Subscribe to RSS
DOI: 10.1055/s-0029-1186286
© Georg Thieme Verlag Stuttgart · New York
Stürze im Alter
Falls in the elderlyPublication History
Publication Date:
12 January 2009 (online)
![](https://www.thieme-connect.de/media/psychoneuro/20081112/lookinside/thumbnails/10.1055-s-0029-1186286-1.jpg)
Stürze im höheren Lebensalter sind häufig. Sie können zu sozialem Rückzug, Immobilität, einem Abbau physischer Leistungsfähigkeit und schließlich zu einem Verlust der Autonomie führen. Bei neurologischen Patienten des höheren Lebensalters ist die Inzidenz von Stürzen besonders hoch. Neben der Therapie der zugrunde liegenden neurologischen Erkrankung müssen von ärztlicher Seite Risikofaktoren – insbesondere für rezidivierende Stürze – identifiziert, physiotherapeutische Behandlungsmaßnahmen eingeleitet und die Patienten adäquat mit Hilfsmitteln versorgt werden. Dem medizinischen Fachpersonal obliegt die Aufgabe, Risikofaktoren für Stürze in der häuslichen Umgebung der Patienten zu erkennen und zu reduzieren.
Falls in the elderly are frequent. They may lead to restrictions of social life, immobility and loss of competence in everyday activities. A vicious circle starts when immobility results in reduction of physical achievements and vice versa. There is a high incidence of falls with neurological diseases of the elderly. The treating physician should consider not only the adequate management of these conditions, but also identify risk factors of falling, and provide adequate measures of physiotherapy as well as instrumental aids for walking and balance. Social services should be alerted to check for extrinsic risks of falls in the patientŽs domestic environment.
Key Words
Falls - risk factors - diagnosis - treatment - prevention
Literatur
- 1 Bloem BR, Boers I, Cramer M. et al. . Falls in the elderly. I. Identification of risk factors. Wien Klin Wochenschr. 2001; 113 352-362
- 2 Dunn JE, Rudberg MA, Furner SE, Cassel CK.. Mortality, disability, and falls in older persons: the role of underlying disease and disability. Am J Public Health. 1992; 82 395-400
- 3 Elble RJ, Hughes L, Higgins C.. The syndrome of senile gait. J Neurol. 1992; 239 71-75
- 4 Forsén L, Sogaard AJ, Sandvig S. et al. . Risk of hip fracture in protected and unprotected falls in nursing homes in Norway. Inj Prev. 2004; 10 16-20
- 5 Grisso JA, Kelsey JL, Strom BL. et al. . Risk factors for falls as a cause of hip fracture in women. The Northeast Hip Fracture Study Group. N Engl J Med. 1991; 324 1326-1331
- 6 Gryfe CI, Amies A, Ashley MJ.. A longitudinal study of falls in an elderly population: I. Incidence and morbidity. Age Ageing. 1977; 6 201-210
- 7 Gunter KB, White KN, Hayes WC, Snow CM.. Functional mobility discriminates nonfallers from one–time and frequent fallers. J Gerontol A Biol Sci Med Sci. 2000; 55 672-676
- 8 Hauer K, Rost B, Rütschle K. et al. . Exercise training for rehabilitation and secondary prevention of falls in geriatric patients with a history of injurious falls. J Am Geriatr Soc. 2001; 49 10-20
- 9 Hornbrook MC, Stevens VJ, Wingfield DJ. et al. . Preventing falls among community–dwelling older persons: results from a randomized trial. Gerontologist. 1994; 34 16-23
- 10 Luukinen H, Koski K, Honkanen R, Kivelä SL.. Incidence of injury–causing falls among older adults by place of residence: a population–based study. J Am Geriatr Soc. 1995; 43 871-876
- 11 Pavol MJ, Owings TM, Foley KT, Grabiner MD.. Mechanisms leading to a fall from an induced trip in healthy older adults. J Gerontol A Biol Sci Med Sci. 2001; 56 428-437
- 12 Podsiadlo D, Richardson S.. The timed „Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39 142-148
- 13 Stolze H, Klebe S, Zechlin C. et al. . Falls in frequent neurological diseases – prevalence, risk factors and aetiology. J Neurol. 2004; 251 79-84
- 14 Tideiksaar R.. Falls among the elderly: a community prevention program. Am J Public Health. 1992; 82 892-893
- 15 Tinetti ME.. Performance–oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc. 1986; 34 119-126
Korrespondenz
Prof. Dr. med. Peter Vieregge
Klinik für Neurologie
Klinikum Lippe–Lemgo
Rintelner Str. 85
32657 Lemgo
Email: peter.vieregge@klinikum-lippe.de