Fear of falling revisited

Hill, Keith; Schwarz, Jenny; Kalogeropoulos, Aileen J.; Gibson, Stephen

doi:10.1016/s0003-9993(96)90063-5

Cited by 429 publications

(352 citation statements)

References 14 publications

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“…Further, baseline data with respect to the number of falls in the year prior to the experiment, fear of falling (Modified Falls Efficacy Scale; Hill et al 1996), and depression (15-item Geriatric Depression Scale; Sheikh and Yesavages 1986) were obtained for the older adults.…”

Section: Neuropsychological Test Batterymentioning

confidence: 99%

Effects of aging on the relationship between cognitive demand and step variability during dual-task walking

Decker

Cignetti

Hunt

et al. 2016

AGE

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A U-shaped relationship between cognitive demand and gait control may exist in dual-task situations, reflecting opposing effects of external focus of attention and attentional resource competition. The purpose of the study was twofold: to examine whether gait control, as evaluated from step-to-step variability, is related to cognitive task difficulty in a U-shaped manner and to determine whether age modifies this relationship. Young and older adults walked on a treadmill without attentional requirement and while performing a dichotic listening task under three attention conditions: nonforced (NF), forced-right (FR), and forced-left (FL). The conditions increased in their attentional demand and requirement for inhibitory control. Gait control was evaluated by the variability of step parameters related to balance control (step width) and rhythmic stepping pattern (step length and step time). A Ushaped relationship was found for step width variability in both young and older adults and for step time variability in older adults only. Cognitive performance during dual tasking was maintained in both young and older adults. The U-shaped relationship, which presumably results from a trade-off between an external focus of attention and competition for attentional resources, implies that higher-level cognitive processes are involved in walking in young and older adults. Specifically, while these processes are initially involved only in the control of (lateral) balance during gait, they become necessary for the control of (fore-aft) rhythmic stepping pattern in older adults, suggesting that attentional resources turn out to be needed in all facets of walking with aging. Finally, despite the cognitive resources required by walking, both young and older adults spontaneously adopted a Bposture second^strategy, prioritizing the cognitive task over the gait task.

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Section: Neuropsychological Test Batterymentioning

confidence: 99%

Effects of aging on the relationship between cognitive demand and step variability during dual-task walking

Decker

Cignetti

Hunt

et al. 2016

AGE

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“…One of the main limitation when studying fear of falling is that the gait parameters were assessed manually and not on GAITRite electronic system and hence there are chances of human error. Other limitation while assessing fear of falling was that some elders might be reluctant to admit their fear.The MFES has been found to be valid and reliable for assessing fear of falling [22].However, the biggest challenge was to explain the MFES to the participants. Also some activities in the MFES eg.…”

Section: Discussionmentioning

confidence: 99%

“…Outcome measures: Prior to the gait analysis the participants were asked to complete the Modified Falls Efficacy Scale [22] (MFES). The participants were assigned into fearless and fearful groups on the basis of the MFES.…”

Section: Methodsmentioning

confidence: 99%

Influence of Fear of Fall on Spatial and Temporal Parameters of Gait in Community-Dwelling Elderly

Agni¹,

Doshi²

2017

IJPR

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Background: Aging is a gradual deterioration of physiological function.It is a multidimensional process involving various systems of the body.Out of the various problems faced by the geriatric age group "falls" are one of the major problems faced by the elderly.Fear of fall and associated avoidance of activity may lead to functional decline, restriction of social participation and hence affection of quality of life.This fear can also affect the gait pattern of an individual.Therefore the purpose of this study was to find out the influence of fear of fall on the spatial and temporal gait parameters in elderly.Materials and Methods: 100 community dwelling elderly were made to walk 10 meters and their gait parameters were noted.The participants were classified into fearful and fearless groups on the basis of the MFES, before the test. Result:The statistical analysis of the study was done using the mann-whitney test and a significant difference was found between the gait parameters of the fearless and fearful group. Conclusion:There is an influence of fear of fall on the gait parameters of elderly. Fearful participants were shown to have a significantly slower gait speed,shorter stride length and step length,lesser cadence and increased stride width when compared to fearless participants.

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“…Fourteen items are rated on a scale of 0 (not confident) to 10 (completely confident). It is a tool designed specifically for seniors and has demonstrated high retest reliability in an older sample of fallers and nonfallers (Hill, Schwarz, Kalogeropolous, & Gibson, 1996). The Lubben Social Network Scale (LSNS) is a six-item instrument designed to gauge social isolation in older adults by measuring perceived support received from family and friends.…”

Section: Data Collectionmentioning

confidence: 99%

Personal emergency alarms: do health outcomes differ for purchasers and nonpurchasers?

Miguel¹,

Lewin

Burton

et al. 2017

Home Health Care Services Quarterly

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The objective of this study was to assess whether purchasing a personal alarm service makes a difference in a range of health outcomes for community dwelling older adults. The prospective cohort study involved 295 individuals for whom data on emergencies experienced at home were collected over a period of 12 months. Purchasers of alarms, compared to nonpurchasers, benefitted in terms of feeling more safe and secure and being more active around their home. Outcomes experienced after an emergency were similar for both groups with no differences found in terms of time spent on floor, or hospitalizations.

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Fear of falling revisited

Cited by 429 publications

References 14 publications

Effects of aging on the relationship between cognitive demand and step variability during dual-task walking

Effects of aging on the relationship between cognitive demand and step variability during dual-task walking

Influence of Fear of Fall on Spatial and Temporal Parameters of Gait in Community-Dwelling Elderly

Personal emergency alarms: do health outcomes differ for purchasers and nonpurchasers?

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