Fall risk profile and quality-of-life status of older chiropractic patients

J Manipulative Physiol Ther. 2011 Feb;34(2):78-87. doi: 10.1016/j.jmpt.2010.12.010.

Abstract

Objectives: The primary aim of this study was to estimate the prevalence of fall risk factors in older chiropractic patients. The secondary aim was to investigate the quality-of-life status of older chiropractic patients and to see whether a history of falling was related to quality-of-life status.

Methods: A cross-sectional study was conducted at 12 chiropractic practices throughout Auckland, New Zealand, and Melbourne, Australia. The study involved gaining a profile of health status, fall history, and fall risk from active chiropractic patients who were 65 years or older.

Results: One hundred ten older chiropractic patients were approached, and 101 agreed to participate in this study (response rate, 91.8%). Thirty-five percent of participants had experienced at least 1 fall in the previous 12 months. Of those that had fallen, 80% had at least a minor injury, with 37% of fallers requiring medical attention and 6% suffering a serious injury. The prevalence of most fall risk factors was consistent with published data for community-dwelling older adults. Quality of life of older chiropractic patients appeared to be good, but fallers reported a lower physical component summary score compared with nonfallers (P = .04).

Conclusions: A portion of the older chiropractic patients sampled in this study had a substantial risk of falling. This risk could be assessed on a regular basis for the presence of modifiable fall risk factors, and appropriate advice, given when fall risks are identified.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls*
  • Aged
  • Australia
  • Back Pain / therapy
  • Chiropractic*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Manipulation, Chiropractic
  • Neck Pain / therapy
  • New Zealand
  • Patients*
  • Polypharmacy
  • Postural Balance
  • Quality of Life*
  • Risk Assessment
  • Risk Factors