of falls in community-dwelling older people. J Am Geriatr Soc 46:928–930
Pandya NK, Draganich LF, Mauer A, Piotrowski GA, Pottenger L (2005) Osteoarthritis of the knees increases the propensity to trip on an obstacle. Clin Orthop Relat Res 431:150–156
Podsiadlo D, Richardson S (1991) The timed Up & Go: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39:142–148
Raiche M, Herbert R, Prince F, Corriveau H (2000) Screening older adults at risk of falling with the Tinetti balance scale. Lancet 356:1001–1002
Robbins A, Rubenstein L, Josephson K, Schulman BL, Osterweil D, Fine G (1989) Predictors of falls among elderly people: results of two population- based studies. Arch Intern Med 149:1628–1633
Shumway-Cook A, Baldwin M, Polissar NL, Gruber W (1997) Predicting the probability for falls in community- dwelling older adults. Phys Ther 77:812–819
Tinetti ME, Williams TF, Mayewski R (1986) Fall risk index for elderly patients based on number of chronic disabilities. Am J Med 80:429–434
Topper AK, Maki BE, Holliday PJ (1993) Are activity-based assessments of balance and gait in the elderly predictive of risk of falling and/or type of fall? J Am Geriatr Soc 41:479–487
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Schumacher, J., Pientka, L. & Thiem, U. Altersabhängige Unterschiede bei funktionellen Tests zur Beurteilung des Sturzrisikos bei Patienten mit Kniegelenksbeschwerden. Z Gerontol Geriatr 39, 283–287 (2006). https://doi.org/10.1007/s00391-006-0397-z
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DOI: https://doi.org/10.1007/s00391-006-0397-z