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Falls and Wrist Fracture: Relationship to Women’s Functional Status after Age 50

  • Catherine M. Arnold (a1), Vanina P.M. Dal Bello-Haas (a2), Jonathan P. Farthing (a3), Katie L. Crockett (a1), Charlene R.A. Haver (a3), Geoffrey Johnston (a4) and Jenny Basran (a5)...

Abstract

Women experience a rapid rise in the incidence of wrist fracture after age 50. Accordingly, this study aimed to (1) determine the internal and environmental fall-related circumstances resulting in a wrist fracture, and (2) examine the relationship of functional status to these circumstances. Women aged 50 to 94 years reported on the nature of the injury (n = 99) and underwent testing for physical activity status, balance, strength, and mobility (n = 72). The majority of falls causing wrist fracture occurred outdoors, during winter months, as a result of a slip or trip while walking. Half of these falls resulted in other injuries including head, neck, and spine injuries. Faster walking speed, lower grip strength, and higher balance confidence were significantly associated with outdoor versus indoor falls and slips and trips versus other causes. This study provides insights into potential screening and preventive measures for fall-related wrist fractures in women.

Après l’âge de cinquante ans, les femmes éprouvent une hausse rapide de l’incidence des fractures du poignet. En conséquence, cette étude vise (1) de déterminer les circonstances internes et environnementaux liés aux chutes entraînant des fractures du poignet, et (2) d’examiner la relation entre l’état fonctionnel et de telles circonstances. Les femmes âgées de 50 à 94 années sont rapportées sur la nature de la blessure (n = 99) et ont subi tests pour l’activité physique, l’équilibre, la force et la mobilité (n = 72). La majorité des chutes causant la fracture d’un poignet a eu lieu à l’extérieur, pendant les mois d’hiver, à la suite d’un glissement ou trébuchement tout en marchant. La moitié de ces chutes a entraîné d’autres blessures, y compris à la tête et au cou, et des traumatismes médullaires. Une vitesse plus rapide de la marche, une force inférieure d’adhérence, et une plus grande confiance en équilibre ont été toutes significativement associées aux chutes à l’extérieure, par comparaison aux chutes, glissades et trébuchements intérieures contre d’autres causes. Cette étude donne un aperçu des mesures de dépistage et de prévention potentielles pour les fractures du poignet liées aux chutes parmi les femmes.

Copyright

Corresponding author

La correspondance et les demandes de tire-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Dr. Cathy Arnold, Ph.D. School of Physical Therapy, College of Medicine University of Saskatchewan 210-1121 College Drive Saskatoon, SK S7N 0W3 (cathy.arnold@usask.ca)

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Keywords

Falls and Wrist Fracture: Relationship to Women’s Functional Status after Age 50

  • Catherine M. Arnold (a1), Vanina P.M. Dal Bello-Haas (a2), Jonathan P. Farthing (a3), Katie L. Crockett (a1), Charlene R.A. Haver (a3), Geoffrey Johnston (a4) and Jenny Basran (a5)...

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