GAIT ASSESSMENT IN THE ELDERLY - A GAIT ABNORMALITY RATING-SCALE AND ITS RELATION TO FALLS
GAIT ASSESSMENT IN THE ELDERLY - A GAIT ABNORMALITY RATING-SCALE AND ITS RELATION TO FALLS
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DOI：
10.1093/geronj/45.1.m12
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发表时间：
1990-01-01
期刊：
影响因子：
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通讯作者：
TOBIN, JN
中科院分区：
文献类型：
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作者：
WOLFSON, L;WHIPPLE, R;TOBIN, JN
我们评估了 49 名疗养院居民（其中 27 名近期有跌倒史）和 22 名对照者的步态。测量包括步幅和步行速度，以及基于录像带的步态 16 个方面的分析。研究表明，与对照组相比，跌倒者的步幅、步行速度和录像步态评估之间存在良好的相关性，并且这些步态的影响显着受损。跌倒者的手臂摆动幅度、上下肢同步性和步态警惕性受损最严重。尽管跌倒的受试者比对照组更容易出现精神错乱，但这很可能代表了疗养院的选择偏差。对疗养院人群的步态特征进行视觉评级是现有步态分析方法的一种简单而有用的替代方法。
We evaluated the gait of 49 nursing home residents (27 of whom had a history of recent falls), and 22 controls. Measures consisted of stride length and walking speed, as well as a videotape-based analysis of 16 facets of gait. The study demonstrates that stride length, walking speed, and the assessment of videotaped gait correlated well with each other and were significantly impaired in fallers compared to controls. Arm swing amplitude, upper-lower extremity synchrony, and guardedness of gait were most impaired in fallers. Although subjects who fell were more often demented than controls, it is likely that this represents a selection bias in nursing homes. Visual rating of gait features in the nursing home population is a simple and useful alternative to established methods of gait analysis.