Journal of Physiotherapy and Rehabilitation

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Review Article, J Physiother Rehabil E Vol: 5 Issue: 2

Using the International Classification of Functioning, Disability and Health (ICF) to find out About Impairments Affecting Falls Self-efficacy in Community-Dwelling Older Adults in India


Physiological and psychological consequences of fear of falling and
low falls self-efficacy are important, because they can substantially
reduce quality of life. We investigated people aged 55 and over
living in India. Fall-related self-efficacy was examined using the
Modified Falls Efficacy Scale. Certain Categories from International
Classification of Functioning (ICF) were selected as potential
predictors of falls. The least absolute shrinkage and selection
operator was used for multivariable covariate selection. Sixty-one
percent (61%) participants reported low fall-related self-efficacy.
Predictors found from ICF were pain in head and neck, increased
blood pressure, maintenance of blood pressure, endurance of all
muscles of the body, gait pattern functions, muscles of thigh, knee
joint, and balance, depression. We identified a small but important
spectrum of variables as predictors of low fall-related self-efficacy.
Most of these variables identified as predictors of low fall-related
self-efficacy might be amenable to exercise programs or medication

Keywords: International Classification of Functioning (ICF); Fall-related self- efficacy; Elderly; Balance; Depression; Cognitive decline

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