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Gait Assessment in the Elderly: A Gait Abnormality Rating Scale and Its Relation to Falls
Abstract
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.
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Citations
Cited by
Gait variability and fall risk in community-living older adults: A 1-year prospective study
Hausdorff, J. M., Rios, D. A., & Edelberg, H. K. (2001) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2001.24893 · Cited by 2,313
Increased gait unsteadiness in community-dwelling elderly fallers
Hausdorff, J. M., Edelberg, H. K., Mitchell, S. L., Goldberger, A. L., & Wei, J. Y. (1997) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(97)90034-4 · Cited by 593
Step Length Reductions in Advanced Age: The Role of Ankle and Hip Kinetics
JudgeRoy, J. O., Davis, B., & Ounpuu, S. (1996) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/51a.6.m303 · Cited by 585
Falls and Their Prevention in Elderly People: What Does the Evidence Show?
Rubenstein, L. Z., & Josephson, K. R. (2006) · Medical Clinics of North America · doi:10.1016/j.mcna.2006.05.013 · Cited by 579
Russell, T. G., Buttrum, P., Wootton, R., & Jull, G. A. (2011) · The Journal of Bone and Joint Surgery-American Volume · doi:10.2106/jbjs.i.01375 · Cited by 382
Metadata
- Authors
- Wolfson, L., Whipple, R., Amerman, P., & Tobin, J. N.
- Venue
- Journal of Gerontology
- Publisher
- Oxford University Press (OUP)
- Published
- 1990-01-01
- Volume
- 45
- Issue
- 1
- Pages
- M12-M19
- ISSN
- 0022-1422 (ISSN-L)
- OpenAlex
- W1976017500
- Cited by
- 285
- References
- 0
- FWCI
- 31.13
- Type
- journal article
- Language
- en
- Open access
- closed
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- Wolfson, L., Whipple, R., Amerman, P., & Tobin, J. N. (1990). Gait Assessment in the Elderly: A Gait Abnormality Rating Scale and Its Relation to Falls. Journal of Gerontology. https://doi.org/10.1093/geronj/45.1.m12
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.