Prediction of future falls in a community dwelling older adult population using instrumented balance and gait analysis
Background The role of instrumented balance and gait assessment when screening for prospective fallers is currently a topic of controversial discussion. Objectives This study analyzed the association between variables derived from static posturography, instrumented gait analysis and clinical assessm...
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| Veröffentlicht in: | Zeitschrift für Gerontologie und Geriatrie 2016-04, Vol.49 (3), p.232-236 |
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| container_title | Zeitschrift für Gerontologie und Geriatrie |
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| creator | Bauer, C.M. Gröger, I. Rupprecht, R. Marcar, V.L. Gaßmann, K.G. |
| description | Background
The role of instrumented balance and gait assessment when screening for prospective fallers is currently a topic of controversial discussion.
Objectives
This study analyzed the association between variables derived from static posturography, instrumented gait analysis and clinical assessments with the occurrence of prospective falls in a sample of community dwelling older people.
Methods
In this study 84 older people were analyzed. Based on a prospective occurrence of falls, participants were categorized into fallers and non-fallers. Variables derived from clinical assessments, static posturography and instrumented gait analysis were evaluated with respect to the association with the occurrence of prospective falls using a forward stepwise, binary, logistic regression procedure.
Results
Fallers displayed a significantly shorter single support time during walking while counting backwards, increased mediolateral to anteroposterior sway amplitude ratio, increased fast mediolateral oscillations and a larger coefficient (Coeff) of sway direction during various static posturography tests. Previous falls were insignificantly associated with the occurrence of prospective falls.
Conclusion
Variables derived from posturography and instrumented gait analysis showed significant associations with the occurrence of prospective falls in a sample of community dwelling older adults. |
| doi_str_mv | 10.1007/s00391-015-0885-0 |
| format | Article |
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The role of instrumented balance and gait assessment when screening for prospective fallers is currently a topic of controversial discussion.
Objectives
This study analyzed the association between variables derived from static posturography, instrumented gait analysis and clinical assessments with the occurrence of prospective falls in a sample of community dwelling older people.
Methods
In this study 84 older people were analyzed. Based on a prospective occurrence of falls, participants were categorized into fallers and non-fallers. Variables derived from clinical assessments, static posturography and instrumented gait analysis were evaluated with respect to the association with the occurrence of prospective falls using a forward stepwise, binary, logistic regression procedure.
Results
Fallers displayed a significantly shorter single support time during walking while counting backwards, increased mediolateral to anteroposterior sway amplitude ratio, increased fast mediolateral oscillations and a larger coefficient (Coeff) of sway direction during various static posturography tests. Previous falls were insignificantly associated with the occurrence of prospective falls.
Conclusion
Variables derived from posturography and instrumented gait analysis showed significant associations with the occurrence of prospective falls in a sample of community dwelling older adults.</description><identifier>ISSN: 0948-6704</identifier><identifier>EISSN: 1435-1269</identifier><identifier>DOI: 10.1007/s00391-015-0885-0</identifier><identifier>PMID: 25862429</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject><![CDATA[Accidental Falls - prevention & control ; Accidental Falls - statistics & numerical data ; Actigraphy - instrumentation ; Actigraphy - methods ; Actigraphy - statistics & numerical data ; Aged ; Aging ; Female ; Forecasting - methods ; Gait ; Geriatric Assessment - statistics & numerical data ; Geriatrics/Gerontology ; Humans ; Independent Living - statistics & numerical data ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Originalien ; Postural Balance ; Prognosis ; Reproducibility of Results ; Risk Assessment - methods ; Sensitivity and Specificity ; Social Sciences]]></subject><ispartof>Zeitschrift für Gerontologie und Geriatrie, 2016-04, Vol.49 (3), p.232-236</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-f21efb48c613a13a45b9eb6a5cc296d99248c8f82328a3674c97ff5a83c2f08d3</citedby><cites>FETCH-LOGICAL-c440t-f21efb48c613a13a45b9eb6a5cc296d99248c8f82328a3674c97ff5a83c2f08d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00391-015-0885-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00391-015-0885-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25862429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bauer, C.M.</creatorcontrib><creatorcontrib>Gröger, I.</creatorcontrib><creatorcontrib>Rupprecht, R.</creatorcontrib><creatorcontrib>Marcar, V.L.</creatorcontrib><creatorcontrib>Gaßmann, K.G.</creatorcontrib><title>Prediction of future falls in a community dwelling older adult population using instrumented balance and gait analysis</title><title>Zeitschrift für Gerontologie und Geriatrie</title><addtitle>Z Gerontol Geriat</addtitle><addtitle>Z Gerontol Geriatr</addtitle><description>Background
The role of instrumented balance and gait assessment when screening for prospective fallers is currently a topic of controversial discussion.
Objectives
This study analyzed the association between variables derived from static posturography, instrumented gait analysis and clinical assessments with the occurrence of prospective falls in a sample of community dwelling older people.
Methods
In this study 84 older people were analyzed. Based on a prospective occurrence of falls, participants were categorized into fallers and non-fallers. Variables derived from clinical assessments, static posturography and instrumented gait analysis were evaluated with respect to the association with the occurrence of prospective falls using a forward stepwise, binary, logistic regression procedure.
Results
Fallers displayed a significantly shorter single support time during walking while counting backwards, increased mediolateral to anteroposterior sway amplitude ratio, increased fast mediolateral oscillations and a larger coefficient (Coeff) of sway direction during various static posturography tests. Previous falls were insignificantly associated with the occurrence of prospective falls.
Conclusion
Variables derived from posturography and instrumented gait analysis showed significant associations with the occurrence of prospective falls in a sample of community dwelling older adults.</description><subject>Accidental Falls - prevention & control</subject><subject>Accidental Falls - statistics & numerical data</subject><subject>Actigraphy - instrumentation</subject><subject>Actigraphy - methods</subject><subject>Actigraphy - statistics & numerical data</subject><subject>Aged</subject><subject>Aging</subject><subject>Female</subject><subject>Forecasting - methods</subject><subject>Gait</subject><subject>Geriatric Assessment - statistics & numerical data</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Independent Living - statistics & numerical data</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Originalien</subject><subject>Postural Balance</subject><subject>Prognosis</subject><subject>Reproducibility of Results</subject><subject>Risk Assessment - methods</subject><subject>Sensitivity and Specificity</subject><subject>Social Sciences</subject><issn>0948-6704</issn><issn>1435-1269</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtrHCEcx6UkZDePP6CX4jGXadVxZvQYlr4g0BySszg-FoOjUx8p-9_H7aY9Bn-o8H2IHwA-YvQZIzR9yQj1HHcIDx1irG0fwBbTfugwGfkZ2CJOWTdOiG7AZc7PCOFpGvEF2JCBjYQSvgUvD8lop4qLAUYLbS01GWil9xm6ACVUcVlqcOUA9R_jvQt7GL02CUpdfYFrXKuXf-M1H0UXckl1MaEYDWfpZVAGyqDhXrrSLtIfssvX4Ly9kc3N23kFnr59fdz96O5_ff-5u7vvFKWodJZgY2fK1Ih72YYOMzfzKAelCB8156RpzDLSEyb7caKKT9YOkvWKWMR0fwVuT71rir-ryUUsLqv2DxlMrFlghmlbbZoVn6wqxZyTsWJNbpHpIDASR9zihFs03OKIW6CW-fRWX-fF6P-Jf3ybgZwMuUlhb5J4jjU1CPmd1lc8gYzg</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Bauer, C.M.</creator><creator>Gröger, I.</creator><creator>Rupprecht, R.</creator><creator>Marcar, V.L.</creator><creator>Gaßmann, K.G.</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160401</creationdate><title>Prediction of future falls in a community dwelling older adult population using instrumented balance and gait analysis</title><author>Bauer, C.M. ; Gröger, I. ; Rupprecht, R. ; Marcar, V.L. ; Gaßmann, K.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-f21efb48c613a13a45b9eb6a5cc296d99248c8f82328a3674c97ff5a83c2f08d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Accidental Falls - statistics & numerical data</topic><topic>Actigraphy - instrumentation</topic><topic>Actigraphy - methods</topic><topic>Actigraphy - statistics & numerical data</topic><topic>Aged</topic><topic>Aging</topic><topic>Female</topic><topic>Forecasting - methods</topic><topic>Gait</topic><topic>Geriatric Assessment - statistics & numerical data</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Independent Living - statistics & numerical data</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Originalien</topic><topic>Postural Balance</topic><topic>Prognosis</topic><topic>Reproducibility of Results</topic><topic>Risk Assessment - methods</topic><topic>Sensitivity and Specificity</topic><topic>Social Sciences</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bauer, C.M.</creatorcontrib><creatorcontrib>Gröger, I.</creatorcontrib><creatorcontrib>Rupprecht, R.</creatorcontrib><creatorcontrib>Marcar, V.L.</creatorcontrib><creatorcontrib>Gaßmann, K.G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Zeitschrift für Gerontologie und Geriatrie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bauer, C.M.</au><au>Gröger, I.</au><au>Rupprecht, R.</au><au>Marcar, V.L.</au><au>Gaßmann, K.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prediction of future falls in a community dwelling older adult population using instrumented balance and gait analysis</atitle><jtitle>Zeitschrift für Gerontologie und Geriatrie</jtitle><stitle>Z Gerontol Geriat</stitle><addtitle>Z Gerontol Geriatr</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>49</volume><issue>3</issue><spage>232</spage><epage>236</epage><pages>232-236</pages><issn>0948-6704</issn><eissn>1435-1269</eissn><abstract>Background
The role of instrumented balance and gait assessment when screening for prospective fallers is currently a topic of controversial discussion.
Objectives
This study analyzed the association between variables derived from static posturography, instrumented gait analysis and clinical assessments with the occurrence of prospective falls in a sample of community dwelling older people.
Methods
In this study 84 older people were analyzed. Based on a prospective occurrence of falls, participants were categorized into fallers and non-fallers. Variables derived from clinical assessments, static posturography and instrumented gait analysis were evaluated with respect to the association with the occurrence of prospective falls using a forward stepwise, binary, logistic regression procedure.
Results
Fallers displayed a significantly shorter single support time during walking while counting backwards, increased mediolateral to anteroposterior sway amplitude ratio, increased fast mediolateral oscillations and a larger coefficient (Coeff) of sway direction during various static posturography tests. Previous falls were insignificantly associated with the occurrence of prospective falls.
Conclusion
Variables derived from posturography and instrumented gait analysis showed significant associations with the occurrence of prospective falls in a sample of community dwelling older adults.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25862429</pmid><doi>10.1007/s00391-015-0885-0</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Accidental Falls - prevention & control Accidental Falls - statistics & numerical data Actigraphy - instrumentation Actigraphy - methods Actigraphy - statistics & numerical data Aged Aging Female Forecasting - methods Gait Geriatric Assessment - statistics & numerical data Geriatrics/Gerontology Humans Independent Living - statistics & numerical data Internal Medicine Male Medicine Medicine & Public Health Originalien Postural Balance Prognosis Reproducibility of Results Risk Assessment - methods Sensitivity and Specificity Social Sciences |
| title | Prediction of future falls in a community dwelling older adult population using instrumented balance and gait analysis |
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