Is it possible to predict falls in older adults using gait kinematics?

Author(s)

Marques, Nise Ribeiro ^[1] ; Spinoso, Deborah Hebling ^[2] ; Cardoso, Bruna Carvalho ^[2] ; Moreno, Vinicius Christianini ^[1] ; Kuroda, Marina Hiromi ^[1] ; Navega, Marcelo Tavella ^[2]

Affiliation

^[1] Univ Sagrado Coracao, Ctr Hlth Sci, Rua Irma Arminda 10-50, BR-17011 Bauru, SP - Brazil

^[2] Univ Estadual Paulista, UNESP, Dept Phys Therapy & Occupat Therapy, Marilia - Brazil

• Document type: Journal article
• Source: CLINICAL BIOMECHANICS; v. 59, p. 15-18, NOV 2018.
• Web of Science Citations: 3

Abstract

Background: Gait kinematic parameters have been reported as an important clinical tool to assess the risk of falls in older adults. However, the ability of these parameters to predict falls in the older population is still unclear. Objective: To identify the ability that gait kinematic parameters present to predict fall in older adults. Methods: Data from 102 older adults, who live in a community setting, were considered for this study. For data collection, older subjects had to walk on a 14 meter-walkway in their preferred gait speed. The incidence of falls was recorded at baseline together with gait kinematics and then every three months during the period of the study. The ability of gait kinematic parameters to predict falls was tested using the ROC curve. Results: Stance time variability, swing time, and stride length presented a sensitivity to predict falls in older adults higher than 70%. Conclusion Gait kinematic parameters, such as stance variability, swing time, and stride length may predict future falls in older adults. (AU)

• FAPESP's process: 14/07227-3 - Identification of the ability to predict falls in older adults using a threashold based on the stance time variability of the gait
• Grantee: Nise Ribeiro Marques
• Support Opportunities: Regular Research Grants