Family Medicine & Primary Care Review
eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
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3/2025
vol. 27
 
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Original paper

The association between the severity of cognitive impairment and the risk of falls in patients with dementia

Sofi Oktaviera Sinaga
1
,
Fasihah Irfani Fitri
1
,
Kiki Mohammad Iqbal
1

  1. Department of Neurology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
Family Medicine & Primary Care Review 2025; 27(3): 315-319
Online publish date: 2025/09/29
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1. McKhann GM, Knopman DS, Chertkow H, et al. The diagnosis of dementia due to Alzheimer’s disease: recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimers Dement 2011; 7(3): 263–269, doi: 10.1016/j.jalz.2011.03.005.
2. Prince M, Wimo A, Guerchet M, et al. World Alzheimer Report 2015. The global impact of dementia: an analysis of prevalence, incidence, cost and trends. London: Alzheimer’s Disease International; 2015.
3. World Health Organization. Global action plan on the public health response to dementia 2017–2025 [Internet]. Geneva: WHO 2017. 1–27. Available from URL: https://apps.who.int/iris/bitstream/handle/10665/259615/9789241513487-eng.pdf?sequence = 1.
4. Farina N, Jacobs R, Turana Y, et al. Comprehensive Measurement of the Prevalence of Dementia in Low and Middle Income Countries L STRIDE Methodology and its application in Indonesia an South Africa. BJPsych Open 2023; 9(e102): 1–7.
5. Fernando E, Fraser M, Hendriksen J, et al. Risk Factors Associated with Falls in Older Adults with Dementia: A Systematic Review. Physiother Can 2017; 69(2): 161–170, doi: 10.3138/ptc.2016-14.
6. Racey M, Markle-Reid M, Fitzpatrick-Lewis D, et al. Fall prevention in community-dwelling adults with mild to moderate cognitive impairment: a systematic review and meta-analysis. BMC Geriatr 2021; 21(1): 689, doi: 10.1186/s12877-021-02641-9.
7. Tangen GG, Engedal K, Bergland A, et al. Relationships between Balance and Cognition in Patients with Subjective Cognitive Impairment, Mild Cognitive Impairment, and Alzheimer Disease. Physical Therapy 2014; 94(8): 1123–1134, doi: 10.2522/ptj.20130298.
8. Williams JM, Nyman SR. Association between the instrumented timed up and go test and cognitive function, fear of falling and quality of life in community dwelling people with dementia. J Frailty Sarcopenia Falls 2018; 3(4): 185, doi: 10.22540/JFSF-03-185.
9. Drootin M. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc 2011; 59(1): 148–157.
10. Ambrose AF, Paul G, Hausdorff JM. Risk factors for falls among older adults: a review of the literature. Maturitas 2013; 75(1): 51–61.
11. Allali G, Launay CP, Blumen HM, et al. Falls, Cognitive Impairment, and Gait Performance: Results From the GOOD Initiative. J Am Med Dir Assoc 2017; 18(4): 335–340, doi: 10.1016/j.jamda.2016.10.008.
12. Husein N, Silvia L, Yetty R, et al. Montreal Cognitive Assessment Versi Indonesia (MoCA-Ina) Untuk Skrining Gangguan Fungsi Kognitif. Neurona Neuro Sains 2010; 27(4): 15–22.
13. Hughes CP, Berg L, Danziger WL, et al. A new clinical scale for the staging of dementia. Br J Psychiatry 1982; 140: 566–572.
14. Feretti-Rebustini RE, Rebustini F, Suemoto CK, et al. Construct validity of the Clinical Dementia Rating Scale to assess the level of cognitive decline by informants. Alzheimer’s Dement 2021; 17(Suppl. 6): e053956, doi: 10.1002/alz.053956.
15. Alexandre TS, Meira DM, Rico NC, et al. Accuracy of Timed Up and Go Test for screening risk of falls among community-dwelling elderly. Braz J Phys Ther 2012; 16(5): 381–388.
16. Barry E, Galvin R, Keogh C, et al. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr 2014; 14: 14, doi: 10.1186/1471-2318-14-14.
17. Melo Borges S, de, Radanovic M, Forlenza OV, Fear of Falling and Fall in Older Adults with Mild Cognitive Impairment and Alzheimers Disease. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn 2015; 22(3): 312–321, doi: 10.1080/13825585.2014.933770.
18. Gras LZ, Kanaan SF, McDowd, et al. Balance and Gait of Adults with very Mild Alzheimer’s Disease. J Geriatr Phys Ther 2015; 38(1): 1–7, doi: 10.1519/JPT.0000000000000020.
19. Cederval Y, Stenberg AM, Ahman HB, et al. Time and Go Dual Task Testing in the Assessment of Cogntiive Function: a Mixed Observational Study for Development of the UDD Gait Protocol. Int J Environ Res Public Health 2020: 17: 1715, doi: 10.3390/ijerph1705171.
20. Suttanon P, Hill KD, Said CM, et al. Balance and mobility dysfunction and falls risk in older people with mild to moderate Alzheimer disease. Am J Phys Med Rehabil 2012; 91(1): 12–23.
21. Barry E, Galvin R, Keogh C, et al. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatrics 2014; 14: 14, doi.org/10.1186/1471-2318-14-14.
22. Rolenz E, Reneker JC. Validity of the 8-Foot Up and Go, Timed Up and Go, and Activities-Specific Balance Confidence Scale in older adults with and without cognitive impairment. J Rehabil Res Dev 2016; 53(4): 511–518, doi: 10.1682/JRRD.2015.03.0042.
23. Lee HS, Ko M, Park SW, et al. Concurrent Validity of the Groningen Meander Walking and Timed Up and Go Tests in Older Adults with Dementia. Physiother Theory Pract 2020; 36(12): 1432–1437, doi: 10.1080/09593985.2019.1579285.
24. Lynds ME, Arnold CM. Fall Risk Screening and Assessment for People Living with Dementia: A Scoping Review. J Appl Gerontol 2023; 42(9): 2025–2035, doi: 10.1177/07334648231168983.
25. Zhang W, Schwenk M, Mills N, et al. Review of Gait, Cognition, and Fall Risks with Implications for Fall Prevention in Older Adults with Dementia. Dement Geriatr Cogn Disord 2019; 48(1–2): 17–29, doi: 10.1159/000504340.
26. Mirelman A, Weiss A, Buchman AS, et al. Association between performance on Timed Up and Go subtasks and mild cognitive impairment: further insights into the links between cognitive and motor function. J Am Geriatr Soc 2014; 62(4): 673–678, doi: 10.1111/JGS.12734.
Copyright: © 2025 Family Medicine & Primary Care Review. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
 
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