The Performance-Oriented Mobility Assessment (Tinetti Scale) in the assessment of falls: analysis of the importance of each item [Il Performance-Oriented Mobility Assessment (Scala di Tinetti) nellassessment delle cadute: analisi dellimportanza dei singoli item]
Ricci G.,Segesta Gruppo Korian |
Barrionuevo M.L.,Segesta Gruppo Korian |
Bodini S.,Segesta Gruppo Korian |
Cosso P.,Segesta Gruppo Korian |
And 4 more authors.
Giornale di Gerontologia | Year: 2013
Falls are one of the most common and dangerous events in elderly residents in Nursing Homes. The assessment of risk factors is therefore one of the main targets for the institutionalized elderly and the evaluation of performance in balance and gait is an essential approach in the elderly. The aim of this study was to assess performance in gait and balance in a population of elderly living in RSA Villa San Clemente, Villasanta (MB), a 110 beds nursing home. The assessment of balance and gait was carried out by monitoring quarterly, for twelve months, the scores of Performance Oriented Mobility Assessment (POMA). In each of the four measurements scores of POMA balance (POMA-B) of POMA gait (POMA-G) and total (POMA-T) were recorded. Moreover the scores in the individual item were recorded. subjects who were not able to complete the test even in one of the four surveys were excluded from the study. For each person the number of falls occurred during the follow up were recorded so the examinees were divided into three groups: Group A = 26 persons - no falls; Group B = 20 persons - one fall; Group C = 8 persons - two falls or more. The comparison between the three groups, showed significant differences especially at eight (T2) and twelve months (T3), only in some item of POMA-G, between group C and the other two. No differences emerged between group A and Group B. Moreover, intra-group comparisons carried out comparing the scores of POMA at baseline (T0) and at the end of follow up (T3), showed a general deterioration in performances even if the statistics are significant only in group A (no falls) and group B (one fall). Group C (2 or more falls) showed a significant deterioration of performances only "in standing balance" and in POMA-B total score. Our results indicate a certain difficulty in being able to identify persons at risk of falling with the only aid of POMA; further studies should examine the predictive value of other tests for the measurement of the motor and the balance autonomy.