Trial reportPhysical therapy2014
Declining cognition and falls: role of risky performance of everyday mobility activities.
Trial report in Physical therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed.
- Trial
- Disseminating Tai Chi in the Community: Promoting Home Practice and Improving Balance.The Gerontologist · 2020Trial
- Individual and combined effects of a cognitive task, light finger touch, and vision on standing balance in older adults with mild cognitive impairment.Aging clinical and experimental research · 2020Trial
- Multi-trajectory patterns of ADL, cognition, and depression with fall risk: evidence from a longitudinal study in China.BMC geriatrics · 2026Article
- Psychometric properties of functional gait assessment in people with stroke.BMC neurology · 2026Article
- Perceptions of frailty and falls in older adults using an English regional ambulance service: A descriptive phenomenological study.PEC innovation · 2025Article
- Article
- How Healthy Older Adults Enact Lateral Maneuvers While Walking.Gait & posture · 2024Article
- Efficacy of standard operating procedures for fall protection in hospitalized patients with schizophrenia.Schizophrenia (Heidelberg, Germany) · 2023Article
- Does tandem balance test predict cognitive impairment among older adults? Findings from Longitudinal Ageing Study in India, 2017-18.Aging clinical and experimental research · 2023Article
- The effect of the predictability of perturbation magnitudes in older adults with mild cognitive impairment.Aging clinical and experimental research · 2022Article
- World guidelines for falls prevention and management for older adults: a global initiative.Age and ageing · 2022Article
- State of the Art Physiotherapist-Led Approaches to Safe Aging in Place.Archives of physiotherapy · 2022Article
- Article
- Cognitive frailty is a robust predictor of falls, injuries, and disability among community-dwelling older adults.BMC geriatrics · 2021Article
- Performance of the Hendrich Fall Risk Model II in Patients Discharged from Rehabilitation Wards. A Preliminary Study of Predictive Ability.International journal of environmental research and public health · 2021Article
- Postural Control Dysfunction and Balance Rehabilitation in Older Adults with Mild Cognitive Impairment.Brain sciences · 2020Review
- How healthy older adults regulate lateral foot placement while walking in laterally destabilizing environments.Journal of biomechanics · 2020Article
- Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundDeclining cognition is a risk factor for falls among older adults. The extent to which impaired judgment in performance of daily activities increases fall risk is unclear.
objectiveThe aim of this study was to determine whether engagement in mobility activities in a risky manner explains the association between declining cognition and rate of falls.
designThis study was a secondary analysis of baseline and prospective data from older adults enrolled in the intervention arm of a randomized clinical trial.
methodsTwo hundred forty-five community-dwelling older adults (79% female; mean age=79 years, SD=8.0) who were at risk for falls received physical, cognitive, and functional evaluations. Cognition was assessed with the Short Portable Mental Status Questionnaire (SPMSQ). Using interview and in-home assessment data, physical therapists determined whether participants were at risk for falls when performing mobility-related activities of daily living (ADL) and instrumental ADL (IADL). Falls were measured prospectively for 1 year using monthly falls diaries.
resultsDeclining cognition was associated with increased number of mobility activities designated as risky (1.5% of mobility activities performed in a risky manner per SPMSQ point) and with increased rate of falls (rate ratio=1.16 for each unit change in SPMSQ score). Risky performance of mobility activities mediated the relationship between cognition and rate of falls. LIMITATIONS: Risk assessment was based on the clinical judgment of experienced physical therapists. Cognition was measured with a relatively insensitive instrument, and only selected mobility activities were evaluated.
conclusionsEngagement in mobility ADL and IADL tasks in a risky manner emerged as a link between declining cognition and increased number of falls, suggesting a mechanism through which the rate of falls may increase. Specifically, declining cognition is associated with performance of mobility activities in an unsafe manner, thereby increasing the risk for falls.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.