[Functional mobility tests of proclivity for falls in nursing home patients].
Falls of nursing home patients can lead to serious injury and the start or increase of a downwards spiral as far as functional dependence is concerned. Interventions aimed at fall prevention can be successful, therefore it is important to be able to detect patients with a high risk of falling. Medline helped to research literature covering the diagnostic value (sensitivity and specificity) of the available functional (or performance-oriented) mobility tests. Thirteen prospective studies were found with descriptions of tests which make it possible to predict the risk of falling. The tests showed a large variation in the already limited sensitivity and to a lesser degree a variation in specificity. Although further research on functional mobility tests specifically for nursing homes is necessary, the Performance-oriented mobility assessment (POMA) is a reasonable test that can be used in a nursing home environment.
de Kinkelder
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Dierkx
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RI
D000058:Accidental Falls / Q000517:prevention & control*; D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008124:Locomotion; D008297:Male; D009426:Netherlands; D009735:Nursing Homes; D011446:Prospective Studies; D018570:Risk Assessment; D011795:Surveys and Questionnaires / Q000592:standards*