Association of fear of falling with acceleration-derived gait indices in older adults with knee osteoarthritis

T, Oka; Asai, Tsuyoshi; Kubo, Hajime; Fukumoto, Yoshihiro

doi:10.1007/s40520-018-1022-x

Cited by 9 publications

(9 citation statements)

References 34 publications

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“…Exercise encourages patient self-management of the disease and improves performance of activities of daily living (Ahn & Ham, 2019;Cheung et al, 2017;Juhl et al, 2014). Balance is impaired in individuals with knee OA, which increases the risk of falling (Oka et al, 2019;Uz Tuncay et al, 2011). A high fear of falling may increase an individual's dependence on others over time, causing avoidance of daily activities and functional retardation, decreasing quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…A high fear of falling may increase an individual's dependence on others over time, causing avoidance of daily activities and functional retardation, decreasing quality of life. Fear of falling may also cause physical, psychological, and functional problems in individuals, and so fear of falling in knee OA patients should be thoroughly evaluated (Cheung et al, 2017;Oka et al, 2019). Medical staff in close contact with patients should be aware of the effect that fear of falling has on a personʼs ability to perform daily activities.…”

Section: Discussionmentioning

confidence: 99%

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How falls and fear of falling affect the performance of daily activities in individuals with knee osteoarthritis

Kurtoglu¹,

Taştan²,

Tunay³

2020

Cent Eur J Nurs Midw

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Aim: The aim of this quantitative study was to assess falls and fear of falling in patients with knee osteoarthritis, and to determine their effects on daily activities. Design: A descriptive and prospective quantitative study. Methods: The study employed a descriptive and prospective design, examining 93 patients with knee osteoarthritis. We used the Lequesne Index (LI), the Falls Efficacy Scale (FES), and the Visual Analog Scale for Fear of Falling (VAS-FOF) to assess the effects of falls and fear of falling on daily activities. Results: The mean age of participants was 62.0 years old. In total, 78.5% of patients had experienced falls in the past, 53.4% of whom were admitted to hospital as a result. There was a positive significant correlation between total mean Lequesne Index and VAS-FOF scores, age, and BMI of participants (r = 0.310; r = 0.231; r = 0.283) (p < 0.05). A negative correlation was found between FES and VAS-FOF scores, total LI score, and age (p < 0.05). In addition, a negative significant correlation was found between age and BMI (r =-0.257) (p < 0.013). Conclusion: The results demonstrated that fear of falling affects the performance of daily activities. Knee osteoarthritis is an important risk factor for falling, and falls affect daily activities in those with knee osteoarthritis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

How falls and fear of falling affect the performance of daily activities in individuals with knee osteoarthritis

Kurtoglu¹,

Taştan²,

Tunay³

2020

Cent Eur J Nurs Midw

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“…However, Kiss 14 ) reported that the knee OA group had a significantly higher CV of stance time. Oka et al 15 ) reported a significant difference in the gait cycle time CV between patients with knee OA with a fear of falling and those without a fear of falling. Thus, many studies have been reported focusing on the gait variability of spatiotemporal parameters of knee OA.…”

Section: Introductionmentioning

confidence: 99%

“…Research on gait variability in patients with knee OA is ongoing. Gait variability has been compared between patients with knee OA and healthy individuals and among patients with different Kellgren–Lawrence severity levels and outcomes have differed in each study 12 , 13 , 14 , 15 , 16 ) . In particular, studies focusing on the variability of spatiotemporal parameters have investigated the standard deviation and coefficient of variation (CV) of gait cycle time and stance time.…”

Section: Introductionmentioning

confidence: 99%

Gait cycle time variability in patients with knee osteoarthritis and its possible associating factors

Akimoto

Kawamura

Wada³

et al. 2022

J Phys Ther Sci

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[Purpose] Knee osteoarthritis can alter gait variability; however, few studies have investigated the associating factors with gait cycle time variability. The first objective was to compare gait cycle variability between female patients with knee osteoarthritis and healthy elderly females and to determine gait characteristics in patients with knee osteoarthritis. The second objective was to identify the associating factors with gait cycle time variability. [Participants and Methods] The participants included 24 female patients diagnosed with knee osteoarthritis and 12 healthy elderly females. Gait cycle variability (coefficient of variation of gait cycle time), knee extension range of motion, knee extension strength, 5-m walk test, Timed Up & Go Test, and Western Ontario and McMaster Universities Osteoarthritis Index were measured. All assessment results were compared between the knee osteoarthritis and healthy groups. [Results] Gait cycle time variability was significantly higher in the knee osteoarthritis group than in the healthy group. Further, it showed a significant positive correlation with the 5-m walk test and the Western Ontario and McMaster Universities Osteoarthritis Index. [Conclusion] Patients with knee osteoarthritis presented greater gait cycle variability than that of healthy individuals. Therefore, rehabilitation to improve gait variability might enhance the quality of life of patients with knee osteoarthritis.

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“…However, Kiss et al [11] reported that the knee OA group had a significantly higher CV of stance time. Oka et al [12] reported that there was a significant difference in the gait cycle time CV between knee OA patients with a fear of falling and those without a fear of falling. Thus, studies focusing on the gait variability of spatiotemporal parameters in knee OA have not yielded a consistent view.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of gait cycle time variability in patients with knee osteoarthritis using a triaxial accelerometer

Akimoto

Kawamura

Wada³

et al. 2021

Preprint

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Knee osteoarthritis can alter gait variability. However, few studies have compared the temporal factors of the gait cycle between patients with knee osteoarthritis and healthy subjects. Furthermore, no studies have investigated the relationship between gait variability and potential contributing factors (knee joint functions such as muscle strength) in knee osteoarthritis. The first objective of this study was to compare gait cycle variability between female patients with knee osteoarthritis and healthy elderly women to determine gait characteristics in patients with knee osteoarthritis. The second objective was to examine whether gait cycle variability in knee osteoarthritis is associated with potential contributing factors. Twenty-four female patients diagnosed with knee osteoarthritis and 12 healthy elderly women participated. Gait cycle variability (coefficient of variation of gait cycle time), knee extension range of motion, knee extension strength, 5-meter walk test, Timed Up & Go Test, and Western Ontario and McMaster Universities Osteoarthritis Index were measured. All assessment results were compared between the knee osteoarthritis and healthy groups. Gait cycle variability was significantly higher in the knee osteoarthritis group (3.2%) compared to the healthy group (2.1%). A significant positive correlation was found between the gait cycle variability and 5-meter walk test (r=0.46) and Western Ontario and McMaster Universities Osteoarthritis Index (r=0.43). The gait of patients with knee osteoarthritis may be more unstable than that of healthy individuals. In addition, unstable gait may be associated with gait speed and quality of life. Therefore, we believe that rehabilitation to improve unstable gait can enhance the quality of life of patients with knee osteoarthritis.

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Association of fear of falling with acceleration-derived gait indices in older adults with knee osteoarthritis

Abstract: Knee OA adults with FoF decreased trunk oscillation during walking than those without FoF.

Cited by 9 publications

References 34 publications

How falls and fear of falling affect the performance of daily activities in individuals with knee osteoarthritis

How falls and fear of falling affect the performance of daily activities in individuals with knee osteoarthritis

Gait cycle time variability in patients with knee osteoarthritis and its possible associating factors

Evaluation of gait cycle time variability in patients with knee osteoarthritis using a triaxial accelerometer

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