title: Falls and Wrist Fracture: Relationship to Women's Functional Status after Age 50.
abstract: Women experience a rapid rise in the incidence of wrist fracture after age 50. Accordingly, this study aimed to (1) determine the internal and environmental fall-related circumstances resulting in a wrist fracture, and (2) examine the relationship of functional status to these circumstances. Women aged 50 to 94 years reported on the nature of the injury (n = 99) and underwent testing for physical activity status, balance, strength, and mobility (n = 72). The majority of falls causing wrist fracture occurred outdoors, during winter months, as a result of a slip or trip while walking. Half of these falls resulted in other injuries including head, neck, and spine injuries. Faster walking speed, lower grip strength, and higher balance confidence were significantly associated with outdoor versus indoor falls and slips and trips versus other causes. This study provides insights into potential screening and preventive measures for fall-related wrist fractures in women.
authors.affiliation: School of Physical Therapy,College of Medicine,University of Saskatchewan.
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Arnold
authors.affiliation: School of Rehabilitation Science,McMaster University.
authors.forename: Vanina P M
authors.initials: VP
authors.lastname: Dal Bello-Haas
authors.affiliation: College of Kinesiology,University of Saskatchewan.
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Farthing
authors.affiliation: School of Physical Therapy,College of Medicine,University of Saskatchewan.
authors.forename: Katie L
authors.initials: KL
authors.lastname: Crockett
authors.affiliation: College of Kinesiology,University of Saskatchewan.
authors.forename: Charlene R A
authors.initials: CR
authors.lastname: Haver
authors.affiliation: Department of Surgery,College of Medicine,University of Saskatchewan.
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Johnston
authors.affiliation: Department of Medicine,College of Medicine,University of Saskatchewan.
authors.forename: Jenny
authors.initials: J
authors.lastname: Basran
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D006259:Craniocerebral Trauma / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004777:Environment; D015444:Exercise; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology*; D018737:Hand Strength; D006801:Humans; D008875:Middle Aged; D009104:Multiple Trauma / Q000453:epidemiology*; D019838:Neck Injuries / Q000453:epidemiology; D004856:Postural Balance; D012307:Risk Factors; D012525:Saskatchewan / Q000453:epidemiology; D012621:Seasons; D013124:Spinal Injuries / Q000453:epidemiology; D000072797:Walking Speed; D014954:Wrist Injuries / Q000453:epidemiology*
keywords: accidental falls; aging; aînés; chutes accidentelles; colles fracture; facteurs de risque; female; femme (humaine); fracture de Pouteau-Colles; older adults; risk factors; vieillissement