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neuroreha 2021; 13(02): 81-86
DOI: 10.1055/a-1472-9805
Aus der Praxis

Mobilität und Sturzprävention im Alter

Ellen Freiberger
,
Cornel C. Sieber
,
Katrin Singler
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Mobilität ist ein wesentlicher Faktor im Selbstständigkeitserhalt und für das „gesunde“ Altern. Mit zunehmendem Alter steigt das Risiko einer Mobilitätseinschränkung. Auch Stürze stellen für den älteren Menschen ein einschneidendes Erlebnis dar und können nicht nur physische Konsequenzen wie Verletzungen haben, sondern auch psychische Konsequenzen wie Sturzangst, die wiederum negative Verhaltensanpassungen bewirken, z. B. sich weniger zu bewegen.



Publication History

Article published online:
11 June 2021

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  • Literatur

  • 1 Destatis. Demografischer Wandel. Im Internet: https://destatis.de/DE/Themen/Querschnitt/Demografischer-Wandel/Aeltere-Menschen/bevoelkerung-ab-65-j.html (Stand: 12.03.2021)
    Google Scholar
  • 2 Cesari M, Araujo de Carvalho I, Amuthavalli Thiyagarajan J. et al. Evidence for the domains supporting constructs of intrinsic capacity. J Gerontol A Biol Sci Med Sci 2018; 73: 1653-1660
    CrossrefPubMedGoogle Scholar
  • 3 Musich S, Wang SS, Ruiz J. et al. The impact of mobility limitations on health outcomes among older adults. Geriatric Nursing. 2017 DOI: 10.1016/j.gerinurse.2017.08.002
    CrossrefPubMedGoogle Scholar
  • 4 Freiberger E, Sieber C. Mobilität im Alter: Trainingsaspekte bei selbständig lebenden Menschen. Dtsch Med Wochenschr 2013; 138: 2007-2010
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Visser M, Goodpaster BH, Kritchevsky SB. et al. Muscle mass, muscle strength, and muscle fat infiltration as predictors of incident mobility limitations in well-functioning older persons. J Gerontol A Biol Sci Med Sci 2005; 60: 324-333
    CrossrefPubMedGoogle Scholar
  • 6 Chung J, Demiris G, Thompson HJ. Instruments to assess mobility limitation in community-dwelling older adults: A systematic review. J Aging Phys Act 2015; 23: 298-313
    CrossrefPubMedGoogle Scholar
  • 7 Middleton A, Fritz SL. Assessment of gait, balance, and mobility in older adults: Considerations for clinicians. Curr Translat Geriat Exp Gerontol Rep 2013; 2: 205-214
    CrossrefGoogle Scholar
  • 8 Guralnik J, Ferrucci L, Pieper CF. et al. Lower extremity function and subsequent disability: Consistenca across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J Gerontol A Biol Sci Med Sci 2000; 55: M221-M231
    CrossrefPubMedGoogle Scholar
  • 9 Rantakokko M, Portegijs E, Viljanen A. et al. Life-space mobility and quality of life in community-dwelling older people. J Am Geriatr Soc 2013; 61: 1830-1832
    CrossrefPubMedGoogle Scholar
  • 10 Lamb SE, Jorstad-Stein EC, Hauer K. et al. Development of a common outcome data set for fall injury prevention trials: The Prevention of Falls Network Europe Consensus. J Am Geriatr Soc 2005; 53: 1618-1622
    CrossrefPubMedGoogle Scholar
  • 11 Rubenstein LZ. Falls in older people: Epidemiology, risk factors and strategies for prevention. Age Ageing 2006; 35: ii37-ii41
    CrossrefPubMedGoogle Scholar
  • 12 Todd C, Skelton D. What are the main risk factors for falls among older people and what are the most effective interventions to prevent these falls?. Copenhagen: WHO Regional Office for Europe; 2004
    Google Scholar
  • 13 Schwenk M, Lauenroth A, Stock C. et al. Definitions and methods of measuring and reporting on injurious falls in randomised controlled fall prevention trials: A systematic review. BMC Medical Research Methodology 2012; 12: 50
    CrossrefPubMedGoogle Scholar
  • 14 Becker C, Cameron ID, Klenk J. et al. Reduction of femoral fractures in long-term care facilities: The Bavarian Fracture Prevention Study. PloS one 2011; 6: e24311
    CrossrefPubMedGoogle Scholar
  • 15 Icks A, Arend W, Becker C. et al. Incidence of hip fractures in Germany, 1995–2010. Arch Osteoporos 2013; 8: 140
    CrossrefPubMedGoogle Scholar
  • 16 Haines TP, Lee DCA, O’Connell B. et al. Why do hospitalized older adults take risks that may lead to falls?. Health Expectations 2015; 18: 233-249
    CrossrefPubMedGoogle Scholar
  • 17 Healey F, Scobie S, Oliver D. et al. Falls in English and Welsh hospitals: A national observational study based on retrospective analysis of 12 months of patient safety incidents reports. Qual Saf Health Care 2008; 17: 424-430
    CrossrefPubMedGoogle Scholar
  • 18 Schwendimann R, Bühler H, De Geest S. et al. Characteristics of hospital inpatient falls across clinical departments. Gerontology 2008; 54: 342-348
    CrossrefPubMedGoogle Scholar
  • 19 Hill AM, Hoffmann T, Haines TP. Circumstances of falls and falls-related injuries in a cohort of older patients following hospital discharge. Clin Intervent Aging 2013; 8: 765-774
    CrossrefPubMedGoogle Scholar
  • 20 Lindemann U, Schwenk M, Klenk J. et al. Problems of older persons using a wheeled walker. Aging Clin Exp Res 2016; 28: 215-220
    CrossrefPubMedGoogle Scholar
  • 21 Pflaum M, Lang FR, Freiberger E. Fit mit Rollator. Z Gerontol Geriatr. 2016 DOI: 10.1007/s00391-015-1007-8
    CrossrefPubMedGoogle Scholar
  • 22 Aranda-Gallardo M, Morales-Asencio JM, Canca-Sanchez JC. et al. Instruments for assessing the risk of falls in acute hospitalized patients: A systematic review and meta-analysis. BMC Health Serv Res 2013; 13: 122
    CrossrefPubMedGoogle Scholar
  • 23 Oliver D, Daly F, Martin FC. et al. Risk factors and risk assessment tools for falls in hospital in-patients: A systematic review. Age Ageing 2004; 33: 122-130
    CrossrefPubMedGoogle Scholar
  • 24 Ayoubi F, Launay C, Annweiler C. et al. Fear of falling, falls, and gait variability in older community-dwelling individuals: Is there an association?. Journal of the American Geriatrics Society 2013; 61: 1236-1238
    CrossrefPubMedGoogle Scholar
  • 25 Hughes CC, Kneebone II, Jones F. et al. A theoretical and empirical review of psychological factors associated with falls-related psychological concerns in community-dwelling older people. International psychogeriatrics/IPA 2015; 27: 1071-1087
    CrossrefPubMedGoogle Scholar
  • 26 Payette MC, Belanger C, Leveille V. et al. Fall-related psychological concerns and anxiety among community-dwelling older adults: Systematic review and meta-analysis. PloS one 2016; 11: e0152848
    CrossrefPubMedGoogle Scholar
  • 27 Schoene D, Heller C, Aung YN. et al. A systematic review on the influence of fear of falling on quality of life in older people: Is there a role for falls?. Clin Intervent Aging 2019; 14: 701-719
    CrossrefPubMedGoogle Scholar
  • 28 Zijlstra G, van Haastregt JCM, van Eijk JTM. et al. Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age Ageing 2007; 36: 304-309
    CrossrefPubMedGoogle Scholar
  • 29 Denkinger MD, Lukas A, Nikolaus T. et al. Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: A systematic review. Am J Geriat Psychiat 2015; 23: 72-86
    CrossrefPubMedGoogle Scholar
  • 30 Verghese J, Wang C, Holtzer R. Relationship of clinic-based gait speed measurement to limitations in community-based activities in older adults. Arch Phys Med Rehabil 2011; 92: 844-846
    CrossrefPubMedGoogle Scholar
  • 31 Verghese J, Wang C, Lipton RB. et al. Motoric cognitive risk syndrome and the risk of dementia. J Gerontol A Biol Sci Med Sci 2013; 68: 412-418
    CrossrefPubMedGoogle Scholar
  • 32 Cruz-Jentoft AJ, Bahat G, Bauer J. et al. Sarcopenia: Revised European consensus of definition and diagnosis. Age Ageing. 2018 DOI: 10.1093/ageing/afy169
    CrossrefPubMedGoogle Scholar
  • 33 Miller ME, Magaziner J, Marsh AP. et al. Gait speed and mobility disability: Revisiting meaningful levels in diverse clinical populations. J Am Geriatr Soc 2018; 66: 954-961
    CrossrefPubMedGoogle Scholar
  • 34 Kwon S, Perera S, Pahor M. et al. What is a meaningful change in physical performance? Findings from a clinical trial in older adults (the LIFE-P study). J Nutr Health Aging 2009; 13: 538-544
    CrossrefPubMedGoogle Scholar
  • 35 Demnitz N, Zsoldos E, Mahmood A. et al. Association between mobility, cognition, and brain structure in healthy older adults. Frontiers in Aging Neuroscience 2017; 9: 155
    CrossrefPubMedGoogle Scholar
  • 36 Middleton A, Fritz SL, Lusardi M. Walking speed: The functional vital sign. J Aging Phys Activity 2015; 23: 314-322
    CrossrefPubMedGoogle Scholar
  • 37 Montero-Odasso M, Almeida QJ, Bherer L. et al. Consensus on shared measures of mobility and cognition: From the Canadian Consortium on Neurodegeneration in Aging (CCNA). J Gerontol A Biol Sci Med Sci 2019; 74: 897-909
    CrossrefPubMedGoogle Scholar
  • 38 Morris R, Lord S, Bunce J. et al. Gait and cognition: Mapping the global and discrete relationship in ageing and neurodegenerative disease. Neurosci Biobehav Rev 2016; 64: 326-345
    CrossrefPubMedGoogle Scholar
  • 39 Hopewell S, Adedire O, Copsey BJ. et al. Multifactorial and multiple component interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2018; 7: Cd012221
    PubMedGoogle Scholar
  • 40 Sherrington C, Fairhall NJ, Wallbank GK. et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev 2019; 1: Cd012424
    PubMedGoogle Scholar
  • 41 Becker C, Blessing-Kapelke U, Borhof A. et al. Empfehlungspapier für das körperliche Training zur Sturzprävention bei älteren, zu Hause lebenden Menschen. Z Gerontol Geriat 2011; 44: 121-128
    CrossrefPubMedGoogle Scholar
  • 42 Robertson MC, Devlin N, Scuffham P. et al. Economic evaluation of a community based exercise programme to prevent falls. J Epidemiol Community Health 2001; 55: 600-606
    CrossrefPubMedGoogle Scholar
  • 43 Kyrdalen IL, Moen K, Roysland AS. et al. The Otago exercise program performed as group training versus home training in fall-prone older people: A randomized controlled trial. Physiother Res Int. 2013 DOI: 10.1002/pri.1571
    CrossrefPubMedGoogle Scholar
  • 44 Siegrist M, Freiberger E, Geilhof B. et al. Fall prevention in a primary care setting. Dtsch Arztebl Int 2016; 113: 365-372
    CrossrefPubMedGoogle Scholar
  • 45 Donath L, Faude O, Bridenbaugh SA. et al. Transfer effects of fall training on balance performance and spatiotemporal gait parameters in healthy community-dwelling older adults: A pilot study. J Aging Phys Act 2014; 22: 324-333
    CrossrefPubMedGoogle Scholar
  • 46 Adcock M, Sonder F, Schattin A. et al. A usability study of a multicomponent video game-based training for older adults. Eur Rev Aging Phys Act 2020; 17: 3
    CrossrefPubMedGoogle Scholar
  • 47 Sandlund M, Pohl P, Ahlgren C. et al. Gender perspective on older people’s exercise preferences and motivators in the context of falls prevention: A qualitative study. BioMed Research International 2018; 2018: 6865156
    CrossrefPubMedGoogle Scholar
  • 48 Hill KD, Day L, Haines TP. What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?. Clin Intervent Aging 2014; 9: 2045-2053
    CrossrefPubMedGoogle Scholar
  • 49 Nyman SR, Victor CR. Older people’s participation in and engagement with falls prevention interventions in community setting: An augment to the Cochrane systematic review. Age Ageing 2012; 41: 16-23
    CrossrefPubMedGoogle Scholar
  • 50 Mackenzie L, McIntyre A. How do general practitioners (GP) engage in falls prevention with older people? A pilot survey of GPs in NHS England suggests a gap in routine practice to address falls prevention. Frontiers Publ Health 2019; 7: 32
    CrossrefPubMedGoogle Scholar
  • 51 Ayoung-Chee P, McIntyre L, Ebel BE. et al. Long-term outcomes of ground-level falls in the elderly. J Trauma Acute Care Surg 2014; 76: 498-503 discussion 503
    CrossrefPubMedGoogle Scholar
  • 52 Gray LC, Peel NM, Costa AP. et al. Profiles of older patients in the emergency department: Findings from the interRAI multinational emergency department study. Ann Emerg Med 2013; 62: 467-474
    CrossrefPubMedGoogle Scholar
  • 53 Masud T, Morris RO. Epidemiology of falls. Age Ageing 2001; 30 (Suppl. 04) 3-7
    CrossrefPubMedGoogle Scholar
  • 54 Close J, Swift C. Prevention of Falls in the Elderly Trial (PROFET): A randomised controlled trial. J Article Workform 1999; 353: 93-97
    Google Scholar
  • 55 Davis JC, Best JR, Bryan S. et al. Mobility is a key predictor of change in well-being among older adults who experience falls: Evidence from the Vancouver Falls Prevention Clinic Cohort. Arch Phys Med Rehabil 2015; 96: 1634-1640
    CrossrefPubMedGoogle Scholar
  • 56 Harada CN, Natelson Love MC, Triebel KL. Normal cognitive aging. Clin Geriatr Med 2013; 29: 737-752
    CrossrefPubMedGoogle Scholar
  • 57 Shumway-Cook A, Ciol MA, Yorkston KM. et al. Mobility limitations in the medicare population: Prevalence and sociodemographic and clinical correlates. J Am Geriatr Soc 2005; 53: 1217-1221
    CrossrefPubMedGoogle Scholar
  • 58 Webber SC, Porter MM, Menec VH. Mobility in older adults: A comprehensive framework. Gerontologist 2010; 50: 443-450
    CrossrefPubMedGoogle Scholar