Multiple modes of assessment of gait are better than one to predict incident falls

Archives of Gerontology and Geriatrics
Gilles AllaliJoe Verghese

Abstract

Though gait evaluation is recommended as a core component of fall risk assessments, a systematic examination of the predictive validity of different modes of gait assessments for falls is lacking. To compare three commonly employed gait assessments - self-reported walking difficulties, clinical evaluation, and quantitative gait - to predict incident falls. 380 community-dwelling older adults (mean age 76.5 ± 6.8 y, 55.8% female) were evaluated with three independent gait assessment modes: patient-centered, quantitative, and clinician-diagnosed. The association of these three gait assessment modes with incident falls was examined using Cox proportional hazards models. 23.2% of participants self-reported walking difficulties, 15.5% had slow gait, and 48.4% clinical gait abnormalities. 30.3% had abnormalities on only one assessment, whereas only 6.3% had abnormalities on all three. Over a mean follow-up of 24.2 months, 137 participants (36.1%) fell. Those with at least two abnormal gait assessments presented an increased risk of incident falls (hazard ratio (HR): 1.61, 95% confidence interval (CI): 1.04-2.49) in comparison to the 169 participants without any abnormalities on any of the three assessments. Multiple modes of gait eva...Continue Reading

References

Oct 18, 2002·Journal of the American Geriatrics Society·Joe VergheseRichard Lipton
Nov 29, 2002·The New England Journal of Medicine·Joe VergheseHerman Buschke
Sep 27, 2003·Journal of the American Geriatrics Society·Richard B LiptonHerman Buschke
Oct 27, 2004·Age and Ageing·Joe VergheseRichard B Lipton
Aug 24, 2005·Neurology·J E GalvinJ C Morris
Sep 3, 2005·Journal of the American Geriatrics Society·Sarah E LambUNKNOWN Prevention of Falls Network Europe and Outcomes Consensus Group
Feb 8, 2006·Journal of the American Geriatrics Society·Joe VergheseRichard B Lipton
Dec 15, 2006·Lancet Neurology·Anke H SnijdersBastiaan R Bloem
Jan 24, 2007·Journal of Neurology, Neurosurgery, and Psychiatry·Joe VergheseXiaonan Xue
Jun 2, 2007·Journal of Neural Transmission·J VergheseR B Lipton
Jan 8, 2008·Journal of Clinical Epidemiology·Marianne B van IerselMarcel G M Olde Rikkert
Sep 6, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Eleanor M SimonsickUNKNOWN Health, Aging and Body Composition Study
Apr 8, 2009·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Joe VergheseCuiling Wang
Sep 29, 2009·Journal of Neurology·Joe VergheseCuiling Wang
Jan 6, 2011·JAMA : the Journal of the American Medical Association·Stephanie StudenskiJack Guralnik
Jan 14, 2011·Journal of the American Geriatrics Society·UNKNOWN Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society
Aug 10, 2011·Journal of Rehabilitation Medicine·Caroline Hodt-BillingtonRolf Moe-Nilssen
May 29, 2012·Journal of Vascular Surgery·Pierre AbrahamGuillaume Mahe
Nov 7, 2013·Gerontology·Emmeline I AyersJoe Verghese
Nov 29, 2013·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Roee HoltzerJoe Verghese

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Citations

Apr 5, 2016·BioMed Research International·Shantong Jiang, Pingping Li
May 29, 2018·Clinical Rehabilitation·Bilal Akhter MateenE Diane Playford
Jan 14, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Michele L Callisaya, Joe Verghese
Jul 25, 2017·Current Treatment Options in Neurology·Gilles Allali, Joe Verghese
Mar 26, 2019·Journal of Alzheimer's Disease : JAD·Emmeline Ayers, Joe Verghese
Dec 30, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Joe Verghese, Emmeline Ayers
Sep 10, 2020·Journal of the American Medical Directors Association·Sina MehdizadehAndrea Iaboni

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