TY - JOUR
T1 - Symptoms of Knee Instability as Risk Factors for Recurrent Falls
AU - for the Multicenter Osteoarthritis Study Investigators
AU - Nevitt, Michael C.
AU - Tolstykh, Irina
AU - Shakoor, Najia
AU - Nguyen, Uyen Sa D.T.
AU - Segal, Neil A.
AU - Lewis, Cora
AU - Felson, David T.
N1 - Publisher Copyright:
© 2016, American College of Rheumatology
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Objective: Whether knee instability contributes to the increased risk of falls and fractures observed in persons with knee osteoarthritis (OA) has not been studied. We examined the association of knee buckling with the risk of falling and fall-related consequences in older adults with, or at high risk for, knee OA. Methods: At the 60-month visit of the Multicenter Osteoarthritis Study, men and women ages 55–84 years were asked about knee buckling in the past 3 months and whether they fell when a knee buckled. Falls and fall-related injuries in the past 12 months and balance confidence were assessed at 60 and 84 months. Multivariate logistic regression was used to assess the association of knee buckling with falls and their consequences. Results: A total of 1,842 subjects (59% women, mean ± SD age 66.9 ± 7.8 years, and body mass index 30.3 ± 5.7) were included. At 60 months 16.8% reported buckling and at 84 months 14.1% had recurrent (≥2) falls. Bucklers at 60 months had a 1.6- to 2.5-fold greater odds of recurrent falls, fear of falling, and poor balance confidence at 84 months. Those who fell when a knee buckled at baseline had a 4.5-fold, 2-fold, and 3-fold increased odds 2 years later of recurrent falls, significant fall injuries, and fall injuries that limited activity, respectively, and were 4 times more likely to have poor balance confidence. Conclusion: Interventions that reduce knee buckling may help prevent falls, fall-related injuries, and adverse psychological consequences of falls in persons with knee OA.
AB - Objective: Whether knee instability contributes to the increased risk of falls and fractures observed in persons with knee osteoarthritis (OA) has not been studied. We examined the association of knee buckling with the risk of falling and fall-related consequences in older adults with, or at high risk for, knee OA. Methods: At the 60-month visit of the Multicenter Osteoarthritis Study, men and women ages 55–84 years were asked about knee buckling in the past 3 months and whether they fell when a knee buckled. Falls and fall-related injuries in the past 12 months and balance confidence were assessed at 60 and 84 months. Multivariate logistic regression was used to assess the association of knee buckling with falls and their consequences. Results: A total of 1,842 subjects (59% women, mean ± SD age 66.9 ± 7.8 years, and body mass index 30.3 ± 5.7) were included. At 60 months 16.8% reported buckling and at 84 months 14.1% had recurrent (≥2) falls. Bucklers at 60 months had a 1.6- to 2.5-fold greater odds of recurrent falls, fear of falling, and poor balance confidence at 84 months. Those who fell when a knee buckled at baseline had a 4.5-fold, 2-fold, and 3-fold increased odds 2 years later of recurrent falls, significant fall injuries, and fall injuries that limited activity, respectively, and were 4 times more likely to have poor balance confidence. Conclusion: Interventions that reduce knee buckling may help prevent falls, fall-related injuries, and adverse psychological consequences of falls in persons with knee OA.
UR - http://www.scopus.com/inward/record.url?scp=84978880688&partnerID=8YFLogxK
U2 - 10.1002/acr.22811
DO - 10.1002/acr.22811
M3 - Article
C2 - 26853236
AN - SCOPUS:84978880688
SN - 2151-464X
VL - 68
SP - 1089
EP - 1097
JO - Arthritis Care and Research
JF - Arthritis Care and Research
IS - 8
ER -