Discriminative and predictive ability of physical performance measures in identifying fall risk among older adults

Falls are a public health concern among older adults. There is a need to take significant measures such as screening for the risk of a fall as a means of prevention and management. A cross-sectional study was conducted to determine discriminative and predictive ability of physical performance measur...

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Main Authors:	Zunaidah Abu Samah, Devinder Kaur Ajit Singh, Resshaya Roobini Murukesu, Suzana Shahar, Nor Azlin Mohd Nordin, Mohd Azahadi Omar, Chin, Ai-Vyrn
Format:	Article
Language:	English
Published:	Penerbit Universiti Kebangsaan Malaysia 2018
Online Access:	http://journalarticle.ukm.my/12658/ http://journalarticle.ukm.my/12658/ http://journalarticle.ukm.my/12658/1/19%20Zunaidah%20Abu%20Samah.pdf

id	ukm-12658
recordtype	eprints
spelling	ukm-126582019-03-17T11:23:25Z http://journalarticle.ukm.my/12658/ Discriminative and predictive ability of physical performance measures in identifying fall risk among older adults Zunaidah Abu Samah, Devinder Kaur Ajit Singh, Resshaya Roobini Murukesu, Suzana Shahar, Nor Azlin Mohd Nordin, Mohd Azahadi Omar, Chin, Ai-Vyrn Falls are a public health concern among older adults. There is a need to take significant measures such as screening for the risk of a fall as a means of prevention and management. A cross-sectional study was conducted to determine discriminative and predictive ability of physical performance measures in identifying the risk of fall among Malaysian community dwelling older adults. Three hundred twenty-five Malaysian community dwelling older adults aged 60 years and above (67.67+ 5.5 years) participated in this study. This study was a part of a larger longitudinal study ‘LRGS TUA’. Physiological Profile Assessment (PPA), a comprehensive tool for quantifying risk of fall was used as a standard measure of comparison to 6 Meter Gait Speed (GS), Timed Up and Go (TUG) and Walking While Talking (WWT) tests to establish discriminative and predictive ability. Participants recorded incidence of falls in a ‘falls diary’ over a span of six months. To determine the optimum cut off scores of the test identified to classify fall risk, receiver operator curves (ROC) were used and its sensitivity and specificity were calculated. A significant mean difference between fallers and non-fallers was demonstrated only with TUG test (p<0.05). TUG test cut off score in discriminating older adults at risk of fall was established at eight seconds, with a sensitivity and specificity of 83.95% and 32.4%, respectively, in this study. Eighty-four percent older adults who experienced a fall in our study were identified to be at risk of fall when screened using this TUG cut off score. Our study results suggested TUG test to be an optimal screening tool for risk of fall among community dwelling older adults. Penerbit Universiti Kebangsaan Malaysia 2018-11 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/12658/1/19%20Zunaidah%20Abu%20Samah.pdf Zunaidah Abu Samah, and Devinder Kaur Ajit Singh, and Resshaya Roobini Murukesu, and Suzana Shahar, and Nor Azlin Mohd Nordin, and Mohd Azahadi Omar, and Chin, Ai-Vyrn (2018) Discriminative and predictive ability of physical performance measures in identifying fall risk among older adults. Sains Malaysiana, 47 (11). pp. 2769-2776. ISSN 0126-6039 http://www.ukm.my/jsm/malay_journals/jilid47bil11_2018/KandunganJilid47Bil11_2018.html
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Falls are a public health concern among older adults. There is a need to take significant measures such as screening for the risk of a fall as a means of prevention and management. A cross-sectional study was conducted to determine discriminative and predictive ability of physical performance measures in identifying the risk of fall among Malaysian community dwelling older adults. Three hundred twenty-five Malaysian community dwelling older adults aged 60 years and above (67.67+ 5.5 years) participated in this study. This study was a part of a larger longitudinal study ‘LRGS TUA’. Physiological Profile Assessment (PPA), a comprehensive tool for quantifying risk of fall was used as a standard measure of comparison to 6 Meter Gait Speed (GS), Timed Up and Go (TUG) and Walking While Talking (WWT) tests to establish discriminative and predictive ability. Participants recorded incidence of falls in a ‘falls diary’ over a span of six months. To determine the optimum cut off scores of the test identified to classify fall risk, receiver operator curves (ROC) were used and its sensitivity and specificity were calculated. A significant mean difference between fallers and non-fallers was demonstrated only with TUG test (p<0.05). TUG test cut off score in discriminating older adults at risk of fall was established at eight seconds, with a sensitivity and specificity of 83.95% and 32.4%, respectively, in this study. Eighty-four percent older adults who experienced a fall in our study were identified to be at risk of fall when screened using this TUG cut off score. Our study results suggested TUG test to be an optimal screening tool for risk of fall among community dwelling older adults.
format	Article
author	Zunaidah Abu Samah, Devinder Kaur Ajit Singh, Resshaya Roobini Murukesu, Suzana Shahar, Nor Azlin Mohd Nordin, Mohd Azahadi Omar, Chin, Ai-Vyrn
spellingShingle	Zunaidah Abu Samah, Devinder Kaur Ajit Singh, Resshaya Roobini Murukesu, Suzana Shahar, Nor Azlin Mohd Nordin, Mohd Azahadi Omar, Chin, Ai-Vyrn Discriminative and predictive ability of physical performance measures in identifying fall risk among older adults
author_facet	Zunaidah Abu Samah, Devinder Kaur Ajit Singh, Resshaya Roobini Murukesu, Suzana Shahar, Nor Azlin Mohd Nordin, Mohd Azahadi Omar, Chin, Ai-Vyrn
author_sort	Zunaidah Abu Samah,
title	Discriminative and predictive ability of physical performance measures in identifying fall risk among older adults
title_short	Discriminative and predictive ability of physical performance measures in identifying fall risk among older adults
title_full	Discriminative and predictive ability of physical performance measures in identifying fall risk among older adults
title_fullStr	Discriminative and predictive ability of physical performance measures in identifying fall risk among older adults
title_full_unstemmed	Discriminative and predictive ability of physical performance measures in identifying fall risk among older adults
title_sort	discriminative and predictive ability of physical performance measures in identifying fall risk among older adults
publisher	Penerbit Universiti Kebangsaan Malaysia
publishDate	2018
url	http://journalarticle.ukm.my/12658/ http://journalarticle.ukm.my/12658/ http://journalarticle.ukm.my/12658/1/19%20Zunaidah%20Abu%20Samah.pdf
first_indexed	2023-09-18T20:03:06Z
last_indexed	2023-09-18T20:03:06Z
_version_	1777406979846701056

Discriminative and predictive ability of physical performance measures in identifying fall risk among older adults

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