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[Purpose] The purpose of this study was to examine the reliability and clinical usefulness of a subjective risk rating of specific tasks (SRRST) for assessing risks of falls in frail elderly people. The participants were 30 elderly individuals who utilized day-care services. [Subjects and Methods] Participants were investigated the SRRST, grip strength, one repetition maximum of leg-press machine (1RM), one-leg standing time (OLS), functional reach, timed up and go test (TUG), and 10 m-walking speed, Barthel index, Tokyo Metropolitan Institute of Gerontology index, and history of falls in the previous year. The SRRST is comprised of 7 dichotomous questions screening of fall risk during activities of daily living such as walking, transferring, and wandering, and was scored twice a week by four raters. [Results] Intra-rater reliabilities of the SRRST were high (ICC (1,1) = 0.727 to 0.914, ICC (1,2) = 0.842 to 0.955), and inter-rater reliabilities of the SRRST were moderate to high (ICC (2,1) = 0.513, ICC (2,4) = 0.808). In comparison to the non-faller group, the faller group showed significantly lower 1RM and higher the SRRST. The SRRST showed moderate correlations with the OLS and TUG. [Conclusion] The SRRST showed moderate to high reliability and concurrent validity for assessing the fall risks in frail elderly people.

Usefulness of the Subjective Risk Rating of Specific Tasks for Falls in Frail Elderly People