Article

This cross-sectional study investigated the associations between
balance confidence, functional balance, and physical disability among older
people after hip fracture. METHODS: The study utilizes baseline data
of two randomized controlled trials (ISRCTN34271567 and ISRCTN53680197). The
participants were 159 community-dwelling over 60-year-old people. Health,
fracture status, the date and type of surgery, and contraindications for
participation were assessed in a clinical examination. Balance confidence was
assessed by the Activities-specific Balance Confidence Scale (ABC) and functional
balance by the Berg Balance Scale. Physical disability was assessed by a
questionnaire containing 14 questions on perceived difficulty in basic (ADL) and
instrumental activities of daily living (IADL). Two sum scores were composed: ADL
score (range 0-6) and IADL score (range 0-8). Isometric knee extension force was
measured using a dynamometer. Pain and use of walking aids were assessed by a
questionnaire. The negative binomial regression analysis was used to analyze the
associations. RESULTS: A higher ABC score was associated with a lower risk for
ADL (IRR 0.99; 95% CI 0.98-0.99) and IADL disability (0.99; 0.98-0.99) in the
fully adjusted models. Also a higher BBS score was associated with a lower risk
for ADL (0.98; 0.96-0.99) and IADL disability (0.98; 0.97-0.99) in the fully adjusted models. CONCLUSION: Decreased balance confidence and impaired functional
balance are associated with physical disability in older people after hip
fracture.
CI - Copyright (c) 2012 Elsevier B.V. All rights reserved.

Langue : ANGLAIS