ArticleJournal of neuroengineering and rehabilitation2017
The association between fear of falling and smoothness of lower trunk oscillation in gait varies according to gait speed in community-dwelling older adults.
Article in Journal of neuroengineering and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- The global prevalence of and risk factors for fear of falling among older adults: a systematic review and meta-analysis.BMC geriatrics · 2024Pooled it
- Biomechanical characteristics of high- and low-frequency trunk acceleration upon gait initiation related to balance ability in community-dwelling elderly people: a cross-sectional study.Nagoya journal of medical science · 2025Article
- Motion Smoothness Analysis of the Gait Cycle, Segmented by Stride and Associated with the Inertial Sensors' Locations.Sensors (Basel, Switzerland) · 2025Article
- Comparison of gait characteristics between affected and unaffected sides in patients with meniscus lesions: insights from dynamic analysis.Frontiers in medicine · 2025Article
- Fear of falling in community-dwelling older adults: What their gait acceleration pattern reveals.Computer methods and programs in biomedicine · 2024Article
- The Role of Cognitive Performance and Physical Functions in the Association between Age and Gait Speed: A Mediation Study.Geriatrics (Basel, Switzerland) · 2022Article
- The association between fear of falling and occurrence of falls: a one-year cohort study.BMC geriatrics · 2022Observational
- Gait cycle time variability in patients with knee osteoarthritis and its possible associating factors.Journal of physical therapy science · 2022Article
- Functional Electrical Stimulation for Foot Drop in Post-Stroke People: Quantitative Effects on Step-to-Step Symmetry of Gait Using a Wearable Inertial Sensor.Sensors (Basel, Switzerland) · 2021Article
- Movement smoothness in chronic post-stroke individuals walking in an outdoor environment-A cross-sectional study using IMU sensors.PloS one · 2021Article
- Smoothness of Gait in Healthy and Cognitively Impaired Individuals: A Study on Italian Elderly Using Wearable Inertial Sensor.Sensors (Basel, Switzerland) · 2020Article
- Development and validation of Comprehensive Gait Assessment using InerTial Sensor score (C-GAITS score) derived from acceleration and angular velocity data at heel and lower trunk among community-dwelling older adults.Journal of neuroengineering and rehabilitation · 2019Article
- Symmetry of Gait in Underweight, Normal and Overweight Children and Adolescents.Sensors (Basel, Switzerland) · 2019Article
- 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
- Health-related quality of life, handgrip strength and falls during detraining in elderly habitual exercisers.Health and quality of life outcomes · 2017Article
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFear of falling (FoF) is common in community-dwelling older adults. FoF and increased walking speed are associated with lower trunk oscillation during gait in older adults. We hypothesized that older adults with FoF would struggle to walk safely when instructed to walk faster than usual.
methodsParticipants included 260 community-dwelling older adults aged over 65 years (mean age = 71.9 ± 3.9 years) who were able to walk independently without an assistive device. Participants were instructed to walk along a 15-m smooth horizontal walkway at self-selected normal and fast gait speeds. During the middle 10 m of the walk, oscillation of the lower trunk and stride times were measured with two accelerometers. We examined associations between gait variables, including harmonic ratio (HR) in vertical, mediolateral (HR-ML) and anteroposterior (HR-AP) directions as indicators of smoothness of lower trunk oscillation, as well as stride time variability (STV) and FoF.
resultsGait-speed- and STV- adjusted models showed that FoF was significantly associated with HR-ML in the normal-gait condition (HR-ML: β = - .135, p = .040), while FoF was significantly associated with HR-AP in the fast-gait condition (HR-AP: β = - .154, p = .017).
conclusionsFoF-related changes in gait vary with gait speed. In older adults with FoF, lower trunk oscillation was less smooth in the lateral direction when they walked at their usual pace. In addition, lower trunk oscillation was also less smooth in the direction of travel when they walked at a faster pace than their usual walking speed.
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