physiopraxis 2021; 19(10): 36-42
DOI: 10.1055/a-1540-2069

Von Anämie bis Zuckerkrankheit – Sturzursachen

Melanie Galliardt

Menschen stürzen im Alter aus verschiedenen Gründen. Einfluss nehmen zum Beispiel das Geschlecht, kognitive Fähigkeiten oder das Schuhwerk. Für Therapierende gilt es die Risikofaktoren für einen Sturz zu erfassen und herauszufinden, welche Interventionsmöglichkeiten in Frage kommen.

Publication History

Article published online:
18 October 2021

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  • Literaturverzeichnis

  • 1 Runge M, Schacht E. Multifactorialpathogenesis of falls as a basis for multifactorial interventions. J Musculoskelet Neuronal Interact 2005; 5: 127-134
  • 2 Fabre J. FallsRisk Factors and a Compendium of Falls Risk Screening Instruments. J Geriatr Phys Ther 2010; 33: 184-197
  • 3 Bueno-Cavanillas A, Padilla-Ruiz F, Jimenez-Moleon JJ. et al Risk factors in falls among the elderly according to extrinsic and intrinsic precipitating causes. European journal of epidemiology 2000; 16: 849-859
  • 4 Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. The New England journal of medicine 1988; 319: 1701-1707
  • 5 Campbell AJ, Spears GF, Borrie MJ. Examination by logistic regression modelling of the variables which increase the relative risk of elderly women falling compared to elderly men. Journal of clinical epidemiology 1990; 43: 1415-1420
  • 6 Deandrea S, Lucenteforte E, Bravi F. et al Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology (Cambridge, Mass) 2010; 21: 658-668
  • 7 Tinetti ME, Doucette J, Claus E. TheContribution of Predisposing and Situational Risk Factors to Serious Fall Injuries. J Am Geriatr Soc 1995; 43: 1207-121
  • 8 Ward PR, Wong MD, Moore R. et al Fall-related injuries in elderly cancer patients treated with neurotoxic chemotherapy: a retrospective cohort study. Journal of geriatric oncology 2014; 5: 57-64
  • 9 Greenspan SL, Myers ER, Kiel DP. et al Fall direction, bone mineral density, and function: risk factors for hip fracture in frail nursing home elderly. The American journal of medicine 1998; 104: 539-545
  • 10 Duckham R. Sexdifferences in circumstances and consequences of outdoor and indoor falls in older adults in the MOBILIZE Boston cohort study. BMC geriatrics 2013; 13: 133
  • 11 Oelke M, de la Rosette JJ, Michel MC. et al Medical therapy of urinary incontinence. Der Internist 2005; 46: 75-82
  • 12 Chiarelli PE, Mackenzie LA, Osmotherly PG. Urinary incontinence is associated with an increase in falls: a systematic review. The Australian journal of physiotherapy 2009; 55: 89-95
  • 13 Ludwig H, Van Belle S, Barrett-Lee P. et al The European Cancer Anaemia Survey (ECAS): a large, multinational, prospective survey defining the prevalence, incidence, and treatment of anaemia in cancer patients. Eur J Cancer 2004; 40: 2293-2306
  • 14 Herold G. Hämatologie. Innere Medizin. Köln: Dr. med Gerd Herold 2013
  • 15 Dharmarajan TS, Avula S, Norkus EP. Anemia increases risk for falls in hospitalized older adults: an evaluation of falls in 362 hospitalized, ambulatory, long-term care, and community patients. Journal of the American Medical Directors Association 2006; 7: 287-293
  • 16 Bowling CB, Muntner P, Bradbury BD. et al Low hemoglobin levels and recurrent falls in U.S. men and women: prospective findings from the REasons for Geographic And Racial Differences in Stroke (REGARDS) cohort. The American journal of the medical sciences 2013; 345: 446-454
  • 17 Owusu C. Anemiaand Functional Disability in Older Adults with Cancer. J Natl Compr Canc Netw 2015; 13: 1233-1239
  • 18 Ludwig H, Muldur E, Endler G. et al Prevalence of iron deficiency across different tumors and its association with poor performance status, disease status and anemia. Annals of oncology: official journal of the European Society for Medical Oncology 2013; 24: 1886-1892
  • 19 Penninx Bea. Anemia is associated with disability and decreased physical performance and muscle strength in the elderly. J Am Geriatr Soc 2004; 52: 719-724
  • 20 Anstey KJ, von Sanden C, Luszcz MA. An 8-year prospective study of the relationship between cognitive performance and falling in very old adults. Journal of the American Geriatrics Society 2006; 54: 1169-1176
  • 21 Muir SW, Gopaul K, Montero Odasso MM. The role of cognitive impairment in fall risk among older adults: a systematic review and meta-analysis. Age and ageing 2012; 3: 299-308
  • 22 Bundesministerium für Familie, Frauen und Jugend. Demenz: Bundesministerium für Familie, Senioren, Frauen und Jugend 2013; Im Internet,did=126696.html Stand: 13.04.2021.
  • 23 van Doorn C, Gruber-Baldini AL, Zimmerman S. et al Dementia as a risk factor for falls and fall injuries among nursing home residents. Journal of the American Geriatrics Society 2003; 51: 1213-1218
  • 24 Hsu CL, Nagamatsu LS, Davis JC. et al Examining the relationship between specific cognitive processes and falls risk in older adults: a systematic review. Osteoporosis international: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA 2012; 23: 2409-2424
  • 25 Lundin-Olsson L, Nyberg L, Gustafson Y. “Stops walking when talking” as a predictor of falls in elderly people. Lancet 1997; 349: 617
  • 26 Baudic S, Tzortzis C, Barba GD. et al Executive deficits in elderly patients with major unipolar depression. Journal of geriatric psychiatry and neurology 2004; 17: 195-201
  • 27 Caligiuri MP, Ellwanger J. Motorand cognitive aspects of motor retardation in depression. Journal of affective disorders 2000; 57: 83-93
  • 28 Ernst C, Angst J. Depressionin old age. European Archives of Psychiatry and Clinical Neuroscience 1995; 245: 272-287
  • 29 Finger RP. Blindness in Germany: dimensions and perspectives. Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft 2007; 104: 839-844
  • 30 Finger RP, Fimmers R, Holz FG. et al Incidence of blindness and severe visual impairment in Germany: projections for 2030. Investigative ophthalmology & visual science 2011; 52: 4381-4389
  • 31 Lord SR, Menz HB. Visual contributions to postural stability in older adults. Gerontology 2000; 46: 306-310
  • 32 Lord SR. Visual risk factors for falls in older people. Age and ageing 2006; 35 (02) ii42-ii5
  • 33 Whipple R, Wolfson L, Derby C. et al Altered sensory function and balance in older persons. J Gerontol 1993; 48: 71-76
  • 34 Lord SR, Dayhew J. Visualrisk factors for falls in older people. Journal of the American Geriatrics Society 2001; 49: 508-515
  • 35 Ivers RQ, Norton R, Cumming RG. et al Visual impairment and risk of hip fracture. American journal of epidemiology 2000; 152: 633-639
  • 36 Kulmala J, Viljanen A, Sipila S. et al Poor vision accompanied with other sensory impairments as a predictor of falls in older women. Age and ageing 2009; 38: 162-167
  • 37 e.V. DGf. E Sarkopenie: Deutsche Gesellschaft für Ernährung e.V. 2009; Im Internet Stand: 13.04.2021.
  • 38 Doherty TJ. The influence of aging and sex on skeletal muscle mass and strength. Current opinion in clinical nutrition and metabolic care 2001; 4: 503-508
  • 39 Janssen I, Heymsfield SB, Ross R. Lowrelative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. Journal of the American Geriatrics Society 2002; 50: 889-896
  • 40 Visser M, Goodpaster BH, Kritchevsky SB. et al Muscle mass, muscle strength, and muscle fat infiltration as predictors of incident mobility limitations in well-functioning older persons. The journals of gerontology Series A, Biological sciences and medical sciences 2005; 60: 324-333
  • 41 Wickham C, Cooper C, Margetts BM. et al Muscle strength, activity, housing, and the risk of falls in elderly people. Age and ageing 1989; 18: 47-51
  • 42 Moreland JD, Richardson JA, Goldsmith CH. et al Muscle weakness and falls in older adults: a systematic review and meta-analysis. Journal of the American Geriatrics Society 2004; 52: 1121-1129
  • 43 Tinetti ME, Williams CS. The effect of falls and fall injuries on functioning in community- dwelling older persons. The journals of gerontology Series A, Biological sciences and medical sciences 1998; 53: M112-119
  • 44 Bloch F, Thibaud M, Dugue B. et al Episodes of falling among elderly people: a systematic review and meta-analysis of social and demographic pre-disposing characteristics. Clinics (Sao Paulo, Brazil) 2010; 65: 895-903
  • 45 Deandrea S, Bravi F, Turati F. et al Risk factors for falls in older people in nursing homes and hospitals. A systematic review and meta-analysis. Archives of gerontology and geriatrics 2013; 56: 407-415
  • 46 Richardson JK. The clinical identification of peripheral neuropathy among older persons. Archives of physical medicine and rehabilitation 2002; 83: 1553-1558
  • 47 Stolze H. Gangstörung in der Neurologie. Nervenarzt 2008; 79: 485-499
  • 48 Richardson JK HE. PNP; a true risk factor for falls. Journal of Gerontology: MEDICAL SCIENCES 1995; 4: 211-215
  • 49 DeMott TK, Richardson JK, Thies SB. et al Falls and gait characteristics among older persons with peripheral neuropathy. American journal of physical medicine & rehabilitation/Association of Academic Physiatrists 2007; 86: 125-132
  • 50 Menant JC, Steele JR, Menz HB. et al Optimizing footwear for older people at risk of falls. Journal of rehabilitation research and development 2008; 45: 1167-1181
  • 51 Dunne RG, Bergman AB, Rogers LW. et al Elderly persons' attitudes towards footwear – a factor in preventing falls. Public health reports (Washington, DC: 1974) 1993; 108: 245-248
  • 52 Tsai YJ, Lin SI. Older adults adopted more cautious gait patterns when walking in socks than barefoot. Gait & posture 2013; 37: 88-92
  • 53 Koepsell TD, Wolf ME, Buchner DM. et al Footwear style and risk of falls in older adults. Journal of the American Geriatrics Society 2004; 52: 1495-1501
  • 54 Sherrington C, Menz HB. An evaluation of footwear worn at the time of fall-related hip fracture. Age and ageing 2003; 32: 310-314
  • 55 Menz HB, Morris ME. Footwear characteristics and foot problems in older people. Gerontology 2005; 51: 346-351
  • 56 Burns SL, Leese GP, McMurdo ME. Older people and ill-fitting shoes. Postgraduate medical journal 2002; 78: 344-346
  • 57 Tencer AF, Koepsell TD, Wolf ME. et al Biomechanical properties of shoes and risk of falls in older adults. Journal of the American Geriatrics Society 2004; 52: 1840-1846
  • 58 Tsai YJ, Powers CM. Increased shoe sole hardness results in compensatory changes in the utilized coefficient of friction during walking. Gait & posture 2009; 30: 303-306
  • 59 Schröder M, Telschow C, Arzneimittelverordnungennach Alter und Geschlecht Schwabe U. Hrsg. Arzneiverordnungs-Report 2017 Berlin Heidelberg: Springer; 2017
  • 60 Hammond T, Wilson A. Polypharmacyand Falls in the Elderly: A Literature Review. Nurs Midwifery Stud 2013; 2: 171-175
  • 61 Landi F. PsychotropicMedications and Risk for Falls Among Community-Dwelling Frail Older People: An Observational Study. Journal of Gerontology: MEDICAL SCIENCES 2005; 60A: 622-626
  • 62 Thapa PB, Gideon P, Fought RL. et al Psychotropic drugs and risk of recurrent falls in ambulatory nursing home residents. American journal of epidemiology 1995; 142: 202-211
  • 63 Osterloh F. Zuviele Psychopharmaka. Deutsches Aerzteblatt 2012; 109: 1409
  • 64 Woolcott JC, Richardson KJ, Wiens MO. et al Meta-analysis of the impact of 9 medication classes on falls in elderly persons. Archives of internal medicine 2009; 169: 1952-1960
  • 65 Rosen T, Mack KA, Noonan RK. Slippingand tripping: fall injuries in adults associated with rugs and carpets. Journal of injury & violence research 2013; 5: 61-69
  • 66 Nevitt MC, Cummings SR, Hudes ES. Riskfactors for injurious falls: a prospective study. J Gerontol 1991; 46: M164-170
  • 67 Schwendimann R, Buhler H, De Geest S. Characteristicsof hospital inpatient falls across clinical departments. Gerontology 2008; 54: 342-348
  • 68 Lord SR, Menz HB, Sherrington C. Homeenvironment risk factors for falls in older people and the efficacy of home modifications. Age and ageing 2006; 35 (02) ii55-ii9
  • 69 Letts L, Moreland J, Richardson J. et al The physical environment as a fall risk factor in older adults: Systematic review and meta-analysis of cross-sectional and cohort studies. Australian occupational therapy journal 2010; 57: 51-64
  • 70 Tideiksaar R. Stürze und Sturzprävention. Assessment-Prävention-Management. Bern: Verlag Hans Huber 2008
  • 71 Hill AM, Hoffmann T, Haines TP. Circumstancesof falls and falls-related injuries in a cohort of older patients following hospital discharge. Clinical interventions in aging 2013; 8: 765-774
  • 72 Becker C, Chiari L. Whatvideos can tell us about falling. Lancet 2013; 381: 8-9
  • 73 Robinovitch SN, Feldman F, Yang Y. et al Video capture of the circumstances of falls in elderly people residing in long-term care: an observational study. The Lancet 2013; 381: 47-54
  • 74 Rapp K, Becker C, Cameron ID. et al Epidemiology of falls in residential aged care: analysis of more than 70,000 falls from residents of bavarian nursing homes. Journal of the American Medical Directors Association 2012; 13: 187 e1-6
  • 75 Cummings S, Nevitt M, Kidd S. Forgettingfalls. The limited accuracy of recall of falls in the elderly. J Am Geriatr Soc 1988; 36: 613-616
  • 76 Ganz DA, Higashi T, Rubenstein LZ. Monitoringfalls in cohort studies of community-dwelling older people: effect of the recall interval. Journal of the American Geriatrics Society 2005; 53: 2190-2194
  • 77 Perell KL, Nelson A, Goldman RL. Fallrisk assessment measures: an analytic review. The journals of gerontology Series A, Biological sciences and medical sciences 2001; 56: M761-766
  • 78 Buckinx Fea. Reliability of muscle strength measures obtained with a hand-held dynamometer in an elderly population. Clin Physiol Funct Imaging 2017; 37: 332-340
  • 79 Buchner DM, Rillamas-Sun E, Di C. et al Accelerometer- Measured Moderate to Vigorous Physical Activity and Incidence Rates of Falls in Older Women. Journal of the American Geriatrics Society 2017; 65: 2480-2487
  • 80 Kavanagh J, Menz H. Accelerometry: A technique for quantifying movement patterns during walking. Gait & Posture 2008; 28: 1-15
  • 81 Wuehr M, Schniepp R, Schlick C. et al Sensory loss and walking speed related factors for gait alterations in patients with peripheral neuropathy. Gait & posture 2014; 39: 852-858
  • 82 Lindemann U, Lundin-Olsson L, Hauer K. Maximumstep length as a potential screening tool for falls in non-disabled older adults living in the community. Aging clinical and experimental research 2008; 20: 394-399
  • 83 Jørgensen T, Hansen A, Sahlberg M. et al Falls and comorbidity: the pathway to fractures. Scand J Public Health 2014; 42: 287-294
  • 84 Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. Journal of the American Geriatrics Society 1986; 34: 119-126
  • 85 Nevitt MC, Cummings SR, Kidd S. et al Risk factors for recurrent nonsyncopal falls. A prospective study. JAMA: the journal of the American Medical Association 1989; 261: 2663-2668
  • 86 Whitney SL, Wrisley DM, Marchetti GF. et al Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. Physical therapy 2005; 85: 1034-1045
  • 87 Orr R. Contributionof muscle weakness to postural instability in the elderly. A systematic review. European journal of physical and rehabilitation medicine 2010; 46: 183-220
  • 88 Moreland JD, Richardson JA, Goldsmith CH. et al Muscle weakness and falls in older adults: a systematic review and meta-analysis. Journal of the American Geriatrics Society 2004; 52: 1121-1129
  • 89 Taylor ME, Delbaere K, Lord SR. et al Neuropsychological, physical, and functional mobility measures associated with falls in cognitively impaired older adults. The journals of gerontology Series A, Biological sciences and medical sciences 2014; 69: 987-995
  • 90 Spink MJ, Fotoohabadi MR, Wee E. et al Foot and ankle strength, range of motion, posture, and deformity are associated with balance and functional ability in older adults. Archives of physical medicine and rehabilitation 2011; 92: 68-75
  • 91 Jansenberger H. Sturzpr ävention in Therapie und Training; 1. Aufl. Stuttgart: Thieme Verlag 2001
  • 92 Zeeh J, Masuch M. Prevention of falls in the frail elderly. MMW Fortschritte der Medizin 2013; 155: 50-54
  • 93 Ontario MAS. Prevention of falls and fall-related injuries in community-dwelling seniors: an evidence-based analysis. Ontario health technology assessment series 2008; 8: 1-78
  • 94 McClure R, Turner C, Peel N. et al Population-based interventions for the prevention of fall-related injuries in older people. Cochrane database of systematic reviews (Online) 2005; 1: CD004441
  • 95 Todd C. DS What are the main risk factors for falls amongst older people and what are the most effective interventions to prevent these falls. Copenhagen: WHO Regional Office for Europe 2004
  • 96 Sturzprävention B. Empfehlungspapierfür das körperliche Training zur Sturzprävention bei älteren, zu Hause lebenden Menschen 2009
  • 97 Balzer K. Sturzprophylaxebei älteren Menschen in ihrer persönlichen Wohnumgebung. In: (BMG) BfrG, Hrsg. Deutsches Institut für Medizinische Dokumentation und Information (DIMDI). Köln 2012
  • 98 Pflege DN. fQid. Expertenstandard Sturzprophylaxe in der Pflege. In: Sozialwissenschaften HOFfW-u, Hrsg Osnabrück: Deutsches Netzwerk für Qualitätsentwicklung in der Pflege. 2013
  • 99 Nelson ME, Rejeski WJ, Blair SN. et al Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation 2007; 116: 1094-1105
  • 100 Hill KD, Hunter SW, Batchelor FA. et al Individualized home-based exercise programs for older people to reduce falls and improve physical performance: A systematic review and meta-analysis Maturitas. 2015 29.