Good lateral harmonic stability combined with adequate gait speed is required for low fall risk in older people

Gerontology

Volumn 61, Issue 1, 2015, Pages 69-78

  Brodie, Matthew A D ^a   Menz, Hylton B ^b   Smith, Stuart T ^c   Delbaere, Kim ^a   Lord, Stephen R ^a  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

^b LA TROBE UNIVERSITY   (Australia)

^c UNIVERSITY OF TASMANIA   (Australia)

Author keywords

Fall risk; Gait speed; Harmonic ratios; Lateral stability

Indexed keywords

ACCELERATION; ACCELEROMETER; ACCELEROMETRY; AGED; AGING; ARTICLE; CONTROLLED STUDY; FALL RISK; FALL RISK ASSESSMENT; FEMALE; GAIT; HUMAN; JOINT STABILITY; LATERAL HARMONIC STABILITY; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RISK FACTOR; SACRUM; VERY ELDERLY; WALKING SPEED; ACCIDENTAL FALLS; AGED, 80 AND OVER; BIOMECHANICAL PHENOMENA; EXERCISE TEST; HUMANS; POSTURAL BALANCE; RISK; RISK ASSESSMENT; TIME FACTORS; WALKING;

ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; BIOMECHANICAL PHENOMENA; EXERCISE TEST; FEMALE; GAIT; HUMANS; MALE; POSTURAL BALANCE; RISK; RISK ASSESSMENT; TIME FACTORS; WALKING;

EID: 84919837362     PISSN: 0304324X     EISSN: 14230003     Source Type: Journal    
DOI: 10.1159/000362836     Document Type: Article

References (36)

1. Greene BR, O'Donovan A, Romero-Ortuno R, Cogan L, Scanaill CN, Kenny RA. Quantitative falls risk assessment using the timed up and go teSt IEEE Trans Biomed Eng. 2010; 57: 2918-2926.
2. Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in community-living older adults: a 1-year prospective study. Arch Phys Med Rehabil. 2001; 82: 1050-1056.
3. Menz HB, Lord SR, Fitzpatrick RC. Acceleration patterns of the head and pelvis when walking are associated with risk of falling in community-dwelling older people. J Gerontol A Biol Sci Med Sci. 2003; 58: 446-452.
4. Lord SR, Menz HB, Tiedemann A A physiological profile approach to falls risk assessment and prevention. Phys Ther. 2003; 83: 237-252.
5. Melzer I, Benjuya N, Kaplanski J. Postural stability in the elderly: a comparison between fallers and non-fallers. Age Ageing. 2004; 33: 602-607.
6. Bogle Thorbahn LD, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther. 1996; 76: 576-583; discussion 584-585.
7. Lord SR, Sambrook PN, Gilbert C, Kelly PJ, Nguyen T, Webster IW, et al. Postural stability, falls and fractures in the elderly: results from the Dubbo Osteoporosis Epidemiology Study. Med J AuSt 1994; 160: 684-685, 688-691.
8. Schimpl M, Moore C, Lederer C, Neuhaus A, Sambrook J, Danesh J, et al. Association between walking speed and age in healthy, freeliving individuals using mobile accelerometry -A cross-sectional study. PLoS One. 2011; 6: e23299.
9. Menz HB, Lord SR, Fitzpatrick RC. Age-related differences in walking stability. Age Ageing. 2003; 32: 137-142.
10. Lowry KA, Lokenvitz N, Smiley-Oyen AL. Age-And speed-related differences in harmonic ratios during walking. Gait Posture. 2012; 35: 272-276.
11. Brodie MA, Menz HB, Lord SR. Age-Associated changes in head jerk while walking reveal altered dynamic stability in older people. Exp Brain Res. 2014; 232: 51-60.
12. Beauchet O, Annweiler C, Lecordroch Y, Allali G, Dubost V, Herrmann FR, et al. Walking speed-related changes in stride time variability: effects of decreased speed. J Neuroeng Rehabil. 2009; 6: 32.
13. Lord SR, Latt MD, Menz HB, Fung VS. Walking speed, cadence and step length are selected to optimize the stability of head and pelvis accelerations. Exp Brain Res. 2008; 184: 201-209.
14. Kavanagh JJ, Menz HB. Accelerometry: a technique for quantifying movement patterns during walking. Gait Posture. 2008; 28: 1-15.
15. Yack HJ, Berger RC. Dynamic stability in the elderly: identifying a possible measure. J Gerontol. 1993; 48: M225-M230.
16. Brach JS, McGurl D, Wert D, Vanswearingen JM, Perera S, Cham R, et al. Validation of a measure of smoothness of walking. J Gerontol A Biol Sci Med Sci. 2011; 66: 136-141.
17. Smidt GL, Arora JS, Johnston RC. Accelerographic analysis of several types of walking. Am J Phys Med. 1971; 50: 285-300.
18. Bellanca JL, Lowry KA, Vanswearingen JM, Brach JS, Redfern MS. Harmonic ratios: a quantification of step to step symmetry. J Biomech. 2013; 46: 828-831.
19. Senden R, Savelberg HH, Grimm B, Heyligers IC, Meijer K. Accelerometry-based gait analysis, an additional objective approach to screen subjects at risk for falling. Gait Posture. 2012; 36: 296-300.
20. Latt MD, Menz HB, Fung VS, Lord SR. Acceleration patterns of the head and pelvis during gait in older people with Parkinson's disease: a comparison of fallers and nonfallers. J Gerontol A Biol Sci Med Sci. 2009; 64: 700-706.
21. Menz HB, Lord SR, Fitzpatrick RC. Acceleration patterns of the head and pelvis when walking on level and irregular surfaces. Gait Posture. 2003; 18: 35-46.
22. Cali CM, Kiel DP. An epidemiologic study of fall-related fractures among institutionalized older people. J Am Geriatr Soc. 1995; 43: 1336-1340.
23. Norton R, Campbell AJ, Lee-Joe T, Robinson E, Butler M. Circumstances of falls resulting in hip fractures among older people. J Am Geriatr Soc. 1997; 45: 1108-1112.
24. Maki BE. Gait changes in older adults: predictors of falls or indicators of fear. J Am Geriatr Soc. 1997; 45: 313-320.
25. Weiss A, Brozgol M, Dorfman M, Herman T, Shema S, Giladi N, et al. Does the evaluation of gait quality during daily life provide insight into fall risk? A novel approach using 3-day accelerometer recordings. Neurorehabil Neural Repair. 2013; 27: 742-752.
26. Leclerc BS, Begin C, Cadieux E, Goulet L, Allaire JF, Meloche J, et al A classification and regression tree for predicting recurrent falling among community-dwelling seniors using home-care services. Can J Public Health. 2009; 100: 263-267.
27. Tiedemann A, Sherrington C, Orr T, Hallen J, Lewis D, Kelly A, et al. Identifying older people at high risk of future falls: development and validation of a screening tool for use in emergency departments. Emerg Med J 2013; 30: 918-922.
28. Masud T, Morris RO. Epidemiology of falls. Age Ageing. 2001; 30(suppl 4): 3-7.
29. Zijlstra W, Hof AL. Assessment of spatiotemporal gait parameters from trunk accelerations during human walking. Gait Posture. 2003; 18: 1-10.
30. Cooley JW, Tukey JW. An algorithm for the machine calculation of complex Fourier series. Math Comput. 1965; 19: 297-301
31. Doi T, Makizako H, Shimada H, Yoshida D, Ito K, Kato T, et al. Brain atrophy and trunk stability during dual-Task walking among older adults. J Gerontol A Biol Sci Med Sci. 2012; 67: 790-795.
32. Lockhart TE, Liu J. Differentiating fall-prone and healthy adults using local dynamic stability. Ergonomics. 2008; 51: 1860-1872.
33. Owings TM, Grabiner MD. Measuring step kinematic variability on an instrumented treadmill: how many steps are enough? J Biomech. 2003; 36: 1215-1218.
34. Lord SR, Tiedemann A, Chapman K, Munro B, Murray SM, Gerontology M, et al. The effect of an individualized fall prevention program on fall risk and falls in older people: a randomized, controlled trial. J Am Geriatr Soc. 2005; 53: 1296-1304.
35. Moe-Nilssen R A new method for evaluating motor control in gait under real-life environmental conditions. Part 1. The instrument. Clin Biomech (Bristol, Avon) 1998; 13: 320-327.
36. Brodie MAD, Lord SR, Smith ST, Menz HB. Accuracy of postural sway in gait measured with accelerometers. XXIV Congress of the International Society of Biomechanics, Natal, 2013.