Document Type : Research Paper
Authors
1 M.Sc. of Motor Behavior, University of Kharazmi
2 Assistant Professor of Motor Behavior, University of Kharazmi
Abstract
Old age is a period of life that usually begins after the age of 60 to 65 years old. The aim of present study was to determine the relationship between fear of falling, anxiety, balance, and functional mobility in male and female elders living in Ardabil city. The study population consisted of elderly men and women from Ardabil nursing-home. Sixty subjects (30 male, and 30 female), age ranges from 65 to 75 were selected randomly. Data collection was performed using demographic questionnaire, Fall Efficacy Scale-International and Hamilton Anxiety Rating Scale. Subsequently, Berg Balance Test was used to measure the elders’ balance, Timed Up and Go test was used to measure functional mobility, and a complimentary test known as 30 Seconds Chair Stand was further performed. Descriptive statistics from linear regression with the significance of 0.05 in SPSS software were used to analyze data. Results showed a significant relationship between fear of falling and balance and anxiety in elderly but there was no significant relationship between fear of falling and functional mobility. Therefore, fear of falling plays an important role in the balance and anxiety of elderly men and women so this factor must be considered in studies regarding balance in older adults.
Keywords
- Ghasemi S, Mousavi N. Health for seniors. Tehran: Sun Print Publications; 2000. 1: 2-25. (In Persian)
- Momeni Kh, Kareem H. Comparison of the general health of the residents/ non-residents of nursing homes. Journal of Ageing. 2010;(10) 3-5. (In Persian)
- Dadkhahe A. System elderly services in the US and Japan and provide indicators for strategic planning for senior services in Iran. Journal of Elderly. 2007; 2(3): 166-76. (In Persian)
- Shumway-Cook A, Woollacott M H. Motor control: Translating research into clinical practice. Lippincott Williams & Wilkins; 2012. 62 (12):1420-7.
- Sadeghi H, Norouzi H, Karimi A, Montazer M. The effect of six weeks training program performance on static and dynamic balance in older men. Salmand (Elder Iranian Journal). 2009; 3(8). 565-71. (In Persian)
- Curtin A J. Prevention of falls in older adults. Medicine and Health Rhode Island. 2005; 88(1): 22.
- Reinsch S, MacRae P, Lachenbruch P A, Tobis J S. Attempts to prevent falls and injury: A prospective community study. The Gerontologist. 1992; 32(4): 450-6.
- Bandura A. Self-efficacy: The exercise of control. New York: W.H. Freeman and Company; 1997.
- van Iersel M B, Ribbers H, Munneke M, Borm G F, Rikkert M G. The effect of cognitive dual tasks on balance during walking in physically fit elderly people. Archives of Physical Medicine and Rehabilitation. 2007; 88(2): 187-91.
- Baluchi A, Abrahaimi I, Akbari M. Evaluate the correlation between lower extremity muscle strength and balance tests in two groups of 55-65 and 65 years. Bimonthly Scientific Research Shahed University. 2005; 13(61):1-12. (In Persian)
- Scheffer A C, Schuurmans M J, Van Dijk N, Van Der Hooft T, De Rooij S E. Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing. 2008; 37(1): 19-24.
- Lissek S, Powers A S, McClure E B, Phelps E A, Woldehawariat G, Grillon C, et al. Classical fear conditioning in the anxiety disorders: A meta-analysis. Behaviour Research and Therapy. 2005; 43(11): 1391-424.
- Fortinsky R H, Panzer V, Wakefield D, Into F. Alignment between balance confidence and fall risk in later life: Has over-confidence been overlooked? Health, Risk & Society. 2009; 11(4): 341-52.
- American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub; 2013.
- Howland J, Peterson E W, Levin W C, Fried L, Pordon D, Bak S. Fear of falling among the community-dwelling elderly. Journal of Aging and Health. 1993; 5(2): 229-43.
- Perez-Jara J, Walker D, Heslop P, Robinson S. Measuring fear of falling and its effect on quality of life and activity. Reviews in Clinical Gerontology. 2010; 20(04): 277-87.
- Kendrick D, Kumar A, Carpenter H, Zijlstra G A, Skelton D A, Cook J R, et al. Exercise for reducing fear of falling in older people living in the community. Cochrane Database of Systematic Reviews. 2014; 11: 1–131.
- Denkinger M D, Lukas A, Nikolaus T, Hauer K. Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: A systematic review. The American Journal of Geriatric Psychiatry. 2015; 23(1): 72-86.
- Csapo R, Gormasz C, Baron R. Functional performance in community-dwelling and institutionalized elderly women. Wiener Klinische Wochenschrift. 2009; 121(11-12): 383-90.
- Yümin E T, Şimşek T T, Sertel M, Öztürk A, Yümin M. The effect of functional mobility and balance on health-related quality of life (HRQoL) among elderly people living at home and those living in nursing home. Archives of Gerontology and Geriatrics. 2011; 52(3): 180-4.
- Tuunainen E, Rasku J, Jäntti P, Pyykkö I. Risk factors of falls in community dwelling active elderly. Auris Nasus Larynx. 2014; 41(1): 6-10.
- Bruce D G, Devine A, Prince R L. Recreational physical activity levels in healthy older women: The importance of fear of falling. Journal of the American Geriatrics Society. 2002; 50(1): 84-9.
- Zijlstra G A, Van Haastregt J C, Van Eijk J T, Van Rossum E, Stalenhoef P A, Kempen G I. Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age and Ageing. 2007; 36(3): 304-9.
- Binda S M, Culham E G, Brouwer B. Balance, muscle strength, and fear of falling in older adults. Experimental Aging Research. 2003; 29(2): 205-19.
- del-Río-Valeiras M, Gayoso-Diz P, Santos-Pérez S, Rossi-Izquierdo M, Faraldo-García A, Vaamonde-Sánchez-Andrade I, et al. Is there a relationship between short FES-I test scores and objective assessment of balance in the older people with age-induced instability? Archives of Gerontology and Geriatrics. 2016; 62: 90-6.
- Payette M C, Bélanger C, Léveillé V, Grenier S. Fall-related psychological concerns and anxiety among community-dwelling older adults: Systematic review and meta-analysis. PloS One. 2016; 11(4):1-17.
- Akbari K, Zamani Sani A, Sayed Fathi H, Rezaee Z, Farsi Alireza A M. Functional gait assessment in Iranian elderly test the factor structure. Senior Journal. 2010; (17): 16-22. (In Persian)
- Khajavi D, Farokhi A, Jabari Moghaddam A, Kazemnejad A. The effect of an intervention on psychological factors associated with falling in older men older. Journal older Arak. 2014; (17): 32-8. (In Persian)
- Asghar F, Mohammad N, Rezazadeh, M. Examining the relationship between anxiety and aggression with the psychology of driving. Traffic. 2015; 12(29): 49-61. (In Persian)
- Donyapur H, Mohammadzade M, Abedini M, Rezaei S, Safari H. Dynamic effects of Pilates exercise improves balance and gait function in elderly men with a history of falling. Journal of Rehabilitation Medicine. 2013; 2(3), 11-8. (In Persian)
- Aslankhani M A, Farid A, Fathirezaie Z, Zamani Sani Sh, Aghdasi M T. Validity and reliability of the Timed Up and Go and the Anterior Functional Reach Tests in evaluating fall risk in the elderly. Salmand. 2015; 10(1): 12-21. (In Persian)
- Avelar B P, de Almeida Costa J N, Safons M P, Dutra M T, Bottaro M, Gobbi S, et al. Balance exercises circuit improves muscle strength, balance, and functional performance in older women. AGE. 2016; 38(1): 1-1.
- van Haastregt J C, Zijlstra G R, van Rossum E, van Eijk J T, Kempen G I. Feelings of anxiety and symptoms of depression in community-living older persons who avoid activity for fear of falling. The American Journal of Geriatric Psychiatry. 2008; 16(3): 186-93.
- Khajavi D, Farokhi A, Jabir Moghaddam A, Kazemnejad A. The psychological and performance associated with older men following a training program combines balance and falling. motor Behavior. 2014; 17(9): 55-72. (In Persian)
- Kaneda K, Sato D, Wakabayashi H, Hanai A, Nomura T. A comparison of the effects of different water exercise programs on balance ability in elderly people. J Aging Phys Act. 2008; 16(4): 381-92.
- Delbaere K, Crombez G, Vanderstraeten G, Willems T, Cambier D. Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study. Age and Ageing. 2004; 33(4): 368-73.
- Madureira M M, Takayama L, Gallinaro A L, Caparbo V F, Costa R A, Pereira R M. Balance training program is highly effective in improving functional status and reducing the risk of falls in elderly women with osteoporosis: A randomized controlled trial. Osteoporosis International. 2007; 18(4): 419-25.
- Stein M B, Heimberg R G. Well-being and life satisfaction in generalized anxiety disorder: Comparison to major depressive disorder in a community sample. Journal of Affective Disorders. 2004; 79(1): 161-6.
- Azadi F. Comparison of three methods to evaluate and assess the Berg Balance Scale and Tinetti Scale and CTSIB predict the risk of falls in elderly. University of Welfare and Rehabilitation Sciences. 2008; 15-12. (In Persian)
- Catarina L, Pereira N, Peter V, Fatima M. Role of physical activity in the prevention of falls and their consequences in the elderly. Eur Rev Aging Phys Act. 2007; 5: 51-5.
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