Fear of falling in vision impairment

White, Ursula E., Black, Alex A., Wood, Joanne M., & Delbaere, Kim (2015) Fear of falling in vision impairment. Optometry and Vision Science, 92(6), pp. 730-735.

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Abstract

Falls are the leading cause of injury-related morbidity and mortality among older adults. In addition to the resulting physical injury and potential disability after a fall, there are also important psychological consequences, including depression, anxiety, activity restriction, and fear of falling. Fear of falling affects 20 to 43% of community-dwelling older adults and is not limited to those who have previously experienced a fall. About half of older adults who experience fear of falling subsequently restrict their physical and everyday activities, which can lead to functional decline, depression, increased falls risk, and reduced quality of life. Although there is clear evidence that older adults with visual impairment have higher falls risk, only a limited number of studies have investigated fear of falling in older adults with visual impairment and the findings have been mixed. Recent studies suggest increased levels of fear of falling among older adults with various eye conditions, including glaucoma and age-related macular degeneration, whereas other studies have failed to find differences. Interventions, which are still in their infancy in the general population, are also largely unexplored in those with visual impairment. The major aims of this review were to provide an overview of the literature on fear of falling, its measurement, and risk factors among older populations, with specific focus on older adults with visual impairment, and to identify directions for future research in this area.

Impact and interest:

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ID Code: 84547
Item Type: Journal Article
Refereed: Yes
DOI: 10.1097/OPX.0000000000000596
ISSN: 1040-5488
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2015 American Academy of Optometry
Deposited On: 27 May 2015 22:53
Last Modified: 02 May 2016 22:46

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