Balance dysfunction and falls in people with lower limb arthritis: Factors contributing to risk and effectiveness of exercise interventions

European Review of Aging and Physical Activity

Volumn 9, Issue 1, 2012, Pages 17-25

  Levinger, Pazit ^a   Wallman, Susannah ^b   Hill, Keith ^a,c,d  

^a LA TROBE UNIVERSITY   (Australia)

^b Arthritis Victoria   (Australia)

^c NORTHERN HEALTH   (Australia)

^d NATIONAL AGEING RESEARCH INSTITUTE   (Australia)

Author keywords

Arthritis; Elderly; Exercise; Falls

Indexed keywords

EID: 84860764581     PISSN: 18137253     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11556-011-0086-9     Document Type: Review

References (104)

1. Cripps R, Carman J (2001) Falls by the elderly in Australia: trends and data for 1998. Australian Institute of Health and Welfare, Canberra, pp 1-31.
2. Lord SR, Sherrington C, Menz HB (2001) Falls in older people. Cambridge University Press, London.
3. Tinetti ME, Speechley M, Ginter SF (1988) Risk factors for falls among elderly persons living in the community. N Engl J Med 319(26): 1701-1707.
4. Campbell AJ, Borrie MJ, Spears GF (1989) Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol 44(4): M112-M117.
5. Dolinis J, Harrison JE, Andrews GR (1997) Factors associated with falling in older Adelaide residents. Aust N Z J Public Health 21(5): 462-468.
6. Morris M, Osborne D, Hill K, Kendig H, Lundgren-Lindquist B, Browning C, Reid J (2004) Predisposing factors for occasional and multiple falls in older Australians who live at home. Aust J Physiother 50(3): 153-159.
7. O'Loughlin JL, Robitaille Y, Boivin JF, Suissa S (1993) Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. Am J Epidemiol 137(3): 342-354.
8. Bradley C, Pointer S (2008) Hospitalisations due to falls by older people, Australia 2005-2006. Injury research and statistics. AIHW, Adelaide.
9. Stevens JA, Corso PS, Finkelstein EA, Miller TR (2006) The costs of fatal and non-fatal falls among older adults. Inj Prev 12(5): 290-295.
10. Howland J, Peterson EW, Levin WC, Fried L, Pordon D, Bak S (1993) Fear of falling among the community-dwelling elderly. J Aging Health 5(2): 229-243.
11. Fessel KD, Nevitt MC (1997) Correlates of fear of falling and activity limitation among persons with rheumatoid arthritis. Arthritis Care Res 10(4): 222-228.
12. Rubenstein LZ, Josephson KR (2002) The epidemiology of falls and syncope. Clin Geriatr Med 18(2): 141-158.
13. Leipzig RM, Cumming RG, Tinetti ME (1999) Drugs and falls in older people: a systematic review and meta-analysis: I. Psychotropic drugs. J Am Geriatr Soc 47(1): 30-39.
14. Robbins AS, Rubenstein LZ, Josephson KR, Schulman BL, Osterweil D, Fine G (1989) Predictors of falls among elderly people. Results of two population-based studies. Arch Intern Med 149(7): 1628-1633.
15. Lord SR, Ward JA, Williams P, Anstey KJ (1994) Physiological factors associated with falls in older community-dwelling women. J Am Geriatr Soc 42(10): 1110-1117.
16. Tinetti ME, Inouye SK, Gill TM, Doucette JT (1995) Shared risk factors for falls, incontinence, and functional dependence. Unifying the approach to geriatric syndromes. JAMA 273(17): 1348-1353.
17. Callisaya ML, Blizzard L, Schmidt MD, McGinley JL, Srikanth VK (2010) Ageing and gait variability-a population-based study of older people. Age Ageing 39(2): 191-197.
18. Hill K, Schwarz J, Flicker L, Carroll S (1999) Falls among healthy, community-dwelling, older women: a prospective study of frequency, circumstances, consequences and prediction accuracy. Aust N Z J Public Health 23(1): 41-48.
19. Delbaere K, van den Noortgate N, Bourgois J, Vanderstraeten G, Tine W, Cambier D (2006) The physical performance test as a predictor of frequent fallers: a prospective community-based cohort study. Clin Rehabil 20(1): 83-90.
20. Lord SR, McLean D, Stathers G (1992) Physiological factors associated with injurious falls in older people living in the community. Gerontology 38(6): 338-346.
21. Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JC (2008) Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc 56(12): 2234-2243.
22. Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S, Cumming RG, Rowe BH (2009) Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev (2): CD007146.
23. March LM, Bagga H (2004) Epidemiology of osteoarthritis in Australia. Med J Aust 180(5 Suppl): S6-S10.
24. Verbrugge LM, Juarez L (2008) Arthritis disability and heart disease disability. Arthritis Rheum 59(10): 1445-1457.
25. Access Economics (2007) Painful realities: the economic impact of arthritis in Australia in 2007. Arthritis Australia, Sydney.
26. Bitton R (2009) The economic burden of osteoarthritis. Am J Manag Care 15(8 Suppl): S230-S235.
27. Leveille SG, Jones RN, Kiely DK, Hausdorff JM, Shmerling RH, Guralnik JM, Kiel DP, Lipsitz LA, Bean JF (2009) Chronic musculoskeletal pain and the occurrence of falls in an older population. JAMA 302(20): 2214-2221.
28. Leveille SG, Bean J, Bandeen-Roche K, Jones R, Hochberg M, Guralnik JM (2002) Musculoskeletal pain and risk for falls in older disabled women living in the community. J Am Geriatr Soc 50(4): 671-678.
29. Blake AJ, Morgan K, Bendall MJ, Dallosso H, Ebrahim SB, Arie TH, Fentem PH, Bassey EJ (1988) Falls by elderly people at home: prevalence and associated factors. Age Ageing 17(6): 365-372.
30. Lawlor DA, Patel R, Ebrahim S (2003) Association between falls in elderly women and chronic diseases and drug use: cross sectional study. BMJ 327(7417): 712-717.
31. Sturnieks DL, Tiedemann A, Chapman K, Munro B, Murray SM, Lord SR (2004) Physiological risk factors for falls in older people with lower limb arthritis. J Rheumatol 31(11): 2272-2279.
32. Schwartz AV, Villa ML, Prill M, Kelsey JA, Galinus JA, Delay RR, Nevitt MC, Bloch DA, Marcus R, Kelsey JL (1999) Falls in older Mexican-American women. J Am Geriatr Soc 47(11): 1371-1378.
33. Stalenhoef PA, Crebolder HF, Knottnerus JA, van der Horst F (1997) Incidence, risk factors and consequences of falls among elderly subjects living in the community: a criteria-based analysis. Eur J Publ Health 7(3): 328-334.
34. Brand C, Juan AW, Lowe A, Morton C (2005) Prevalence, outcome and risk for falling in 155 ambulatory patients with rheumatic disease. J Rheumatol 8: 99-105.
35. Williams SB, Brand CA, Hill KD, Hunt SB, Moran H (2010) Feasibility and outcomes of a home-based exercise program on improving balance and gait stability in women with lower-limb osteoarthritis or rheumatoid arthritis: a pilot study. Arch Phys Med Rehabil 91(1): 106-114.
36. Levinger P, Menz HB, Wee E, Feller JA, Bartlett JR, Bergman NR (2011) Physiological risk factors for falls in people with knee osteoarthritis before and early after knee replacement surgery. Knee Surg Sports Traumatol Arthrosc 19(7): 1082-1099. doi: 10. 1007/s00167-010-1325-8.
37. Song R, Roberts BL, Lee EO, Lam P, Bae SC (2010) A randomized study of the effects of t'ai chi on muscle strength, bone mineral density, and fear of falling in women with osteoarthritis. J Altern Complement Med 16(3): 227-233.
38. Arnold CM, Faulkner RA (2010) The effect of aquatic exercise and education on lowering fall risk in older adults with hip osteoarthritis. J Aging Phys Act 18(3): 245-260.
39. Daubney ME, Culham EG (1999) Lower-extremity muscle force and balance performance in adults aged 65 years and older. Phys Ther 79(12): 1177-1185.
40. Doherty TJ, Vandervoort AA, Brown WF (1993) Effects of ageing on the motor unit: a brief review. Can J Appl Physiol 18(4): 331-358.
41. Skinner HB, Barrack RL, Cook SD (1984) Age-related decline in proprioception. Clin Orthop Relat Res 184: 208-211.
42. Stevens KN, Lang IA, Guralnik JM, Melzer D (2008) Epidemiology of balance and dizziness in a national population: findings from the English Longitudinal Study of Ageing. Age Ageing 37(3): 300-305.
43. Muir SW, Berg K, Chesworth B, Klar N, Speechley M (2010) Quantifying the magnitude of risk for balance impairment on falls in community-dwelling older adults: a systematic review and meta-analysis. J Clin Epidemiol 63(4): 389-406.
44. Stalenhoef PA, Diederiks JP, Knottnerus JA, Kester AD, Crebolder HF (2002) A risk model for the prediction of recurrent falls in community-dwelling elderly: a prospective cohort study. J Clin Epidemiol 55(11): 1088-1094.
45. Maki BE, Holliday PJ, Topper AK (1991) Fear of falling and postural performance in the elderly. J Gerontol 46(4): M123-M131.
46. Hassan BS, Doherty SA, Mockett S, Doherty M (2002) Effect of pain reduction on postural sway, proprioception, and quadriceps strength in subjects with knee osteoarthritis. Ann Rheum Dis 61(5): 422-428.
47. Hassan BS, Mockett S, Doherty M (2001) Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis 60(6): 612-618.
48. Masui T, Hasegawa Y, Yamaguchi J, Kanoh T, Ishiguro N, Suzuki S (2006) Increasing postural sway in rural-community-dwelling elderly persons with knee osteoarthritis. J Orthop Sci 11(4): 353-358.
49. Ekdahl C, Andersson SI (1989) Standing balance in rheumatoid arthritis. A comparative study with healthy subjects. Scand J Rheumatol 18(1): 33-42.
50. Hinman RS, Bennell KL, Metcalf BR, Crossley KM (2002) Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology (Oxford) 41(12): 1388-1394.
51. Hurley MV, Scott DL, Rees J, Newham DJ (1997) Sensorimotor changes and functional performance in patients with knee osteoarthritis. Ann Rheum Dis 56(11): 641-648.
52. Bennell KL, Hinman RS, Metcalf BR (2004) Association of sensorimotor function with knee joint kinematics during locomotion in knee osteoarthritis. Am J Phys Med Rehabil 83(6): 455-463, quiz 464-456, 491.
53. Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, Garry PJ, Lindeman RD (1998) Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol 147(8): 755-763.
54. Janssen I, Heymsfield SB, Wang ZM, Ross R (2000) Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr. J Appl Physiol 89(1): 81-88.
55. Wolfson L, Judge J, Whipple R, King M (1995) Strength is a major factor in balance, gait, and the occurrence of falls. J Gerontol A Biol Sci Med Sci 50 Spec no: 64-67.
56. Lord SR, Clark RD, Webster IW (1991) Physiological factors associated with falls in an elderly population. J Am Geriatr Soc 39(12): 1194-1200.
57. Arokoski MH, Arokoski JP, Haara M, Kankaanpaa M, Vesterinen M, Niemitukia LH, Helminen HJ (2002) Hip muscle strength and muscle cross sectional area in men with and without hip osteoarthritis. J Rheumatol 29(10): 2185-2195.
58. Ekdahl C, Broman G (1992) Muscle strength, endurance, and aerobic capacity in rheumatoid arthritis: a comparative study with healthy subjects. Ann Rheum Dis 51(1): 35-40.
59. Fisher NM, Pendergast DR (1997) Reduced muscle function in patients with osteoarthritis. Scand J Rehabil Med 29(4): 213-221.
60. Slemenda C, Brandt KD, Heilman DK, Mazzuca S, Braunstein EM, Katz BP, Wolinsky FD (1997) Quadriceps weakness and osteoarthritis of the knee. Ann Intern Med 127(2): 97-104.
61. Madsen OR, Brot C, Petersen MM, Sorensen OH (1997) Body composition and muscle strength in women scheduled for a knee or hip replacement. A comparative study of two groups of osteoarthritic women. Clin Rheumatol 16(1): 39-44.
62. Lamb SE, Guralnik JM, Buchner DM, Ferrucci LM, Hochberg MC, Simonsick EM, Fried LP (2000) Factors that modify the association between knee pain and mobility limitation in older women: the Women's Health and Aging Study. Ann Rheum Dis 59(5): 331-337.
63. Nahit ES, Silman AJ, Macfarlane GJ (1998) The occurrence of falls among patients with a new episode of hip pain. Ann Rheum Dis 57(3): 166-168.
64. Foley SJ, Lord SR, Srikanth V, Cooley H, Jones G (2006) Falls risk is associated with pain and dysfunction but not radiographic osteoarthritis in older adults: Tasmanian Older Adult Cohort study. Osteoarthr Cartil 14(6): 533-539.
65. Lord SR, Dayhew J (2001) Visual risk factors for falls in older people. J Am Geriatr Soc 49(5): 508-515.
66. Russell MA, Hill KD, Blackberry I, Day LM, Dharmage SC (2008) The reliability and predictive accuracy of the falls risk for older people in the community assessment (FROP-Com) tool. Age Ageing 37(6): 634-639.
67. Bell E, Stirling C (2006) What tools help make "whole-of-patient" practices happen?: a Tasmanian Falls Prevention Project. Holist Nurs Pract 20(3): 130-136.
68. Province MA, Hadley EC, Hornbrook MC, Lipsitz LA, Miller JP, Mulrow CD, Ory MG, Sattin RW, Tinetti ME, Wolf SL (1995) The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. JAMA 273(17): 1341-1347.
69. Freiberger E, Menz HB, Abu-Omar K, Rutten A (2007) Preventing falls in physically active community-dwelling older people: a comparison of two intervention techniques. Gerontology 53(5): 298-305.
70. Lord SR, Ward JA, Williams P, Strudwick M (1995) The effect of a 12-month exercise trial on balance, strength, and falls in older women: a randomized controlled trial. J Am Geriatr Soc 43(11): 1198-1206.
71. Moreland JD, Richardson JA, Goldsmith CH, Clase CM (2004) Muscle weakness and falls in older adults: a systematic review and meta-analysis. J Am Geriatr Soc 52(7): 1121-1129.
72. Orr R, Raymond J, Fiatarone Singh M (2008) Efficacy of progressive resistance training on balance performance in older adults: a systematic review of randomized controlled trials. Sports Med 38(4): 317-343.
73. Fransen M, McConnell S (2008) Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev (4): CD004376.
74. Suomi R, Koceja DM (2000) Postural sway characteristics in women with lower extremity arthritis before and after an aquatic exercise intervention. Arch Phys Med Rehabil 81(6): 780-785.
75. Penedo FJ, Dahn JR (2005) Exercise and well-being: a review of mental and physical health benefits associated with physical activity. Curr Opin Psychiatr 18(2): 189-193.
76. Leitzmann MF, Park Y, Blair A, Ballard-Barbash R, Mouw T, Hollenbeck AR, Schatzkin A (2007) Physical activity recommendations and decreased risk of mortality. Arch Intern Med 167(22): 2453-2460.
77. Franco OH, de Laet C, Peeters A, Jonker J, Mackenbach J, Nusselder W (2005) Effects of physical activity on life expectancy with cardiovascular disease. Arch Intern Med 165(20): 2355-2360.
78. Sims J, Hill K, Hunt S, Haralambous B (2010) Physical activity recommendations for older Australians. Australas J Ageing 29(2): 81-87.
79. Rosemann T, Kuehlein T, Laux G, Szecsenyi J (2008) Factors associated with physical activity of patients with osteoarthritis of the lower limb. J Eval Clin Pract 14(2): 288-293.
80. Strahl C, Kleinknecht RA, Dinnel DL (2000) The role of pain anxiety, coping, and pain self-efficacy in rheumatoid arthritis patient functioning. Behav Res Ther 38(9): 863-873.
81. Shin YH, Hur HK, Pender NJ, Jang HJ, Kim MS (2006) Exercise self-efficacy, exercise benefits and barriers, and commitment to a plan for exercise among Korean women with osteoporosis and osteoarthritis. Int J Nurs Stud 43(1): 3-10.
82. Gyurcsik NC, Brawley LR, Spink KS, Brittain DR, Fuller DL, Chad K (2009) Physical activity in women with arthritis: examining perceived barriers and self-regulatory efficacy to cope. Arthritis Rheum 61(8): 1087-1094.
83. Katon W, Lin EH, Kroenke K (2007) The association of depression and anxiety with medical symptom burden in patients with chronic medical illness. Gen Hosp Psychiatry 29(2): 147-155.
84. Patten SB, Williams JV, Lavorato DH, Modgill G, Jette N, Eliasziw M (2008) Major depression as a risk factor for chronic disease incidence: longitudinal analyses in a general population cohort. Gen Hosp Psychiatry 30(5): 407-413.
85. Machado GP, Gignac MA, Badley EM (2008) Participation restrictions among older adults with osteoarthritis: a mediated model of physical symptoms, activity limitations, and depression. Arthritis Rheum 59(1): 129-135.
86. Roddy E, Zhang W, Doherty M (2005) Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review. Ann Rheum Dis 64(4): 544-548.
87. Roddy E, Zhang W, Doherty M, Arden NK, Barlow J, Birrell F, Carr A, Chakravarty K, Dickson J, Hay E, Hosie G, Hurley M, Jordan KM, McCarthy C, McMurdo M, Mockett S, O'Reilly S, Peat G, Pendleton A, Richards S (2005) Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee-the move consensus. Rheumatology (Oxford) 44(1): 67-73.
88. Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N, Bierma-Zeinstra S, Brandt KD, Croft P, Doherty M, Dougados M, Hochberg M, Hunter DJ, Kwoh K, Lohmander LS, Tugwell P (2008) Oarsi recommendations for the management of hip and knee osteoarthritis, part II: Oarsi evidence-based, expert consensus guidelines. Osteoarthr Cartil 16(2): 137-162.
89. Fransen M, McConnell S, Bell M (2002) Therapeutic exercise for people with osteoarthritis of the hip or knee. A systematic review. J Rheumatol 29(8): 1737-1745.
90. Veenhof C, van Hasselt TJ, Koke AJ, Dekker J, Bijlsma JW, van den Ende CH (2006) Active involvement and long-term goals influence long-term adherence to behavioural graded activity in patients with osteoarthritis: a qualitative study. Aust J Physiother 52(4): 273-278.
91. Nies MA, Vollman M, Cook T (1998) Facilitators, barriers, and strategies for exercise in European American women in the community. Public Health Nurs 15(4): 263-272.
92. Schutzer KA, Graves BS (2004) Barriers and motivations to exercise in older adults. Prev Med 39(5): 1056-1061.
93. Cohen-Mansfield J, Marx MS, Guralink JM (2003) Motivators and barriers to exercise in an older community-dwelling population. JAPA 11: 242-253.
94. Resnick B (2001) Managing arthritis with exercise. Geriatr Nurs 22(3): 143-150.
95. Bennell KL, Hinman RS (2011) A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. J Sci Med Sport 14(1): 4-9.
96. Gecht MR, Connell KJ, Sinacore JM, Prohaska TR (1996) A survey of exercise beliefs and exercise habits among people with arthritis. Arthritis Care Res 9(2): 82-88.
97. Hurley MV, Walsh N, Bhavnani V, Britten N, Stevenson F (2010) Health beliefs before and after participation on an exercised-based rehabilitation programme for chronic knee pain: doing is believing. BMC Musculoskelet Disord 11: 31.
98. Australian Government of Health and Ageing Physical activity guidelines (2009) Available at http://www. health. gov. au/internet/main/publishing. nsf/content/health-pubhlth-strateg-phys-act-guidelines#rec_older. Accessed 15 Feb 2010.
99. Callahan LF (2009) Physical activity programs for chronic arthritis. Curr Opin Rheumatol 21(2): 177-182.
100. Bartels EM, Lund H, Hagen KB, Dagfinrud H, Christensen R, Danneskiold-Samsoe B (2007) Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Database Syst Rev (4): CD005523.
101. Lange AK, Vanwanseele B, Fiatarone Singh MA (2008) Strength training for treatment of osteoarthritis of the knee: a systematic review. Arthritis Rheum 59(10): 1488-1494.
102. Fransen M, McConnell S, Hernandez-Molina G, Reichenbach S (2009) Exercise for osteoarthritis of the hip. Cochrane Database Syst Rev (3): CD007912.
103. Ottawa panel evidence-based clinical practice guidelines for therapeutic exercises and manual therapy in the management of osteoarthritis (2005) Phys Ther 85(9): 907-971.
104. Minor MA, Kay DR (2009) Arthritis. In: Durstine JL, Moore GE, Painter PL, Roberts SO (eds) ACSM's exercise management for persons with chronic diseases and disabilities. Human Kinetics, Champaign.