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-
1
O’Loughlin JL, Robitaille Y, Boivin JF, et al: Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. .Am J Epidemiol 137::342. ,1993. .
-
2
Dolinis J, Harrison JE: Factors associated with falling in older Adelaide residents. .Aust N Z J Public Health 21::462. ,1997. .
-
3
Hill K, Kerse N, Lentini F, et al: Falls: a comparison of trends in community, hospital and mortality data in older Australians. .Aging Clin Exp Res 14::18. ,2002. .
-
4
Gill T, Taylor AW, Pengelly A: A population-based survey of factors relating to the prevalence of falls in older people. .Gerontology 51::340. ,2005. .
-
5
Blake A, Morgan K, Bendall M, et al: Falls by elderly people at home: prevalence and associated factors. .Age Ageing 17::365. ,1988. .
-
6
Close J, Ellis M, Hooper R, et al: Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. .Lancet 353::93. ,1999. .
-
7
Lord SR, Sherrington C, Menz HB, et al: Falls in Older People: Risk Factors and Strategies for Prevention, 2nd Ed, Cambridge University Press, Cambridge, England. ,2007. .
-
8
Lord SR, Menz HB, Tiedemann A: A physiological profile approach to falls risk assessment and prevention. .Phys Ther 83::237. ,2003. .
-
9
Wolf-Klein GP, Silverstone FA, Basavaraju N, et al: Prevention of falls in the elderly population. .Arch Phys Med Rehabil 69::689. ,1988. .
-
10
Tideiksaar R: “Reducing the Risk of Falls and Injury in Older Persons: Contribution of a Falls and Immobility Clinic,” in Falls, Gait and Balance Disorders in the Elderly: From Successful Aging to Frailty, ed by C La-Font, A Baroni, M Allard, et al, p 162, Springer, New York. ,1996. .
-
11
Hill KD, Dwyer JM, Schwartz JA, et al: A falls and balance clinic for the elderly. .Physiother Can 45::20. ,1994. .
-
12
Hill K, Smith R, Schwartz J: Falls Clinics in Australia: a survey of current practice, and recommendations for future development. .Aust Health Rev 24::163. ,2001. .
-
13
Houghton S, Birks V, Whitehead CH, et al: Experience of a falls and injuries risk assessment clinic. .Aust Health Rev 28::374. ,2004. .
-
14
Menz HB, Lord SR: The contribution of foot problems to mobility impairment and falls in older people. .J Am Geriatr Soc 49::1651. ,2001. .
-
15
Menz HB, Morris ME, Lord SR: Foot and ankle characteristics associated with impaired balance and functional ability in older people. .J Gerontol A Biol Sci Med Sci 60::1546. ,2005. .
-
16
Menz HB, Morris ME, Lord SR: Foot and ankle risk factors for falls in older people: a prospective study. .J Gerontol A Biol Sci Med Sci 61::866. ,2006. .
-
17
Sherrington C, Menz HB: An evaluation of footwear worn at the time of fall-related hip fracture. .Age Ageing 32::310. ,2003. .
-
18
Tencer AF, Koepsell TD, Wolf ME, et al: Biomechanical properties of shoes and risk of falls in older adults. .J Am Geriatr Soc 52::1840. ,2004. .
-
19
Koepsell TD, Wolf ME, Buchner DM, et al: Footwear style and risk of falls in older adults. .J Am Geriatr Soc 52::1495. ,2004. .
-
20
Victorian Quality Council: Minimising the Risk of Falls and Fall-Related Injuries, Metropolitan Health and Aged Care Services Division, Victorian Government Department of Human Services, Melbourne. ,2004. .
-
21
Hughes M: Feet, falling and the Framework: the contribution of podiatry to fall prevention and the National Service Framework for Older People. .Brit J Podiatr 5::91. ,2002. .
-
22
Palmer EY: The role of the podiatrist in “falls prevention.”. Podiatry Now (October):20. ,2004. .
-
23
Australian Podiatry Council: Clinical Guidelines for Orthotic Therapy Provided by Podiatrists, Australian Podiatry Council, Collingwood, Victoria. ,1998. .
-
24
Menz HB, Sherrington C: The Footwear Assessment Form: a reliable clinical tool for the evaluation of footwear characteristics of relevance to postural stability in older adults. .Clin Rehabil 14::657. ,2000. .
-
25
Menz HB, Lord SR: Foot problems, functional impairment, and falls in older people. .JAPMA 89::458. ,1999. .
-
26
Cumming RG, Thomas M, Szonyi G, et al: Adherence to occupational therapist recommendations for home modifications for falls prevention. .Am J Occup Ther 55::641. ,2001. .
-
27
Fortinsky RH, Iannuzzi-Sucich M, Baker DI, et al: Fall- risk assessment and management in clinical practice: views from healthcare providers. .J Am Geriatr Soc 52::1522. ,2004. .
-
28
Hill K, Black K: Evaluation of a Minimum Data Set for Victorian Falls Clinics: Final Report, National Ageing Research Institute for the Victorian Department of Human Services, Melbourne. ,2004. .
-
29
Menz HB, Lord SR: Footwear and postural stability in older people. .JAPMA 89::346. ,1999. .
-
30
Lord SR, Bashford GM: Shoe characteristics and balance in older women. .J Am Geriatr Soc 44::429. ,1996. .
-
31
Robbins SE, Gouw GJ, McClaran J: Shoe sole thickness and hardness influence balance in older men. .J Am Geriatr Soc 40::1089. ,1992. .
-
32
Sherrington C, Lord SR, Finch C: Physical activity interventions to prevent falls among older people: update of the evidence. .J Sci Med Sport 7:(suppl):43. ,2004. .
Podiatric Involvement in Multidisciplinary Falls-Prevention Clinics in Australia
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Background: Falls in older people are a major public health problem, and there is increasing evidence that foot problems and inappropriate footwear increase the risk of falls. Several multidisciplinary prevention clinics have been established to address the problem of falls; however, the role of podiatry in these clinics has not been clearly defined. The aims of this study were to determine the level of podiatric involvement in multidisciplinary falls clinics in Australia and to describe the assessments undertaken and interventions provided by podiatrists in these settings.
Methods: A database of falls clinics was developed through consultation with departments of health in each state and territory. Clinic managers were contacted and surveyed as to whether the clinic incorporated podiatry services. If so, the podiatrists were contacted and asked to complete a brief questionnaire regarding their level of involvement and the assessment procedures and interventions offered.
Results: Of the 36 clinics contacted, 25 completed the survey. Only four of these clinics reported direct podiatric involvement. Despite the limited involvement of podiatry in these clinics, all of the clinic managers stated that they considered podiatry to have an important role to play in falls prevention. Podiatry service provision in falls clinics varied considerably in relation to eligibility criteria, assessments undertaken, and interventions provided.
Conclusions: Despite the recognition that foot problems and inappropriate footwear are risk factors for falls, podiatry currently has a relatively minor and poorly defined role in multidisciplinary falls-prevention clinics in Australia. (J Am Podiatr Med Assoc 97(5): 377–384, 2007)
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