title: Can the Ordered Multi-Stepping Over Hoop test be useful for predicting fallers among older people? A preliminary 1 year cohort study.
abstract: OBJECTIVE
  To prevent falls among older people, we developed a new fall-risk assessment, the "Ordered Multi-Stepping Over Hoop (OMO)" test. The aims of this study were preliminary: to investigate the association of the OMO with cognitive and physical function and to investigate whether the OMO could predict incidents of falling.
  
  
  METHODS
  Fifty-nine community-dwelling older people (mean age = 88.0 ± 0.87, female = 49) were recruited. We assessed cognitive and physical function including the OMO test at baseline and monitored the falls of participants during a 12-month follow-up period from the baseline. We investigated whether the OMO was associated with cognitive function, physical function, and incidents of falling. To investigate whether the OMO could predict incidents of falling, a receiver operating characteristic analysis was conducted.
  
  
  RESULTS
  The OMO time in fallers was significantly slower than for non-fallers. There were significant correlations between slower OMO times and lower physical functions and executive function. The area under the ROC curve in the OMO was 0.71 (p < 0.05). Times above 21.9 s for the OMO identified those more likely to fall.
  
  
  CONCLUSIONS
  The OMO time was correlated with cognitive function, physical function, and incidents of falling. Our preliminary study indicates that the OMO may help to make a distinction between fallers and non-fallers among older people as effectively as other tests.
authors.affiliation: Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, 7-10-2, Tomogaoka, Suma-ku, Kobe 654-0142, Hyogo, Japan. k-tsutsu@ncgg.go.jp
authors.forename: Kota
authors.initials: K
authors.lastname: Tsutsumimoto
authors.forename: Takehiko
authors.initials: T
authors.lastname: Doi
authors.forename: Shogo
authors.initials: S
authors.lastname: Misu
authors.forename: Rei
authors.initials: R
authors.lastname: Ono
authors.forename: Soichiro
authors.initials: S
authors.lastname: Hirata
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000369:Aged, 80 and over; D003071:Cognition / Q000502:physiology; D015331:Cohort Studies; D056344:Executive Function / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D004856:Postural Balance / Q000502:physiology; D011237:Predictive Value of Tests; D012372:ROC Curve; D012111:Residence Characteristics; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors