Effect of additional sensory information on functional mobility and static balance of fallers elderly

Abstract

risk based guidelines were used as compared to using the current Danish guidelines. Methods.– Female patients attending a falls clinic and evaluated by bone mineral density bone densitometry and referred for bone densitometry were studied. 10-year fracture risks were calculated using the Garvan Fracture Risk Calculator and FRAXrax (WHOFracture Risk Assessment Tool). tools. PercentagePercentages of patients eligible for treatment wereas determined using fourusing four guidelines: Danish Bone Society (DBS), the FRAX based age-dependent UK National Osteoporosis Guideline Group (NOGG), the US National Osteoporosis Foundation FRAX based 3% (hip)/20% (any) cut) cut-off guidelinesoff guidelines (US-FRAX) and the Australian Garvan derived 20% cut-off guidelines (Garvan). Results.– Median age [IQR] of patients (n=85) was 81 years ([IQR=75–85]). Mean 10-year % risk (SD) of major/any osteoporotic fractures wererisk (SD) ofmajor/any osteoporotic fractures was: DK-FRAX 29.8% (12.8), UK-FRAX 19.9% (9.5), US-FRAX 21.8% (10.3), Garvan 50.2% (23.8). Proportion of patients (95%CI) eligible for treatment were:wasere; DBS 55.3% (44.7–65.9), NOGG 51.2% (40.5–61.9), US-FRAX 87.1% (80.0–94.2), Garvan 90.6% (84.4–96.8). Conclusion.– These data show that the choice of guideline has a major impact on treatment decisions in this group of older Danish women with falls. Adherence to the US-FRAX and Garvan algorithms would result in extremely discrepant treatment rates compared to adherence with the DBS and UK-NOGG guidelines.