Pilot study evaluating fear of falling and falls among older rolling walker users

Abstract

Aims Fear of falling is considered a risk factor for falls. Walkers are commonly used by older adults for enhancing mobility. This study aimed to investigate the level of fear of falling in terms of the Falls Efficacy Scale, how that level is associated with fall frequency, and how walkers were used among older walker users. Methods Forty two qualified older adults completed the Falls Efficacy Scale and a questionnaire concerning walker use and history of falls in the last 12 months. Their walkers were assessed for appropriate use and maintenance. Findings Fifteen subjects (36%) fell at least once after beginning to use a walker, but the number of falls did not correlate to the duration of walker use. A moderate positive correlation existed between Falls Efficacy Scale scores and the number of falls. Assessments of the walkers showed that the most common misuse was lack of medical consultation in obtaining a walker, followed by incorrect walker height, forward-leaning posture during ambulation. However, the most significant difference (P<0.05) between the fallers and the non-fallers was only identified in poor posture problems. Conclusions Inappropriate use of a walker, especially the forward-leaning posture, may be associated with the falls. Falls may increase the fear of falling in older walker users. Clinicians including physicians, therapists, and nurses should possess knowledge to instruct older adults on appropriate walker use.