Attention, Frailty, and Falls: The Effect of a Manual Task on Basic Mobility

摘要: OBJECTIVE: To investigate the effect of a second task on balance and gait maneuvers used in everyday life. Our hypothesis was that those who were more distracted by familiar manual performed concurrently with functional frail prone to falls. DESIGN: A cross-sectional design prospective follow-up for SETTING: Sheltered accommodation Umea, Sweden. PARTICIPANTS: Forty-two residents (30 women, 12 men; mean age +/- SD = 79.7 6.1 years), ambulant or without walking aid, able follow simple instructions carry tumbler. MEASUREMENTS: Timed Up & Go (TUG), i.e., time taken rise from an armchair, walk 3 meters, turn round, sit down again. TUG repeated added (TUGmanual), which glass water while walking. The Montgomery-Asberg Depression Rating Scale, Barthel Index, Functional Reach, Mini-Mental State Examination, Line Bisection test assess frailty. subjects followed-up prospectively regarding falls indoors period 6-months. RESULTS: Subjects difference (diffTUG) between TUGmanual > 4.5 seconds considered be task. Ten had seconds. These frail, seven them fell during (odds ratio 4.7, 95%Confidence Interval (CI) 1.5-14.2). CONCLUSION: appears valid marker frailty useful tool identifying older persons falling. Language: en