{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:46:51Z","timestamp":1791265611934,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,2,17]],"date-time":"2015-02-17T00:00:00Z","timestamp":1424131200000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Institute on Aging Research Nursing Home Program","award":["P01-AG004390"],"award-info":[{"award-number":["P01-AG004390"]}]},{"name":"National Institute on Aging Research Nursing Home Program","award":["R01-AG026316"],"award-info":[{"award-number":["R01-AG026316"]}]},{"name":"National Institute on Aging Research Nursing Home Program","award":["R37-AG25037"],"award-info":[{"award-number":["R37-AG25037"]}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"crossref","award":["5 R01-AG032052-03"],"award-info":[{"award-number":["5 R01-AG032052-03"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000097","name":"National Center for Research Resources","doi-asserted-by":"crossref","award":["1 UL1-RR025758-01"],"award-info":[{"award-number":["1 UL1-RR025758-01"]}],"id":[{"id":"10.13039\/100000097","id-type":"DOI","asserted-by":"crossref"}]},{"name":"National Institute on Disability and Rehabilitation Research Grant","award":["H133P120001"],"award-info":[{"award-number":["H133P120001"]}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2015,2]]},"abstract":"\n Objectives<\/jats:title>\n To determine whether a performance battery and its components aid in predicting injurious falls.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Longitudinal analysis; prospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Clinical site.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Boston\u2010area community\u2010dwelling adults (N\u00a0=\u00a0755; mean age\u00a0\u00b1\u00a0\n SD<\/jats:styled-content>\n 78.1\u00a0\u00b1\u00a05.4, 64.1% female, 77.6% white).\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Baseline functional performance was determined according to the Short Physical Performance Battery (\n SPPB<\/jats:styled-content>\n ), measuring balance, gait speed, and five repeated chair stands. Fall history (past year) and efficacy in performing 10 daily activities without falling were assessed. Falls were assessed using a daily calendar over 4\u00a0years. Injurious falls were defined as resulting in fractures, sprains, dislocations, pulled or torn muscles, ligaments, or tendons or seeking medical attention.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Poorest chair stand performance (\u226516.7\u00a0seconds) was associated with greater hazard of injurious falls than in all other chair stand performance groups (hazard ratio (\n HR<\/jats:styled-content>\n )\u00a0=\u00a01.96, 95% confidence interval (\n CI<\/jats:styled-content>\n )\u00a0=\u00a01.18\u20133.26 for \u2265\u00a016.7\u00a0vs. 13.7\u201316.6\u00a0seconds;\n HR<\/jats:styled-content>\n \u00a0=\u00a01.65, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.07\u20132.55 for \u2265\u00a016.7\u00a0vs. 11.2\u201313.6\u00a0seconds,\n HR<\/jats:styled-content>\n \u00a0= 1.60, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.03\u20132.48 for \u2265\u00a016.7\u00a0vs. <11.2\u00a0seconds).\n SPPB<\/jats:styled-content>\n did not predict injurious falls. Fall history predicted injurious falls (\n HR<\/jats:styled-content>\n \u00a0=\u00a01.82, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.39\u20132.39); falls efficacy did not. Fall history and a slow chair stand (<16.7\u00a0seconds) had a 2\u2010year cumulative incidence rate of an injurious fall of 46% (95%\n CI<\/jats:styled-content>\n \u00a0=\u00a00.34\u20130.58), nearly the combined rate of a positive fall history (0.29, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a00.25\u20130.34) and a slow chair stand alone (0.21, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a00.13\u20130.30).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n An easily administered chair stand test may be sufficient for evaluating performance as part of a risk stratification strategy for injurious falls.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.13203","type":"journal-article","created":{"date-parts":[[2015,2,17]],"date-time":"2015-02-17T01:50:45Z","timestamp":1424137845000},"page":"315-320","source":"Crossref","is-referenced-by-count":119,"title":["Functional Performance as a Predictor of Injurious Falls in Older Adults"],"prefix":"10.1111","volume":"63","author":[{"given":"Rachel E.","family":"Ward","sequence":"first","affiliation":[{"name":"Spaulding Rehabilitation Hospital Boston Massachusetts"},{"name":"Department of Physical Medicine and Rehabilitation Harvard Medical School Cambridge Massachusetts"},{"name":"Health and Disability Research Institute School of Health Boston University Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne G.","family":"Leveille","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences University of Massachusetts Boston Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marla K.","family":"Beauchamp","sequence":"additional","affiliation":[{"name":"Spaulding Rehabilitation Hospital Boston Massachusetts"},{"name":"Department of Physical Medicine and Rehabilitation Harvard Medical School Cambridge Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Travison","sequence":"additional","affiliation":[{"name":"Institute for Aging Research Hebrew SeniorLife Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Alexander","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine Department of Internal Medicine University of Michigan Ann Arbor Michigan"},{"name":"Geriatric Research, Education and Clinical Center Veterans Affairs Ann Arbor Health Care System Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan M.","family":"Jette","sequence":"additional","affiliation":[{"name":"Health and Disability Research Institute School of Health Boston University Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan F.","family":"Bean","sequence":"additional","affiliation":[{"name":"Spaulding Rehabilitation Hospital Boston Massachusetts"},{"name":"Department of Physical Medicine and Rehabilitation Harvard Medical School Cambridge Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0690(02)00002-2"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1995.tb07396.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1989.03420180087036"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2005.011015"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1520\/JFS13991J"},{"key":"e_1_2_7_7_1","unstructured":"Algorithm for Fall Risk Assessment and Interventions. 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