Sensory impairments and wrist fractures: A case-control study
Objectives: 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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2017-12-01
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| Series: | Journal of Rehabilitation Medicine |
| Subjects: | |
| Online Access: |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2312
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| _version_ | 1798031403411046400 |
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| author | Bergthora Baldursdottir Hannes Petersen Palmi V. Jonsson Brynjolfur Mogensen Susan L. Whitney Alfons Ramel Ella K. Kristinsdóttir |
| author_facet | Bergthora Baldursdottir Hannes Petersen Palmi V. Jonsson Brynjolfur Mogensen Susan L. Whitney Alfons Ramel Ella K. Kristinsdóttir |
| author_sort | Bergthora Baldursdottir |
| collection | DOAJ |
| description | Objectives: 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. |
| first_indexed | 2024-04-11T19:56:56Z |
| format | Article |
| id | doaj.art-5fd7494325ac48afb10416a56725a3da |
| institution | Directory Open Access Journal |
| issn | 1650-1977 1651-2081 |
| language | English |
| last_indexed | 2024-04-11T19:56:56Z |
| publishDate | 2017-12-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj.art-5fd7494325ac48afb10416a56725a3da2022-12-22T04:05:59ZengMedical Journals SwedenJournal of Rehabilitation Medicine1650-19771651-20812017-12-0150220921510.2340/16501977-23122392Sensory impairments and wrist fractures: A case-control studyBergthora Baldursdottir0Hannes PetersenPalmi V. JonssonBrynjolfur MogensenSusan L. WhitneyAlfons RamelElla K. Kristinsdóttir Department of Physiotherapy, Landspitali University Hospital, 101 Reykjavik, Iceland. bergbald@landspitali.is. Objectives: 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. https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2312 wristfracturevestibular-asymmetryplantarsensationposturalcontrolfunctionalability. |
| spellingShingle | Bergthora Baldursdottir Hannes Petersen Palmi V. Jonsson Brynjolfur Mogensen Susan L. Whitney Alfons Ramel Ella K. Kristinsdóttir Sensory impairments and wrist fractures: A case-control study Journal of Rehabilitation Medicine wristfracture vestibular-asymmetry plantarsensation posturalcontrol functionalability. |
| title | Sensory impairments and wrist fractures: A case-control study |
| title_full | Sensory impairments and wrist fractures: A case-control study |
| title_fullStr | Sensory impairments and wrist fractures: A case-control study |
| title_full_unstemmed | Sensory impairments and wrist fractures: A case-control study |
| title_short | Sensory impairments and wrist fractures: A case-control study |
| title_sort | sensory impairments and wrist fractures a case control study |
| topic | wristfracture vestibular-asymmetry plantarsensation posturalcontrol functionalability. |
| url |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2312
|
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