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Research ArticleOriginal Article
Open Access

The correlation between fear of falling and upper extremity muscle strength

Bulent Yardimci, Melahat Akdeniz and Tarik Demir
Saudi Medical Journal April 2021, 42 (4) 411-418; DOI: https://doi.org/10.15537/smj.2021.42.4.20200674
Bulent Yardimci
From the Department of Internal Medicine (Yardimci), Istanbul American Hospital; from the Department of Nursing Home (Demir), Balikli Rum Hospital, Istanbul; and from the Department of Family Medicine (Akdeniz), Faculty of Medicine, Akdeniz University, Antalya, Turkey.
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  • For correspondence: [email protected]
Melahat Akdeniz
From the Department of Internal Medicine (Yardimci), Istanbul American Hospital; from the Department of Nursing Home (Demir), Balikli Rum Hospital, Istanbul; and from the Department of Family Medicine (Akdeniz), Faculty of Medicine, Akdeniz University, Antalya, Turkey.
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Tarik Demir
From the Department of Internal Medicine (Yardimci), Istanbul American Hospital; from the Department of Nursing Home (Demir), Balikli Rum Hospital, Istanbul; and from the Department of Family Medicine (Akdeniz), Faculty of Medicine, Akdeniz University, Antalya, Turkey.
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    Figure 1

    - Receiver operating characteristic curve analysis for the intersection values of the right and left handgrip tests in determining those without the probability of fall risk.

Tables

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    Table 1

    - Sociodemographic characteristics: total and with or without fear of falling.

    CharacteristicsTotalNoYes 
    Med ± SD (min-max)Med ± SDMin-Max (median)Med±SDMin-Max (median)P-value
    Age72.3 ± 11.2 (43-97)69.3 ± 10.743-92 (67.5)74.9±11.143-97 (77)0.008
    Height164.1 ± 10.6 (145-188)166.4 ± 11.2146-188 (167)160.8±9.1145-175 (160)0.146
    Weight74.9 ± 21.0 (27-130)75.0 ± 18.640-116 (80)74.7±24.927-130 (70)0.968
    Body mass index28.2 ± 6.5 (12.8-56.4)28.7 ± 6.616.6-56.4 (27.8)27.8±6.412.8-48.3 (27.5)0.477
    Gender
      Male47 (42.0)3465.41321.7<0.001
      Female65 (58.0)1834.64778.3 
    Educational level
      Primary education64 (57.1)2548.13965.00.066
      Secondary education31 (27.7)1528.81626.7 
      University17 (15.2)1223.158.3 
    Marital status
      Single31 (27.7)1834.61321.70.293
      Widow(er)41 (36.6)1834.62338.3 
      Married40 (35.7)1630.82440.0 
    Spouse status
      Separated35 (31.3)1630.81931.70.246
      Together16 (14.3)1019.2610.0 
      Not married24 (21.4)1325.01118.3 
      Deceased37 (33.0)1325.02440.0 
    Additional disease
      Diabetes mellitus22 (19.6)1019.21220.00.919
      Hypertension28 (25.0)1325.01525.01.000
      Cardiac disease12 (10.7)59.6711.70.726
      Bronchial asthma-COPD10 (8.9)35.8711.70.334
      Hypothyroidism2 (1.8)00.023.30.498
      Hyperthyroidism2 (1.8)00.023.30.498
      Hypercholesterolemia1 (0.9)00.011.71.000
      Arthritis1 (0.9)00.011.71.000
      Renal insufficiency1 (0.9)11.900.00.464
      Depression3 (2.7)23.811.70.596
      Osteoporosis5 (4.5)35.823.30.662
      Cancer3 (2.7)35.800.00.097
      Other3 (2.7)23.811.70.596
    Number of additional disease
      None30 (26.8)1528.81525.00.848
      One72 (64.3)3363.53965.0 
      Two or three10 (8.9)47.7610.0 
    • Values are presented as number and percentages (%). COPD: chronic obstructive pulmonary disease

    • View popup
    Table 2

    - Correlation between fear of falling. Physical capabilities and geriatric tools.

     TotalNoYes 
    TestMed.±SD (Min-Max)Med±SDMin-Max (median)Med±SDMin-Max (median)P-value
    Annual number of falls15.9±8.0 (0-33)0.29±0.460-1 (0)0.92±1.480-10 (1)0.001
    Mini Mental Test13.6±5.8 (0-26)18.2±6.80-33 (18)13.9±8.50-30 (14.5)0.009
    Geriatric Depression Scale2.74±2.87 (0-8)13.4±4.40-22 (13)13.7±6.90-26 (15)0.241
    Lawton-Brody Scale0.63±1.16 (0-10)3.81±3.040-8 (4)1.82±2.380-8 (1)0.001
    6 meter stand up and walk test18.9±13.4 (5-63)14.6±10.15-60 (12)22.6±14.88-63 (17.5)<0.001
    Right handgrip15.3±9.9 (0.5-48)21.7±9.010-48 (20)9.7±6.70.5-32 (10)<0.001
    Left handgrip14.5±9.8 (0.5-50)20.9±9.58-50 (19)8.9±6.10.5-30 (8)<0.001
    Right key pinch4.78±2.28 (0.5-12.5)6.09±2.133-12.5 (5.25)3.64±1.740.5-10.5 (3.75)<0.001
    Left key pinch4.43±2.13 (0.5-12.5)5.59±2.271-12.5 (5)3.42±1.370.5-8 (3.25)<0.001
    Falls Efficacy Scale42.7±27.1 (10-96)18.1±9.910-51 (14)64.1±17.415-96 (65.5)<0.001
    • View popup
    Table 3

    - Falls Efficacy Scale means in sociodemographic characteristics.

    CharacteristicsMean ± SDMin-Max (median)P-value
    Gender
      Male29.6 ± 22.510-80 (18)<0.001
      Female52.2 ± 26.410-96 (55) 
    Educational level
      Primary education44.4 ± 26.910-92 (49.5)0.211
      Secondary education45.7 ± 27.910-96 (42) 
      University31.1 ± 25.010-80 (19) 
    Marital status
      Single31.4 ± 24.610-88 (19)0.008
      Widow(er)47.1 ± 27.410-96 (52) 
      Married46.9 ± 26.910–93 (50) 
    Spouse status
      Separated44.6 ± 28.310-93 (53)0.067
      Together35.9 ± 25.610-84 (28) 
      Not married33.4 ± 25.610-88 (24.5) 
      Deceased49.9 ± 26.210-96 (54) 
    Number of additional diseases
      None37.1 ± 26.810-90 (29)0.303
      One44.2 ± 27.210-96 (46.5) 
      Two or three48.9 ± 27.715-85 (50) 
    • Single versus (vs.) widow(er): p=0.004, single vs. married: p=0.011, widow(er) vs. married: p=0.821

    • View popup
    Table 4

    - Correlation between 6-meter stand up and walk test and upper extremity muscle strength tests.

    TestrP-value
    Right handgrip−0.526<0.001
    Left handgrip−0.457<0.001
    Right key pinch−0.494<0.001
    Left key pinch−0.423<0.001
    • View popup
    Table 5

    - Falling risk factors, multivariate regression analysis, modeling, and backward method.

    VariablesP-valueOR95% CI
    Enter method
      Age0.8390.9930.928–1.062
      Gender0.6241.4450.331–6.306
      Educational level0.3521.5690.607–4.052
      Spouse status0.7221.1010.648–1.869
      Mini-mental test0.4590.9610.863–1.069
      Geriatric Depression Scale0.6541.0280.911–1.160
      Lawton–Brody scale0.9110.9870.781–1.247
      Annual number of falls0.0055.1191.647–15.907
      6-meter stand up and walk test0.2011.0400.979–1.104
      Right handgrip0.3320.9220.783–1.086
      Left handgrip0.1090.8700.733–1.032
      Right key pinch0.4340.7610.384–1.508
      Left key pinch0.8311.0830.522–2.246
    Backward method
      Annual number of falls0.0044.1901.591–11.035
      Right handgrip0.0220.8650.764–0.979
      Left handgrip0.0490.8770.770–0.999
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Saudi Medical Journal: 42 (4)
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The correlation between fear of falling and upper extremity muscle strength
Bulent Yardimci, Melahat Akdeniz, Tarik Demir
Saudi Medical Journal Apr 2021, 42 (4) 411-418; DOI: 10.15537/smj.2021.42.4.20200674

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The correlation between fear of falling and upper extremity muscle strength
Bulent Yardimci, Melahat Akdeniz, Tarik Demir
Saudi Medical Journal Apr 2021, 42 (4) 411-418; DOI: 10.15537/smj.2021.42.4.20200674
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