PTCohortAmerican journal of physical medicine & rehabilitation2018

Inability to Perform the Repeated Chair Stand Task Predicts Fall-Related Injury in Older Primary Care Patients.

Cristina A Shea, Rachel E Ward, Sarah A Welch and 3 others

PMID 29300193

WHAT IT FOUND

The chair stand score was not a predictor, but inability to perform the task was associated with higher fall-injury risk over two years.

Total SPPB, gait, and balance scores were not predictors.

Key findings

01The chair stand component score did not significantly predict fall-related injury.

02Total SPPB, gait, and balance component scores were not significant predictors of fall-related injury.

03In an additional model, inability to perform the repeated chair stand task was a significant predictor of fall-related injury.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study observed participants over time; it did not assign treatments, so it cannot show that the chair stand task caused fall-related injury. The chair stand component score analysis did not reach significance, and the main positive result came from an additional model grouping participants as able or unable to perform the task. Fall injuries were reported through quarterly phone calls, and some participants could not be reached, which may have underreported injuries. Participants defined injury themselves, so minor injuries may have been reported as injuries and significant injuries may have been overlooked. The cohort was mostly white older adults at risk for mobility decline, so the results may not apply to all community-dwelling older adults. Six participants were excluded from the models because of missing data, withdrawal, or death before the first follow-up call. The models examined time to first fall-related injury, not recurrent fall injuries. The balance component result comparing a score of 0 with a score of 1 rested on only 4 participants with a score of 0.

Declared interests

The paper lists NIH extramural research support. The supplied text does not include an author conflict-of-interest declaration.

The easy way to misread this

Do not conclude that a low chair stand score predicts fall-related injury. The chair stand component score was not a significant predictor, and the positive finding was for inability to perform the task, not for lower scores.

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