ArticleArchives of gerontology and geriatrics
The role of postural instability/gait difficulty and fear of falling in predicting falls in non-demented older adults.
Article in Archives of gerontology and geriatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Does concern about falling predict future falls in older adults? A systematic review and meta-analysis.Age and ageing · 2025Pooled it
- Characterizing Stair Ambulation Kinetics and the Effects of Dual Tasking in Parkinson's Disease.Journal of clinical medicine · 2025Article
- Cautious Gait during Navigational Tasks in People with Hemiparesis: An Observational Study.Sensors (Basel, Switzerland) · 2024Observational
- Age-Related Dysfunction in Balance: A Comprehensive Review of Causes, Consequences, and Interventions.Aging and disease · 2024Review
- Exploiting the features of deep residual network with SVM classifier for human posture recognition.PloS one · 2024Article
- Overview of Radar-Based Gait Parameter Estimation Techniques for Fall Risk Assessment.IEEE open journal of engineering in medicine and biology · 2024Article
- Relationship between fear of falling and fall risk among older patients with stroke: a structural equation modeling.BMC geriatrics · 2023Article
- Psychometric Properties of the Falls Efficacy Scale-International, Cut-off Points, and Validating its Short Version Among Iranian Older People.Oman medical journal · 2023Article
- Protective or harmful? A qualitative exploration of older people's perceptions of worries about falling.Age and ageing · 2022Article
- Fear of Falling in Older Adults: A Scoping Review of Recent Literature.Canadian geriatrics journal : CGJ · 2021Article
- Article
- Exploring Fear of Falling Related Activity Avoidance among Postmenopausal Women.International journal of environmental research and public health · 2021Article
- Motor imagery training speeds up gait recovery and decreases the risk of falls in patients submitted to total knee arthroplasty.Scientific reports · 2020Article
- Fear of Falling Contributing to Cautious Gait Pattern in Women Exposed to a Fictional Disturbing Factor: A Non-randomized Clinical Trial.Frontiers in neurology · 2019Article
- Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?PloS one · 2018Article
- Quantitative trunk sway and prediction of incident falls in older adults.Gait & posture · 2017Article
- Management of Gait Changes and Fall Risk in MCI and Dementia.Current treatment options in neurology · 2017Review
- A New Approach to Fear of Falls From Connections With the Posttraumatic Stress Disorder Literature.Gerontology & geriatric medicineReview
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
introductionPostural instability/gait difficulty (PIGD) and fear of falling (FoF) frequently co-exist, but their individual predictive values for falls have not been compared in aging. This study aims to determine both independent and combined effect of PIGD and FoF to falls in older adults without dementia.
methodsPIGD and other extrapyramidal signs were systematically assessed in 449 community-dwelling participants without Parkinson's disease (76.48±6.61 ys; 56.8% female) enrolled in this longitudinal cohort study. Presence of FoF was measured by a single-item question (Do you have a FoF?) and self-confidence by the Activities-specific Balance Confidence scale (ABC scale).
resultsOne hundred sixty-nine participants (38%) had an incident fall over a mean follow-up of 20.1±12.2months. PIGD was present in 32% and FoF in 23% of the participants. Both PIGD (adjusted hazard ratio (aHR): 2.28; p=0.016) and self-confidence (aHR: 0.99; p=0.040) predicted falls when entered simultaneously in the Cox model. However, presence of FoF (aHR: 1.99; p=0.021) and self-confidence (aHR: 0.98; p=0.006) predicted falls only in individuals with PIGD.
conclusionsPIGD and FoF were associated with future falls in older adults without dementia but FoF was a fall's predictor only in individuals with PIGD.
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