title: Fear of falling during activities of daily living after total hip arthroplasty in Japanese women: a cross-sectional study.
abstract: OBJECTIVE
  To investigate the prevalence of fear of falling, and identify factors associated with fear of falling during activities of daily living after total hip arthroplasty (THA).
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Community.
  
  
  METHODS
  Two hundred and fourteen women who had undergone THA.
  
  
  METHODS
  Fear of falling after THA was assessed for 12 activities of daily living using a fear of falling score. The number of falls in the past year, total Oxford Hip Score (OHS), total Penn State Worry Questionnaire (PSWQ) score and walking capacity were recorded as descriptive statistics. Multiple linear regression analysis was performed, with total fear of falling score as the dependent variable and age, body mass index, time since THA, bilateral THA, total OHS, history of falling, walking capacity and total PSWQ score as the independent variables.
  
  
  RESULTS
  A number of participants (mean age = 64.2) experienced fear of falling while ascending and descending stairs: 45% (97/214), taking a bath: 26% (56/214), bending to pick something up off the floor: 26% (55/214), and getting up from lying on the floor: 25% (54/214). Fear of falling during activities of daily living after THA was significantly correlated with total OHS, history of falling, walking capacity, total PSWQ score and age (P<0.05).
  
  
  CONCLUSIONS
  Fear of falling develops in certain activities of daily living after THA. It is associated with poorer functional outcome, history of falling, lower walking capacity, higher anxiety level and older age.
authors.affiliation: Department of Physical Therapy, Faculty of Health Science, Kyoto Tachibana University, Kyoto, Japan. Electronic address: k.nagai1231@gmail.com.
authors.forename: K
authors.initials: K
authors.lastname: Nagai
authors.affiliation: Masuhara Clinic, Osaka, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Ikutomo
authors.affiliation: Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Yamada
authors.affiliation: Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Tsuboyama
authors.affiliation: Masuhara Clinic, Osaka, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Masuhara
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control / Q000706:statistics & numerical data*; D000203:Activities of Daily Living / Q000523:psychology*; D000367:Age Factors; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D005239:Fear / Q000523:psychology*; D005260:Female; D006801:Humans; D015994:Incidence; D007564:Japan; D016014:Linear Models; D008875:Middle Aged; D015999:Multivariate Analysis; D015995:Prevalence; D018570:Risk Assessment
keywords: Activities of daily living; Anxiety; Fall; Fear of falling; Total hip arthroplasty; Walking