Comparison of upper limb strength and fear of falling among older adults with repeated falls, one-time fall, and non-fall groups
List of Authors
  • Azliyana Azizan , Izzati Jamhari

Keyword
  • Fear Of Falling, FES-I, Geriatrics, Muscle Strength

Abstract
  • One of the leading causes of death and a big financial strain on the healthcare and economic systems is falls. A weak grasp indicates a compromised function. This study aims to analyze the upper limb strength and fear of falling between the repeated fall group, one-time fall group, and non-fall group of the older adults receiving physiotherapy treatment. Method: 50 older adults’ patients who receiving physiotherapy gathered from Klang Valley for data collection. The participants performed handgrip strength (JAMAR dynamometer) and Short Falls Efficacy Scale-International (Short FES-I) questionnaire. Results: The mean grip strength for male is 25 kg while female has mean of 17.95 kg. Most of the participants had repeated fall and exhibit high fear of fall. Conclusion: This study suggests that hand grip strength contributed to risk of fall and fear of falling among geriatric population in Malaysia.

Reference
  • 1. Corman, E. (2009). Including fall prevention for older adults in your trauma injury prevention program—introducing farewell to falls. Journal of Trauma Nursing, 16(4), 206–207. https://doi.org/10.1097/jtn.0b013e3181ca08ed 2. Vaishya, R., & Vaish, A. (2020). Falls in older adults are serious. Indian Journal of Orthopaedics, 54(1), 69–74. https://doi.org/10.1007/s43465-019-00037-x 3. Azizan, A. (2024). Mapping the muscle mass: A birds-eye view of sarcopenia research through Bibliometric network analysis. International Journal of Disabilities Sports and Health Sciences, 7(1), 134–143. https://doi.org/10.33438/ijdshs.1362539 4. Lee, D., & Tak, S. H. (2023). A concept analysis of fear of falling in older adults: Insights from qualitative research studies. BMC Geriatrics, 23(1). https://doi.org/10.1186/s12877-023-04364-5 5. Teraž, K., Marusic, U., Kalc, M., Šimunič, B., Pori, P., Grassi, B., Lazzer, S., Narici, M. V., Blenkuš, M. G., di Prampero, P. E., Reggiani, C., Passaro, A., Biolo, G., Gasparini, M., & Pišot, R. (2023). Sarcopenia parameters in active older adults – an eight-year longitudinal study. BMC Public Health, 23(1). https://doi.org/10.1186/s12889-023-15734-4 6. Azizan, A., Azmi, A., & Yusof, M. Y. (2024). Bibliometric analysis on Geriatric Rehabilitation in Scopus Database (1948-2022). Topics in Geriatric Rehabilitation, 40(1), 60–68. https://doi.org/10.1097/tgr.0000000000000423 7. Keating, C. J., Cabrera-Linares, J. C., Párraga-Montilla, J. A., Latorre-Román, P. A., del Castillo, R. M., & García-Pinillos, F. (2021). Influence of resistance training on gait & balance parameters in older adults: A systematic review. International Journal of Environmental Research and Public Health, 18(4), 1759. https://doi.org/10.3390/ijerph18041759 8. Sun, M., Min, L., Xu, N., Huang, L., & Li, X. (2021). The effect of exercise intervention on reducing the fall risk in older adults: A meta-analysis of randomized controlled trials. International Journal of Environmental Research and Public Health, 18(23), 12562. https://doi.org/10.3390/ijerph182312562 9. Adamczewska, N., & Nyman, S. R. (2018). A new approach to fear of falls from connections with the posttraumatic stress disorder literature. Gerontology and Geriatric Medicine, 4, 233372141879623. https://doi.org/10.1177/2333721418796238 10. Kempen, G. I., Yardley, L., Van Haastregt, J. C., Zijlstra, G. A., Beyer, N., Hauer, K., & Todd, C. (2007). The short fes-i: A shortened version of the falls efficacy scale-international to assess fear of falling. Age and Ageing, 37(1), 45–50. https://doi.org/10.1093/ageing/afm157 11. Vermeulen, J., Neyens, J. C., Spreeuwenberg, M. D., van Rossum, E., Hewson, D. J., & de Witte, L. P. (2015). Measuring grip strength in older adults. Journal of Geriatric Physical Therapy, 38(3), 148–153. https://doi.org/10.1519/jpt.0000000000000034 12. Abizanda, P., Navarro, J. L., García-Tomás, M. I., López-Jiménez, E., Martínez-Sánchez, E., & Paterna, G. (2012). Validity and usefulness of hand-held dynamometry for measuring muscle strength in community-dwelling older persons. Archives of Gerontology and Geriatrics, 54(1), 21–27. https://doi.org/10.1016/j.archger.2011.02.006 13. Ha, V.-A. T., Nguyen, T. N., Nguyen, T. X., Nguyen, H. T., Nguyen, T. T., Nguyen, A. T., Pham, T., & Vu, H. T. (2021). Prevalence and factors associated with falls among older outpatients. International Journal of Environmental Research and Public Health, 18(8), 4041. https://doi.org/10.3390/ijerph18084041 14. Al-Aama T. (2011). Falls in the elderly: spectrum and prevention. Canadian family physician Medecin de famille canadien, 57(7), 771–776. 15. Liu, H., Hou, Y., Li, H., & Lin, J. (2022). Influencing factors of weak grip strength and fall: A study based on the China Health and Retirement Longitudinal Study (CHARLS). BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-14753-x 16. Gadelha, A. B., Neri, S. G., Nóbrega, O. T., Pereira, J. C., Bottaro, M., Fonsêca, A., & Lima, R. M. (2018). Muscle quality is associated with dynamic balance, fear of falling, and falls in older women. Experimental Gerontology, 104, 1–6. https://doi.org/10.1016/j.exger.2018.01.003 17. Wu, S., Li, G., Shi, B., Ge, H., & He, Q. (2023). The association between physical activity and fear of falling among community-dwelling older women in China: The mediating role of physical fitness. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1241668 18. Rico, C. L., & Curcio, C. L. (2022). Fear of falling and environmental factors: A scoping review. Annals of Geriatric Medicine and Research, 26(2), 83–93. https://doi.org/10.4235/agmr.22.001