Acta Ortopédica Mexicana

Coronado ZR, Pérez MR,Diez GMP, León HSR, Saavedra MP, Chávez AD
Prediction of falls in osteoporotic women less than 65 years old by means of proprioception
Acta Ortop Mex 2006; 20 (5)

Language: Español
References: 41
Page: 196-200
PDF: 80.22 Kb.

[Fulltext - PDF]

ABSTRACT

Objective. To predict falls in osteoporotic females less than 65 years old. Material and method. Osteoporotic women distributed as follows: Group 1, 0-1 falls per year, and Group 2, 2-4 falls per year. Kinesthesia and statesthesia of the knee were assessed at 15°, 30° and 45° of flexion. Results. 30 patients, age range 49-65 years (mean 59, SD 4.21). Group 1: 20, Group 2: 10. The discriminating analysis reported a correct patient classification in 86.7% of cases based on kinesthetic and estatesthetic measurements. The most useful measurements to achieve proper classification were right kinesthesia at 15° and left estatesthesia at 15° and 45°. The COR curve showed that the best cut-off point for the absolute error was 3.15° at 15° of knee flexion of kinesthesia, with sensitivity of 80% and a specificity of 75% (AUC = 0.70, CI = 95%, 0.51-0.89, p=0.07). Conclusion. It is possible to predict the risk of having 2 or more falls in the past year through the assessment of knee kinesthetics at 15° of flexion, when the patient’s error threshold exceeds 3.15°.


Key words: osteoporosis, falls, proprioception, prognosis, aged.


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