Relationship Between Fear of Falling and Outcomes of an Inpatient Geriatric Rehabilitation Population—Fear of the Fear of Falling
Article first published online: 22 MAR 2010
© 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 58, Issue 4, pages 664–673, April 2010
How to Cite
Denkinger, M. D., Igl, W., Lukas, A., Bader, A., Bailer, S., Franke, S., Denkinger, C. M., Nikolaus, T. and Jamour, M. (2010), Relationship Between Fear of Falling and Outcomes of an Inpatient Geriatric Rehabilitation Population—Fear of the Fear of Falling. Journal of the American Geriatrics Society, 58: 664–673. doi: 10.1111/j.1532-5415.2010.02759.x
- Issue published online: 1 APR 2010
- Article first published online: 22 MAR 2010
- fear of falling;
- inpatient rehabilitation;
- patterns of change
OBJECTIVES: To examine the effects of various risk factors on three functional outcomes during rehabilitation.
SETTING: Geriatric inpatient rehabilitation unit.
DESIGN: Observational longitudinal study.
PARTICIPANTS: One hundred sixty-one geriatric rehabilitation inpatients (men, women), mean age 82, who were capable of walking at baseline.
MEASUREMENTS: Functional status was assessed weekly between admission and discharge and at a follow-up 4 months later at home using the function component of the Short Form—Late Life Function and Disability Instrument, the Barthel Index, and Habitual Gait Speed. Various risk factors, such as falls-related self-efficacy (Falls Efficacy Scale–International), were measured. Associations between predictors and functional status at discharge and follow-up were analyzed using linear regression models and bivariate plots.
RESULTS: Fear of falling predicted functioning across all outcomes except for habitual gait speed at discharge and follow-up. Visual comparison of functional trajectories between subgroups confirmed these findings, with different levels of fear of falling across time in linear plots. Thus, superior ability of this measure to discriminate between functional status at baseline across all outcomes and to discriminate between functional change especially with regard to the performance-based outcome was demonstrated.
CONCLUSION: Falls-related self-efficacy is the only parameter that significantly predicts rehabilitation outcome at discharge and follow-up across all outcomes. Therefore, it should be routinely assessed in future studies in (geriatric) rehabilitation and considered to be an important treatment goal.