Falls and fear of falling in older adults with total joint arthroplasty: a scoping review

Chen, Serena Kuangyi; Voaklander, Don; Perry, Danielle; Jones, Allyson

doi:10.1186/s12891-019-2954-9

Cited by 20 publications

(19 citation statements)

References 52 publications

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“…We found that both ITW and control groups demonstrated significantly lower joint angles at loading, mid-stance, and push-off during toe walking (Table 1), suggesting rigidity at the lower extremity. The stiffening behavior and freezing the degree of freedom at the lower extremity joints could jeopardize gait stability and increase the chances of severe falls and injuries [40,41]. It was also found that foot segment angles at FIC were in the position of dorsiflexion for control typical walking, whereas it was at plantarflexion angle for cITW similar to toe walking (Figure 6).…”

Section: Discussionmentioning

confidence: 97%

Foot Contact Dynamics and Fall Risk among Children Diagnosed with Idiopathic Toe Walking

et al. 2021

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Children that are diagnosed with Idiopathic Toe walking (cITW) are characterized by persistent toe-to-toe contacts. The objective of this study was to explore whether typical foot contact dynamics during walking predisposes cITW to a higher risk of falling. Twenty cITW and age-matched controls performed typical and toe walking trials. The gait parameters related to foot contact dynamics, vertical force impulses during stance, slip, and trip risk were compared for both groups. We found that cITW manifest less stable gait and produced significantly higher force impulses during push-off. Additionally, we found that cITW had a higher slip-initiation risk that was associated with higher foot contact horizontal and vertical velocities in addition to lower transitional acceleration of center of mass. We found that cITW exhibited a higher trip risk with toe clearance being significantly lower when compared to healthy counterparts. This study allowed for a quantitative description of foot contact dynamics and delineated typical from toe walking among cITW. Overall, the results indicate that cITW are less stable during typical walking and are prone to a higher risk of slip and trip-like falls.

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Section: Discussionmentioning

confidence: 97%

Foot Contact Dynamics and Fall Risk among Children Diagnosed with Idiopathic Toe Walking

et al. 2021

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“…Moreover, Bower et al [ 40 ] indicated that the fear of falling is high among these patients (61% 4 weeks post-fracture and 47% 12 weeks after) and therefore these PwD often cut back on activities and exercise routines, thus worsening their functional state. Balance impairment and mobility limitations are intrinsic factors of falls [ 41 ]. In fact, participants had a higher rate of falls one month after their discharge from hospital.…”

Section: Discussionmentioning

confidence: 99%

Profile of Patients with Dementia or Cognitive Impairment Hospitalized with a Proximal Femur Fracture Requiring Surgery

Casafont

González-García²,

Marañón-Echeverría

et al. 2022

IJERPH

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This study reports the characteristics of patients with dementia or cognitive impairment hospitalized with a proximal femur fracture requiring surgery. Methods: Multicentric descriptive longitudinal study conducted in three traumatology units, representing high-technology public hospitals across Spain. Data collection took place between August 2018 and December 2019 upon admission to hospital, discharge, one month and three months after discharge. Results: Study participants (n = 174) were mainly women (81.6%), and the mean age was 90.7± 6.3 years old. Significant statistical differences were noted in the decline of functional capacity at baseline and one month later, and after three months they had still not recovered. Malnutrition increased from baseline to the one-month follow-up. The use of physical restraints increased during hospitalization, especially bilateral bedrails and a belt in the chair/bed. After one month, 15.2% of patients had pressure ulcers. Although pain decreased, it was still present after three months. Conclusion: Hospitalization after hip surgery for elderly people with dementia or cognitive impairment negatively impacted their global health outcomes such as malnutrition and the development of pressure ulcers, falls, functional impairment and the use of physical restraints and pain management challenges. Hospitals should implement policy-makers’ strategic dementia care plans to improve their outcomes.

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“…For balance confidence, this effect was even more pronounced. While FoF is more prevalent in frail older persons [ 13 ], the development of FoF is associated with multidimensional factors such as gender, age, and subjective health [ 64 ] as well as prior falls experience [ 65 ]. Therefore, gait parameters can only partly reflect these underlying mechanisms.…”

Section: Discussionmentioning

confidence: 99%

Validation of a Laser Ranged Scanner-Based Detection of Spatio-Temporal Gait Parameters Using the aTUG Chair

Fudickar

Kiselev

Stolle

et al. 2021

Sensors

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This article covers the suitability to measure gait-parameters via a Laser Range Scanner (LRS) that was placed below a chair during the walking phase of the Timed Up&Go Test in a cohort of 92 older adults (mean age 73.5). The results of our study demonstrated a high concordance of gait measurements using a LRS in comparison to the reference GAITRite walkway. Most of aTUG’s gait parameters demonstrate a strong correlation coefficient with the GAITRite,indicating high measurement accuracy for the spatial gait parameters. Measurements of velocity had a correlation coefficient of 99%, which can be interpreted as an excellent measurement accuracy. Cadence showed a slightly lower correlation coefficient of 96%, which is still an exceptionally good result, while step length demonstrated a correlation coefficient of 98% per leg and stride length with an accuracy of 99% per leg. In addition to confirming the technical validation of the aTUG regarding its ability to measure gait parameters, we compared results from the GAITRite and the aTUG for several parameters (cadence, velocity, and step length) with results from the Berg Balance Scale (BBS) and the Activities-Specific Balance Confidence-(ABC)-Scale assessments. With confidence coefficients for BBS and velocity, cadence and step length ranging from 0.595 to 0.798 and for ABC ranging from 0.395 to 0.541, both scales demonstrated only a medium-sized correlation. Thus, we found an association of better walking ability (represented by the measured gait parameters) with better balance (BBC) and balance confidence (ABC) overall scores via linear regression. This results from the fact that the BBS incorporates both static and dynamic balance measures and thus, only partly reflects functional requirements for walking. For the ABC score, this effect was even more pronounced. As this is to our best knowledge the first evaluation of the association between gait parameters and these balance scores, we will further investigate this phenomenon and aim to integrate further measures into the aTUG to achieve an increased sensitivity for balance ability.

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Falls and fear of falling in older adults with total joint arthroplasty: a scoping review

Cited by 20 publications

References 52 publications

Foot Contact Dynamics and Fall Risk among Children Diagnosed with Idiopathic Toe Walking

Foot Contact Dynamics and Fall Risk among Children Diagnosed with Idiopathic Toe Walking

Profile of Patients with Dementia or Cognitive Impairment Hospitalized with a Proximal Femur Fracture Requiring Surgery

Validation of a Laser Ranged Scanner-Based Detection of Spatio-Temporal Gait Parameters Using the aTUG Chair

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