+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Associations between measures of gait stability, leg strength and fear of falling

Associations between measures of gait stability, leg strength and fear of falling

Gait and Posture 41(1): 76-80

Fear of falling (FoF) in elderly frequently leads to decreased quality of life. FoF is suggested to be associated with changes in gait quality and muscle strength with aging. The aim of this study was to determine whether gait quality and maximal voluntary torque (MVT) of knee extensor muscles are associated with FoF. We hypothesized that high between-stride variability and local divergence exponent (LDE) of trunk kinematics in gait are associated with higher FoF in non-fallers, but not in fallers. Moreover, we hypothesized that knee extensor muscle strength is associated with a high variability and LDE of trunk kinematics during gait. 134 four adults, aged 62.4 (SD 6.2) years agreed to participate. FoF was assessed on a 10-point numerical rating scale. Subjects with at least one fall in the past 12 months were considered as fallers. LDE and variability were calculated from data of a trunk-mounted inertial-sensor collected during several minutes of treadmill walking. Maximal voluntary knee extension torque (MVT) was assessed isometrically. Fall history was an effect modifier in the association between LDE and FoF only, i.e. only subjects without fall history and a high LDE had a five times higher chance of reporting FoF. Gait variability was not associated with FoF. Low MVT was associated with FoF. Multivariate analysis demonstrated that LDE was more strongly associated with FoF than MVT. Decreased stability of gait as reflected in a high LDE and low muscle strength are associated with and a potential cause of FoF in subjects without fall history.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 051690917

Download citation: RISBibTeXText

PMID: 25242294

DOI: 10.1016/j.gaitpost.2014.08.015

Related references

Does fear of falling relate to low physical function in frail elderly persons?: associations of fear of falling, balance, and gait. Journal of the Japanese Physical Therapy Association 7(1): 41-47, 2004

"Fear of falling" gait: a potentially reversible psychogenic gait disorder. Cognitive and Behavioral Neurology 18(3): 171-172, 2005

The association between fear of falling and smoothness of lower trunk oscillation in gait varies according to gait speed in community-dwelling older adults. Journal of Neuroengineering and Rehabilitation 14(1): 5, 2017

Leg extensor muscle strength, postural stability, and fear of falling after a 2-month home exercise program in women with severe knee joint osteoarthritis. Medicina 49(8): 347-353, 2013

Lower-limb muscle strength, static and dynamic postural stabilities, risk of falling and fear of falling in polio survivors and healthy subjects. PhysioTherapy Theory and Practice 2018: 1-8, 2018

???Fear of Falling??? Gait. Cognitive and Behavioral Neurology 18(3): 171-172, 2005

Relationship between fear of falling and outcomes of an inpatient geriatric rehabilitation population--fear of the fear of falling. Journal of the American Geriatrics Society 58(4): 664-673, 2010

Cautious gait and fear of falling in the elderly. Harefuah 140(11): 1091-4 1115, 2001

Effects of strength and balance training on the mobility, fear of falling and grip strength of elderly female fallers. Journal of Bodywork and Movement Therapies 19(4): 646-650, 2015

Adult osteomalacia: a treatable cause of "fear of falling" gait. Neurology 80(22): 2079, 2013

The influence of fear of falling on gait and balance in older people. Age and Ageing 38(4): 435-440, 2009

Does fear of falling predict gait variability in multiple sclerosis?. Journal of the Neurological Sciences 380: 212-214, 2017

Fear of falling, balance, and gait velocity in patients with stroke. PhysioTherapy Theory and Practice 21(2): 113-120, 2006

Relationships of stroke patients' gait parameters with fear of falling. Journal of Physical Therapy Science 26(12): 1883-1884, 2014

Influence of fear of falling on gait and balance in Parkinson's disease. Disability and Rehabilitation 36(9): 744-748, 2014