Comparison of Upper Limb Strength and Fear of Falling among Older Adults with Repeated Falls, One-Time Fall, and Non-Fall Groups

Upper Limb Strength and Fear of Falling among Older Adults

  • Azliyana Azizan
  • Izzati Jamhari Universiti Teknologi Mara, Malaysia
  • Nurul Earliana Nordin

Abstract

Background: 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.

References

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.22.0016
Published
2024-03-31
How to Cite
AZIZAN, Azliyana; JAMHARI, Izzati; NORDIN, Nurul Earliana. Comparison of Upper Limb Strength and Fear of Falling among Older Adults with Repeated Falls, One-Time Fall, and Non-Fall Groups. Asian Journal of Research in Education and Social Sciences, [S.l.], v. 6, n. 1, p. 388-394, mar. 2024. Available at: <https://myjms.mohe.gov.my/index.php/ajress/article/view/25795>. Date accessed: 20 may 2024.
Section
English Section