Asian Nursing Research
Volume 2, Issue 4 , Pages 214-222 , December 2008

Fear of Falling in Older Adults: Comprehensive Review

  • Dukyoo Jung, PhD, RN

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dukyoo Jung, PhD, RN, Full-time Lecturer, Division of Nursing Science, College of Health Sciences, Ewha Womans University, 11–1 Daehyun-dong, Seodaemoon-ku, Seoul 120–750, Korea

Received 14 August 2008 ,Revised 1 September 2008 ,Accepted 17 October 2008.

REFERENCES 

  1. Adkin AL , Frank JS , Jog MS . Fear of falling and postural control in Parkinson's Disease . Movement Disorder . 2003;18:496–502
  2. American Geriatrics Society  , British Geriatrics Society  , American Academy of Orthopedic Surgeons Panel on Falls Prevention  . Guideline for the prevention of falls in older persons . Journal of the American Geriatrics Society . 2001;49:664–672
  3. Andersson AG , Kamwendo K , Appelros P . Fear of falling in stroke patients: Relationship with previous falls and functional characteristics . International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation . 2008;31:261–264
  4. Andresen EM , Wolinsky FD , Miller JP , Wilson M-MG , Malmstrom TK , Miller DK . Cross-sectional and longitudinal risk factors for falls, fear of falling, and falls efficacy in a cohort of middleaged African Americans . Gerontologist . 2006;46:249–257
  5. Belgen B , Beninato M , Sullivan PE , Narielwalla K . The association of balance capacity and falls self-efficacy with history of falling in communitydwelling people with chronic stroke . Archives of Physical Medicine and Rehabilitation . 2006;87:554–561
  6. Bhala RP , O'Donnell J , Thoppil E . Ptophobia: Phobic fear of falling and its clinical management . Physical Therapy . 1982;62:187–190
  7. Brouwer B , Musselman K , Culham E . Physical function and health status among seniors with and without a fear of falling . Gerontology . 2004;50:135–141
  8. Brouwer B , Walker C , Rydahl SJ , Culham EG . Reducing fear of falling in seniors through education and activity programs: A randomized trial . Journal of American Geriatrics Society . 2003;51:829–834
  9. Bruce DG , Devine A , Prince RL . Recreational physical activity levels in healthy older women: The importance of fear of falling . Journal of the American Geriatrics Society . 2002;50:84–89
  10. Cameron IE , Stafford B , Cumming RG , Birks C , Kurrle SE , Lockwood K , et al.   Hip protectors improve falls self-efficacy . Age and Ageing . 2000;29:57–62
  11. Chou KL , Yeung FKC , Wong ECH . Fear of falling and depressive symptoms in Chinese elderly living in nursing homes: Fall efficacy and activity level as mediator or moderator? . Aging & Mental Health . 2005;9:255–261
  12. Cumming RG , Salkeld G , Thomas M , Szonyi G . Prospective study of the impact of fear of falling on activities of daily living, SF-36 Scores, and nursing home admission . Journal of Gerontology . 2000;55:299–305
  13. Delbaere K , Crombez G , Vanderstraeten G , Willems T , Cambier D . Fear-related avoidance of activities, falls and physical frailty. A prospective communitybased cohort study . Age and Ageing . 2004;33:368–373
  14. Evitt CP , Quigley PA . Fear of falling in older adults: A guide to its prevalence, risk factors, and consequences . Rehabilitation Nursing . 2004;29:207–210
  15. Fessel KD , Nevitt MC . Correlates of fear of falling and activity limitation among persons with rheumatoid arthritis . Arthritis Care Research . 1997;10:222–228
  16. Fletcher PC , Hirdes JP . Restriction in activity associated with fear of falling among communitybased seniors using home care services . Age and Ageing . 2004;33:273–279
  17. Friedman SM , Munoz B , West SK , Rubin GS , Fried LP . Falls and fear of falling: Which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention . Journal of the American Geriatrics Society . 2002;50:1329–1335
  18. Fuller GF . Falls in the elderly . American Family Physician . 2000;61:2156–2168
  19. Gagnon N , Flint A , Naglie G , Devins GM . Affective correlates of fear of falling in elderly persons . American Journal of Geriatric Psychiatry . 2005;13:7–14
  20. Gillespie SM , Friedman SM . Fear of falling in new long-term care enrollees . Journal of the American Medical Directors Association . 2007;8:307–313
  21. Hill KD , Schwarz JA , Kalogeropoulos AJ , Gibson SJ . Fear of falling revisited . Archives of Physical Medicine and Rehabilitation . 1996;77:1025–1029
  22. Huang TT . Geriatric fear of falling measure: Development and psychometric testing . International Journal of Nursing Studies . 2006;43:357–365
  23. Jung, D. Y., Lee, J. H., & Lee, S. M. (in press). A metaanalysis of fear of falling treatment programs for the elderly. Western Journal of Nursing Research.
  24. Kressig RW , Wolf ST , Sattin RW , O'Grady M , Greenspan A , Curns A , et al.   Associations of demographic, functional, and behavioral characteristics with activity-related fear of falling among older adults transitioning to frailty . Journal of American Gerontology Society . 2001;49:1456–1462
  25. Lach HW . Incidence and risk factors for developing fear of falling in older adults . Public Health Nursing . 2005;22:45–52
  26. Lachman ME , Howland J , Tennstedt S , et al.   Fear of falling and activity restriction: The survey of activities and fear of falling in the elderly (SAFE) . Journal of Gerontology: Psychological Science and Social Science . 1998;53:43–50
  27. Legters K . Fear of falling . Physical Therapy . 2002;82:264–272
  28. Li F , Fisher J , Harmer P , McAuley E , Wilson NL . Fear of falling in elderly persons: Association with falls, functional ability, and quality of life . Journal of Gerontology: Psychological Sciences & Social Sciences . 2003;58:283–290
  29. Li F, Harmer P, Fisher J, McAuley E, Chaumeton N, Eckstrom E, et al. Tai Chi and fall reduction in older adults: a randomized control trial . Journal of Gerontology: Biological Science and Medical Science . 2005;60A(2):187–194
  30. Maki BE , Holliday PJ , Topper AK . Fear of falling and postural performance in the elderly . Journal of Gerontology: Biological Sciences and Medical Sciences . 1991;46:123–131
  31. Martin FC , Hart D , Spector T , Doyle DV , Harari D . Fear of falling limiting activity in young-old women is associated with reduced functional mobility rather than psychological factors . Age and Ageing . 2005;34:281–287
  32. Means KM , Rodell DE , O'Sullivan PS . Balance, mobility, and falls among communitydwelling elderly persons . American Journal of Physical Medicine & Rehabilitation . 2005;84:238–250
  33. Murphy J , Issacs B . The post-fall syndrome. A study of 36 patients . Gerontology . 1982;28:265–270
  34. Murphy SL , Dubin JA , Gill TM . The development of fear of falling among communityliving older women: Predisposing factors and subsequent fall events . The Journal of Gerontology; Biological Sciences and Medical Sciences . 2003;58:943–947
  35. Murphy SL , William CS , Gill TM . Characteristics associated with fear of falling and activity restriction in community-living older persons . Journal of the American Geriatric Society . 2002;50:516–520
  36. Niino N , Tsuzuku S , Ando F , Shimokata H . Frequencies and circumstances of falls in the National Institute for Longevity Sciences, Longitudinal Study of Aging (NILS-LSA) . Journal of Epidemiology . 2000;10:90–94
  37. Nitz JC , Choy NL . The efficacy of a specific balance-strategy training programme for preventing falls among older people: A pilot randomized controlled trial . Age and Ageing . 2004;33:52–58
  38. Powell LE , Myers AM . The activities-specific balance confidence (ABC) scale . Journal of Gerontology: Biological Sciences and Medical Sciences . 1995;50:28–34
  39. Resnick B , Junlapeeya P . Falls in a community of older adults: Findings and implications for practice . Applied Nursing Research . 2004;17:81–91
  40. Rucker D , Rowe BH , Johnson JA , Steiner IP , Russell AS , Hanley DA , et al.   Educational intervention to reduce falls and fear of falling in patients after fragility fracture: Results of a controlled pilot study . Preventive Medicine . 2006;42:316–319
  41. Runyan CW , Perkis D , Marshall SW , Johnson RM , Coyne-Beasley T , Waller AE , et al.   Unintentional injuries in the home in the United States: Part II: Morbidity . American Journal of Preventive Medicine . 2005;281:80–87
  42. Sattin RW , Easley KA , Wolf SL , Chen Y , Kutner MH . Reduction in fear of falling through intense Tai-Chi exercise training in older, transitionally frail adults . Journal of American Geriatric Society . 2005;53:1168–1178
  43. Schoenfelder DP , Rubenstein LM . An exercise program to improve fall-related outcomes in elderly nursing home residents . Applied Nursing Research . 2004;17:21–31
  44. Schott, N. (2008). German adaptation of the “activities-specific balance confidence (ABC) scale” for the assessment of falls-related self-efficacy. Zeitschrift Fur Gerontologie Und Geriatrie: Organ Der Deutschen Gesellschaft Fuer Gerontologie Und Geriatrie, doi:10. 1007/s00391-007-0504-9. [Epub ahead of print]
  45. Silverton R , Tideiksaar R . Psychosocial aspects of falls . In:  Tideiksaar R editors. Falling in old age: Its prevention and treatment . 2nd ed.. New York: Springer; 1989;
  46. Tennstedt S , Howland J , Lachman M , Peterson E , Kasten L , Jette A . A randomized, controlled trial of a group intervention to reduce fear of falling and associated activity restriction in older adults . Journal of gerontology: Psychological Sciences and Social Sciences . 1998;53B:384–392
  47. Tideiksaar R . Falling in Older People: Prevention and Management . 3rd ed.. New York: Springer; 2002;
  48. Tinetti ME . Preventing Falls in Elderly Person . The New England Journal of Medicine . 2003;348:42–49
  49. Tinetti ME , Powell L . Fear of falling and low self-efficacy: A case of dependence in elderly persons. [Special Issue] . Journal of Gerontology . 1993;48:35–38
  50. Tinetti ME , Richman D , Powell L . Falls efficacy as a measure of fear of falling . Journal of Gerontology . 1990;45:239–243
  51. Tinetti ME , Speechley M , Ginter SF . Risk factors for falls among elderly persons living in the community . New England Journal of Medicine . 1988;319:1701–1707
  52. Tromp AH , Pluijm SMF , Smit JH , Deeg DJH, , Bouter LM , Lips P . Fall risk screening test: A prospective study on predictors for falls in community-dwelling elderly . Journal of Clinical Epidemiology . 2001;54:837–844
  53. Van Haastregt JC , Zijlstra GA , Van Rossum E , Van Eijk JT , Kempen GI . Feelings of anxiety and symptoms of depression in community-living older persons who avoid activity for fear of falling . American Journal of Geriatric Psychiatry . 2008;16:186–193
  54. Vellas BJ , Wayne SJ , Romero LJ , Baumgartner RN , Garry PJ . Fear of falling and restriction of mobility in elderly fallers . Age and Ageing . 1997;26:189–193
  55. Velozo CA , Peterson EW . Developing meaningful fear of falling measures for community dwelling elderly . American Journal of Physical Medicine & Rehabilitation . 2001;80:662–673
  56. Warr P , Butcher V , Robertson I . Activity and psychological well-being in older people . Aging and Mental Health . 2004;8:172–183
  57. Wilson M-MG , Miller DK , Andresen EM , Malmstrom TK , Miller JP , Wolinsky FD . Fear of falling and related activity restriction among middle-aged African Americans . Journal of Gerontology: Biological Sciences and Medical Sciences . 2005;60A:355–360
  58. Wolf SL , Barnhart HX , Kutner NG , McNeely E , Coogler C , Xu T . Reducing frailty and falls in older persons: An investigation of Tai Chi and computerized balance training . Journal of American Geriatrics Society . 1996;44:489–497
  59. Zhang J-G , Ishikawa-Takata K , Yamazaki H , Morita T , Ohta T . The effects of Tai-Chi Chuan on physiological function and fear of falling in the less robust elderly: An intervention study for preventing falls . Archives of Gerontology and Geriatrics . 2006;42:107–116

PII: S1976-1317(09)60003-7

doi: 10.1016/S1976-1317(09)60003-7

Asian Nursing Research
Volume 2, Issue 4 , Pages 214-222 , December 2008