Gait variability and fall risk in community-living older adults: A 1-year prospective study
Gait variability and fall risk in community-living older adults: A 1-year prospective study
复制标题
DOI：
10.1053/apmr.2001.24893
复制
发表时间：
2001-08-01
影响因子：
4.3
通讯作者：
Edelberg, HK
中科院分区：
文献类型：
--
作者：
Hausdorff, JM;Rios, DA;Edelberg, HK
目的：为了检验这一假设，即步态变异性增加可预测社区老年人参加门诊的福尔斯。设计：前瞻性，队列研究。设置：三个门诊老年诊所。参与者：52名社区生活，年龄大于或等于70岁的非卧床男性和女性。干预措施：不适用。主要结果测量：受试者穿着力敏鞋垫以正常速度行走长达6分钟，该鞋垫以步幅为基础测量步态节律。之后，受试者每周报告跌倒状态，持续1年。的主要结果之间的关联措施的步幅到步幅波动的步态节律和（1）随后的福尔斯在12个月的随访期间和（2）潜在的促成factors.Results：近40%的受试者报告下降在12个月的随访期间。在12个月的随访期内，随后跌倒的受试者（n = 20）的步幅时间变异性为106 +/- 30 ms，未跌倒的受试者（n = 32）的步幅时间变异性为49 +/-4 ms（p
Objective: To test the hypothesis that increased gait variability predicts falls among community-living older adults attending an outpatient clinic.Design: Prospective, cohort study.Setting: Three outpatient geriatric clinics.Participants: Fifty-two community-living, ambulatory men and women aged greater than or equal to 70 years.Interventions: Not applicable.Main Outcome Measures: Subjects walked at a normal pace for up to 6 minutes wearing force-sensitive insoles that measured the gait rhythm on a stride-to-stride basis. Afterward, subjects reported fall status on a weekly basis for 1 year. The primary outcomes were the association between measures of the stride-to-stride fluctuations in gait rhythm and (1) subsequent falls during a 12-month follow-up period and (2) potential contributing factors.Results: Almost 40% of the subjects reported falling during the 12-month follow-up period. Stride time variability was 106 +/- 30 ms in subjects who subsequently fell (n = 20) and 49 +/- 4ms in those who did not experience a fall (n = 32) during the 12-month follow-up period (p