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‘Better safe than sorry’—perceptions of fall-related concerns and balance in older women with osteoporosis
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WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS427–eS632
Research Report Poster Presentation Number: RR-PO-13-10-Sun Sunday 3 May 2015 13:00 Exhibit halls 401–403 ‘BETTER SAFE THAN SORRY’—PERCEPTIONS OF FALL-RELATED CONCERNS AND BALANCE IN OLDER WOMEN WITH OSTEOPOROSIS A. Halvarsson 1,2 , A. Ståhle 1,2 , C. Halén 2 , K. Skavberg Roaldsen 1,3 1 Karolinska
Institutet, Neurobiology, Care Sciences and Society, Huddinge, Sweden; 2 Karolinska University Hospital, Physiotherapy, Solna, Sweden; 3 Sunnaas Rehabilitation Hospital, Sunnaas, Norway Background: The proportion of older adults and elderly osteoporosis is growing world wide. With increased age balance performance declines and the risk of falling increases. A fall among a person with osteoporosis can lead to severe consequences for the individual, such as fractures, fall-related concerns, avoidance of activity and increased dependency. Fall-related injuries results in great costs for the society in healthcare expenses. Today there is some evidence that balance-training improves balance performance and prevent falls among older adults, but limited knowledge if balancetraining may influence fall-related concerns. There is limited research regarding how older women with osteoporosis perceive fall-related concerns and balance performance. Purpose: The aim of this study was to explore how older adults with osteoporosis, after having participated in a balance-training program, perceive fall-related concerns and balance in daily life. Methods: Semi-structured interviews were conducted with 19 older women, aged 66–84 years, with verified osteoporosis, on their subjective perceived balance performance and fall-related concerns recruited from an on-going randomized controlled trial. The interviews were taped and transcribed verbatim. Data was analysed with inductive qualitative content analysis. Results: Three manifest categories were identified: “Empowerment”, “Risk prevention” and “Menace”. In the latent part of the analysis two underlying themes were identified, “Fragility”, and “Internalized risk awareness”. Furthermore in the latent analysis a dynamic process between the manifest categories was found, where seasonal, environmental and/or personal factors influences the dynamic in how the informants perceive their balance and fall-related concerns. Contextual factors like winter season, with snow and slippery surfaces, may lead a person with high empowerment and/or active risk prevention strategies in to a situation of menace and activity avoidance. Conclusion(s): After having participated in the balancetraining program, the informants perceived an improved
empowerment. They resumed activities and with thorough and active risk prevention strategies became more active and independent in daily life. Depending on contextual factors like, some situations were still frightening and led to avoidance behaviour. Implications: The informant’s perception of fragility and their internalized risk awareness, affects their perception of balance performance and fall-related concerns in daily life, dependent of contextual and personal factors. This is important to have in mind in future research and in clinical settings when conducted training programs and when trying to influence strategies for fall-related concerns in older women with osteoporosis. Keywords: Elderly; Qualitative content analysis; Fallrelated concerns Funding acknowledgements: The Swedish Research Council (521-2010-2483, 521-2013-2525), Health Care Sciences Postgraduate School Karolinska Institutet and Sunnaas Rehabilitation Hospital, Department of Research. Ethics approval: The study was approved by the local ethics committee in Stockholm, Sweden (2009/819-32, 2012/1829-32). http://dx.doi.org/10.1016/j.physio.2015.03.3309 Research Report Poster Presentation Number: RR-PO-01-18-Sun Sunday 3 May 2015 13:00 Exhibit halls 401–403 RISK FACTORS FOR DELAYED RECOVERY OF EXERCISE CAPACITY AFTER THORACOSCOPIC LOBECTOMY FOR LUNG CANCER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE K. Hamada 1 , R. Nakanishi 2 , M. Irie 1 , M. Yasuda 2 , H. Nomura 1 1 Shin-Kokura
Hospital, Federation of National Public Service Personnel Mutual Aid Associations, Department of Rehabilitation Medicine, Kitakyusyu, Japan; 2 Shin-Kokura Hospital, Federation of National Public Service Personnel Mutual Aid Associations, Department of Thoracic Surgery, Kitakyusyu, Japan Background: Coexisting of chronic obstructive pulmonary disease have resulted in poor outcomes after lobectomy for lung cancer patients owing to impaired lung function. Many studies demonstrated that minimally invasive approach for lobectomy is associated with better postoperative outcomes than a open thoracotomy approach. However, few studies have investigated the factors related with recovery of exercise capacity in patients with chronic obstructive pulmonary disease underwent thoracoscopic lobectomy for lung cancer.
WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS427–eS632
Research Report Poster Presentation Number: RR-PO-13-10-Sun Sunday 3 May 2015 13:00 Exhibit halls 401–403 ‘BETTER SAFE THAN SORRY’—PERCEPTIONS OF FALL-RELATED CONCERNS AND BALANCE IN OLDER WOMEN WITH OSTEOPOROSIS A. Halvarsson 1,2 , A. Ståhle 1,2 , C. Halén 2 , K. Skavberg Roaldsen 1,3 1 Karolinska
Institutet, Neurobiology, Care Sciences and Society, Huddinge, Sweden; 2 Karolinska University Hospital, Physiotherapy, Solna, Sweden; 3 Sunnaas Rehabilitation Hospital, Sunnaas, Norway Background: The proportion of older adults and elderly osteoporosis is growing world wide. With increased age balance performance declines and the risk of falling increases. A fall among a person with osteoporosis can lead to severe consequences for the individual, such as fractures, fall-related concerns, avoidance of activity and increased dependency. Fall-related injuries results in great costs for the society in healthcare expenses. Today there is some evidence that balance-training improves balance performance and prevent falls among older adults, but limited knowledge if balancetraining may influence fall-related concerns. There is limited research regarding how older women with osteoporosis perceive fall-related concerns and balance performance. Purpose: The aim of this study was to explore how older adults with osteoporosis, after having participated in a balance-training program, perceive fall-related concerns and balance in daily life. Methods: Semi-structured interviews were conducted with 19 older women, aged 66–84 years, with verified osteoporosis, on their subjective perceived balance performance and fall-related concerns recruited from an on-going randomized controlled trial. The interviews were taped and transcribed verbatim. Data was analysed with inductive qualitative content analysis. Results: Three manifest categories were identified: “Empowerment”, “Risk prevention” and “Menace”. In the latent part of the analysis two underlying themes were identified, “Fragility”, and “Internalized risk awareness”. Furthermore in the latent analysis a dynamic process between the manifest categories was found, where seasonal, environmental and/or personal factors influences the dynamic in how the informants perceive their balance and fall-related concerns. Contextual factors like winter season, with snow and slippery surfaces, may lead a person with high empowerment and/or active risk prevention strategies in to a situation of menace and activity avoidance. Conclusion(s): After having participated in the balancetraining program, the informants perceived an improved
empowerment. They resumed activities and with thorough and active risk prevention strategies became more active and independent in daily life. Depending on contextual factors like, some situations were still frightening and led to avoidance behaviour. Implications: The informant’s perception of fragility and their internalized risk awareness, affects their perception of balance performance and fall-related concerns in daily life, dependent of contextual and personal factors. This is important to have in mind in future research and in clinical settings when conducted training programs and when trying to influence strategies for fall-related concerns in older women with osteoporosis. Keywords: Elderly; Qualitative content analysis; Fallrelated concerns Funding acknowledgements: The Swedish Research Council (521-2010-2483, 521-2013-2525), Health Care Sciences Postgraduate School Karolinska Institutet and Sunnaas Rehabilitation Hospital, Department of Research. Ethics approval: The study was approved by the local ethics committee in Stockholm, Sweden (2009/819-32, 2012/1829-32). http://dx.doi.org/10.1016/j.physio.2015.03.3309 Research Report Poster Presentation Number: RR-PO-01-18-Sun Sunday 3 May 2015 13:00 Exhibit halls 401–403 RISK FACTORS FOR DELAYED RECOVERY OF EXERCISE CAPACITY AFTER THORACOSCOPIC LOBECTOMY FOR LUNG CANCER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE K. Hamada 1 , R. Nakanishi 2 , M. Irie 1 , M. Yasuda 2 , H. Nomura 1 1 Shin-Kokura
Hospital, Federation of National Public Service Personnel Mutual Aid Associations, Department of Rehabilitation Medicine, Kitakyusyu, Japan; 2 Shin-Kokura Hospital, Federation of National Public Service Personnel Mutual Aid Associations, Department of Thoracic Surgery, Kitakyusyu, Japan Background: Coexisting of chronic obstructive pulmonary disease have resulted in poor outcomes after lobectomy for lung cancer patients owing to impaired lung function. Many studies demonstrated that minimally invasive approach for lobectomy is associated with better postoperative outcomes than a open thoracotomy approach. However, few studies have investigated the factors related with recovery of exercise capacity in patients with chronic obstructive pulmonary disease underwent thoracoscopic lobectomy for lung cancer.