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dc.contributor.authorBaldursdottir, B
dc.contributor.authorPetersen, H
dc.contributor.authorJonsson, P
dc.contributor.authorMogensen, B
dc.contributor.authorWhitney, S
dc.contributor.authorRamel, A
dc.contributor.authorKristinsdóttir, E
dc.date.accessioned2018-04-27T12:41:53Z
dc.date.available2018-04-27T12:41:53Z
dc.date.issued2018
dc.date.submitted2018
dc.identifier.citationSensory impairments and wrist fractures: A case-control study 2018, 50 (2):209 Journal of Rehabilitation Medicineen
dc.identifier.issn1650-1977
dc.identifier.doi10.2340/16501977-2312
dc.identifier.urihttp://hdl.handle.net/2336/620546
dc.descriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Filesen
dc.description.abstractOBJECTIVES: To investigate vestibular function, foot sensation, postural control and functional abilities, and to evaluate whether these variables are associated with fall-related wrist fracture. METHODS: A case-control study was conducted with 98 subjects, age range 50-75 years, who had sustained a fall-related wrist fracture. Forty-eight sex-, age- and physical activity-matched individuals, with no previous history of wrist fracture, served as controls. Measurements included: head-shake test (HST), tuning fork, biothesiometer, Semmes-Weinstein monofilaments (MF), Sensory Organization Test (SOT), Five-Times-Sit-to-Stand Test (FTSTS), 10-m walk test (10MWT), Activities-specific Balance Confidence (ABC), and the Dizziness Handicap Inventory (DHI) scales. Logistic regression models were used to determine associations of variables with a fall-related wrist fracture. RESULTS: Vestibular asymmetry was apparent in 82% of wrist fracture subjects and 63% of controls (p = 0.012). Plantar pressure sensation (p <0.001), SOT composite scores (p< 0.001), 10MWT (p <0.001), FTSTS (p <0.001), ABC (p <0.001) and DHI (p <0.005) were significantly poorer among cases than controls. A positive HST (odds ratio (OR) 5.424; p = 0.008) and monofilament sensation (OR 3.886; p = 0.014) showed the strongest associations with having a fall-related wrist fracture. CONCLUSION: Asymmetrical vestibular function and reduced plantar pressure sensation are associated with fall-related wrist fractures among the ageing population. These factors are potential targets for future interventions.
dc.description.sponsorshipSt Josef's Hospital Fund, Reykjavik, Iceland Icelandic Physiotherapy Association Research Fund Landspitali University Hospital Research Fund Icelandic Gerontological Society Research Fund Helga Jonsdottir and Sigurlidi Kristjansson Geriatric Research Funden
dc.language.isoenen
dc.publisherFoundation of Rehabilitation Informationen
dc.relation.urlhttps://www.medicaljournals.se/jrm/content/abstract/10.2340/16501977-2312en
dc.rightsArchived with thanks to Journal of Rehabilitation Medicineen
dc.subjectÚlnliðiren
dc.subjectBylturen
dc.subjectÁverkaren
dc.subjectAldraðiren
dc.subjectPTY12en
dc.subjectNUR12en
dc.subjectGER12en
dc.subject.meshWrist Injuriesen
dc.subject.meshAccidental Fallsen
dc.subject.meshAgeden
dc.subject.meshMiddle Ageden
dc.subject.meshSensation Disordersen
dc.subject.meshVestibular Diseasesen
dc.titleSensory impairments and wrist fractures: A case-control studyen
dc.typeArticleen
dc.contributor.department[ 1 ] Univ Iceland, Fac Med, Reykjavik, Iceland Show more [ 2 ] Univ Hosp Iceland, Iceland Gerontol Res Ctr, Reykjavik, Iceland Show more [ 3 ] Univ Hosp Iceland, Dept Physiotherapy, Landspitali, Tungata 5, IS-101 Reykjavik, Iceland [ 4 ] Akureyri Hosp, Akureyri, Iceland Show more [ 5 ] Univ Pittsburgh, Dept Phys Therapy, Pittsburgh, PA USAen
dc.identifier.journalJournal of Rehabilitation Medicineen
dc.rights.accessOpen Access - Opinn aðganguren
dc.departmentcodePTY12, NUR12, GER12
refterms.dateFOA2018-09-12T17:12:57Z
html.description.abstractOBJECTIVES: To investigate vestibular function, foot sensation, postural control and functional abilities, and to evaluate whether these variables are associated with fall-related wrist fracture. METHODS: A case-control study was conducted with 98 subjects, age range 50-75 years, who had sustained a fall-related wrist fracture. Forty-eight sex-, age- and physical activity-matched individuals, with no previous history of wrist fracture, served as controls. Measurements included: head-shake test (HST), tuning fork, biothesiometer, Semmes-Weinstein monofilaments (MF), Sensory Organization Test (SOT), Five-Times-Sit-to-Stand Test (FTSTS), 10-m walk test (10MWT), Activities-specific Balance Confidence (ABC), and the Dizziness Handicap Inventory (DHI) scales. Logistic regression models were used to determine associations of variables with a fall-related wrist fracture. RESULTS: Vestibular asymmetry was apparent in 82% of wrist fracture subjects and 63% of controls (p = 0.012). Plantar pressure sensation (p <0.001), SOT composite scores (p< 0.001), 10MWT (p <0.001), FTSTS (p <0.001), ABC (p <0.001) and DHI (p <0.005) were significantly poorer among cases than controls. A positive HST (odds ratio (OR) 5.424; p = 0.008) and monofilament sensation (OR 3.886; p = 0.014) showed the strongest associations with having a fall-related wrist fracture. CONCLUSION: Asymmetrical vestibular function and reduced plantar pressure sensation are associated with fall-related wrist fractures among the ageing population. These factors are potential targets for future interventions.


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