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Proposal to use an obstructed timed “up & go” test to assess the risk of falling in healthy elderly individuals

100%

Uchiyama M. , Demura S.

Baltic Journal of Health and Physical Activity

2012

tom 4

nr 3

147-154

Background: Obstacles are a common cause of falls. Mobility tests for healthy elderly that involve maneuvering over an obstacle have not been fully developed. We have shown that a small box placed on the walkway of a representative mobility test, the Timed Up & Go (TUG) for the frail elderly, influences the test performances of the healthy female elderly. However, the validity of this obstructed TUG (OTUG) as a fall risk assessment tool has not yet been clarified. This study examined the relationship between the OTUG and the fall risk for the healthy elderly. Material/Methods: 66 healthy community-dwelling elderly and 19 healthy elderly persons living in a nursing home participated in the study. In the TUG, participants stood up from a chair, walked 3 m, turned around, walked back to the chair and sat down. In the OTUG, a box (height 5 cm, depth 10 cm) was placed at the midpoint of the walkway. Participants were instructed to step over it safely. Times required to perform the respective test were recorded. Fall risk scores, the required times (s) for the TUG and OTUG and difference ratios (OTUG/TUG x 100) (%) were analyzed. Results: Correlations between fall risk and other mobility performances were all significant. However, the correlation between fall risk and the OTUG (r = 0.60) was significantly higher than that between fall risk and the TUG (r=0.49) (t=3.733, p<0.001). Conclusions: Compared to the TUG, the OTUG is more valid for assessing the fall risk of community- dwelling healthy elderly

An ecological study on the association between characteristics of hospital units and the risk of occupational injuries and adverse events on the example of an Italian teaching hospital

86%

Valent F. , Liva G. , Bellomo F. , de Corti D. , Degan S. , Cattani G. , Rosa I. , Mizza A. , Brusaferro S.

International Journal of Occupational Medicine and Environmental Health

2015

tom 29

nr 1

149-159

Objectives We explored the association of workplace characteristics with occupational injuries and adverse events in an Italian teaching hospital. Material and Methods This ecological study was conducted using data routinely collected in the University Hospital of Udine, Northeastern Italy. Poisson regression models were used to investigate, at the hospital unit level, the association between 5 outcomes, including: occupational injuries, patient falls, medication errors, other adverse events and near-misses, and various characteristics of the units. Results The proportion of female workers in a unit, the average number of sick-leave days and of overtime hours, the number of medical examinations requested by employees, and being a surgical unit were significantly associated with some of the outcomes. Conclusions Despite ecological nature of the study, which does not allow for inferences to be drawn at the individual level, the results of our study provide useful clues to support strategies and interventions directed towards healthier work environments and better patient care in hospitals.

Susceptibility To Injury During Falls In Women Practising Combat Sports And Martial Arts

72%

Boguszewski D. , Adamczyk J. G. , Kerbaum K. , Antoniak B. , Obszyńska-Litwiniec A. , Białoszewski D.

Polish Journal of Sport and Tourism

2015

tom 22

nr 1

15-19

Introduction. Martial arts and combat sports are practical sports that are being practised by an increasing number of women. The aim of this study was to examine the relationship between the ability of female judo, taekwondo and karate competitors to fall safely and their susceptibility to injuries during falls. Material and methods. A total of 120 persons participated in the research. The study group consisted of 45 female judo, taekwondo (WTF) and karate Shotokan competitors; in the control group there were 75 persons who did not practise sport professionally. The research tools included the Test of Susceptibility to Injury during Falls (TSIDF) developed by Kalina and a questionnaire designed by the authors. Results. The female martial arts competitors had considerably lower TSIDF results (p<0.001), which means that they made fewer errors when performing motor tasks. The mean result of the TSIDF was 2.48 for the study group and 6.08 for the control one. Significant differences (p<0.001) were found between the groups for all types of errors and all of the motor tasks. Conclusions. Women practising combat sports and martial arts made significantly fewer errors in the Test of Susceptibility to Injuries During Falls, which can be seen as evidence for the practical usefulness of the training they are undergoing.