CHARACTERISTICS OF FEAR OF FALLING IN PATIENTS WITH KNEE AND HIP OSTEOARTHRITIS

Huyền Trần Thanh, Phương Trần Nguyễn, Thái Hoàng Đức

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Abstract

Objective: To describe the characteristics of fear of falling in patients with knee and/or hip osteoarthritis. Subjects and Methods: A descriptive cross-sectional study was conducted on 151 patients aged 40 years and older with knee and/or hip osteoarthritis, who received medical examination and treatment at the University Medical Center Ho Chi Minh City from January 2025 to April 2025. Patients were diagnosed according to the 1991 criteria of the American College of Rheumatology (ACR). Fear of falling was assessed using the Falls Efficacy Scale – International (FES-I). Results: A total of 151 patients participated in the study, with an average age of 61.5 ± 8.5 years. The majority were female, accounting for 86.1%, while male patients accounted for 13.9%. The mean FES-I score was 25.6 ± 6.5. Among them, 17.9% reported a low level of fear of falling, 47.7% had a moderate level, and 34.4% experienced a high level of fear. The activities most associated with fear of falling included: walking on slippery surfaces, walking uphill or downhill, and walking on uneven surfaces. Conclusion: Most patients in the study experienced a moderate to high level of fear of falling. Activities that pose a risk of balance loss were the most feared. Therefore, assessing fear of falling should be incorporated into the examination and rehabilitation evaluation process for patients with osteoarthritis in order to prevent and reduce fall risk in this patient group

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References

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