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Titre : | Longitudinal Associations Between Falls and Risk of Gait Decline: Results From the Central Control of Mobility and Aging Study (2023) |
Auteurs : | Oshadi Jayakody ; Helena M. Blumen ; Emmeline Ayers ; Joe Verghese |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 2, 2023) |
Article en page(s) : | 245-250 |
Note générale : | https://doi.org/10.1016/j.apmr.2022.08.975 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Chutes accidentelles ; Etudes longitudinales ; Marche à pied ; Réadaptation ; Vitesse de marche |
Résumé : | Objective To examine whether falls are associated with longitudinal changes in different gait domains and onset of clinical gait abnormalities. Design Longitudinal study. Setting General community. Participants Ambulatory older adults free of dementia (N=428; mean age, 77.8+6.4 years). Interventions Not applicable. Main Outcome Measures Gait was assessed with a computerized walkway. Pace, rhythm, and variability (outcome measures) were derived from individual gait measures, using principal component analysis. Clinical gait abnormalities (neurologic, nonneurologic, mixed) were visually assessed by clinicians. Linear mixed-effects models were used to examine the associations between falls (the exposure variable coded as none, single, and multiple) and changes in gait domains. Multinomial logistic regression was used to examine associations between falls and the onset of clinical gait abnormalities. Models were adjusted for sex, education, age, body mass index, number of comorbidities, gait speed at the first follow-up, and time between the last fall and the first follow-up gait assessment. Results Pace declined while rhythm and variability increased at a faster rate (P<.05 among participants with multiple falls in the first year of follow-up compared no falls. risk for clinical gait abnormalities between those a single fall or was not different. conclusions predict future decline domains aging. interventions to prevent after should be investigated.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322015908 |