Gender-specific impact of falls on ankle function and its relationship with balance in older adults.

Objective: This study investigated changes in ankle function in older adults with a history of falls and the influence of gender. It also explored the relationship between balance and ankle function in fallers. Methods: A cross-sectional study of 78 nursing home residents [54 women (mean age: 75.54...

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Publicado en:Physiotherapy Theory & Practice Vol. 42; no. 2; pp. 329 - 342
Autores principales: Seçer, Melda Başer, Aktaş Öztürk, Melahat, Çiçek Güvendik, Sinem, Çeliker Tosun, Ozge, Seçer, Erhan, Limoncu, Mehmet Emin
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2026
      vid: 42
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      pub: Taylor & Francis Ltd
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        10.1080/09593985.2025.2570369
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        atl: Gender-specific impact of falls on ankle function and its relationship with balance in older adults.
      aug:
        au:
          Seçer, Melda Başer
          Aktaş Öztürk, Melahat
          Çiçek Güvendik, Sinem
          Çeliker Tosun, Ozge
          Seçer, Erhan
          Limoncu, Mehmet Emin
        affil: Department of Health Care Services, Vocational School of Health Services, Manisa Celal Bayar University, Manisa, Turkey
      sug:
        subj:
          Accidental Falls
          Balance, Postural Evaluation
          Ankle Physiology
          Sex Factors
          Human
          Turkiye
          Male
          Female
          Aged
          Aged, 80 and Over
          Cross Sectional Studies
          Post Hoc Analysis
          Power Analysis
          Correlational Studies
          Nursing Homes
          Body Mass Index
          Scales
          Data Analysis Software
          Paired T-Tests
          Unpaired T-Tests
          Pearson's Correlation Coefficient
          Descriptive Statistics
          Electromyography
          Fear Evaluation
          Range of Motion
          Gastrocnemius Muscle
          Tibialis Anterior Muscle
          Muscle Strength
          Nursing Home Residents
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Objective: This study investigated changes in ankle function in older adults with a history of falls and the influence of gender. It also explored the relationship between balance and ankle function in fallers. Methods: A cross-sectional study of 78 nursing home residents [54 women (mean age: 75.54 ± 4.88), 24 men (mean age: 78.87 ± 5.50)] aged ≥65 years was conducted. Ankle dorsi-plantar flexion range of motion (ROM), tibialis anterior (TA) and gastrocnemius (GC) electromyography (EMG) activity during contraction/relaxation, and isometric TA/GC strength were measured. Fear of falling (FoF) and balance were assessed using the Falls Efficacy Scale (FES) and Berg Balance Scale (BBS), respectively. Results: Rates of fallers (women %32, men %33) were similar between genders. Men with a history of falls showed higher GC EMG activity (p =.016) and greater FoF (p =.016) than women with fall history. Fallers versus non-fallers in men also exhibited higher GC EMG activity (p =.039) and FoF (p =.011). In men, fall number positively correlated with GC work average and FES. A strong negative correlation existed between BBS and FES in male fallers (r = −0.985, p =.015). Conclusion: Ankle ROM and muscle function may be unaffected in women post-fall. However, men experiencing falls might have reduced ankle strength, potentially compensated by increased EMG activity. Men appear more significantly impacted by falls psychologically and functionally.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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