Gait disorders and fall risk: Detection and prevention

Duxbury, Andrew

doi:10.1007/s12019-000-0024-7

Cited by 14 publications

(14 citation statements)

References 20 publications

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“…It has become clear that gait and strength play a significant role in the independent abilities of the elderly. [17][18][19] The patient who is unable to care for himself or herself is at significant risk. EMS may be able to have a significant role in acting as part of a larger referral network to help these elderly patients.…”

Section: Discussionmentioning

confidence: 99%

E Mergency M Edical S Ervices S Creening of E Lderly F Alls in the H Ome

Weiss

Chong

Ong

et al. 2003

Prehospital Emergency Care

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Section: Discussionmentioning

confidence: 99%

E Mergency M Edical S Ervices S Creening of E Lderly F Alls in the H Ome

Weiss

Chong

Ong

et al. 2003

Prehospital Emergency Care

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“…A decrease of speed and length may also play a role in maximizing balance and stability and be a natural way of helping prevent excess fall risk. [6] The danger of falls in elderly people is due to high susceptibility to injuries caused by prevailing diseases e.g. osteoporosis or reduced protective reflexes.…”

Section: Gait Dysfunctionsmentioning

confidence: 99%

“…Conditions seen in the primary care setting that can contribute to mobility disorders include degenerative joint disease, acquired musculoskeletal deformities, intermittent claudication, impairments following orthopedic surgery and stroke, and postural hypotension. Other conditions that cause mobility dysfunctions are hemiplegia, knee and hip diseases and metabolic disorders [6].…”

Section: Gait Dysfunctionsmentioning

confidence: 99%

Assistive mobility devices focusing on Smart Walkers: Classification and review

Martins

Santos

Frizera

et al. 2012

Robotics and Autonomous Systems

218

121

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In an aging society it is extremely important to develop devices, which can support and aid the elderly in their daily life. This demands means and tools that extend independent living and promote improved health. Thus, the goal of this article is to review the state of the art in the robotic technology for mobility assistive devices for people with mobility disabilities. The important role that robotics can play in mobility assistive devices is presented, as well as the identification and survey of mobility assistive devices subsystems with a particular focus on the walkers technology. The advances in the walkers' field have been enormous and have shown a great potential on helping people with mobility disabilities. Thus it is presented a review of the available literature of walkers and are discussed major advances that have been made and limitations to be overcome.

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“…An increased fear of falling also leads to further decreases in mobility (Chamberlin et al, 2005). Individuals with locomotor impairment are also at greater risk for depression (Braam et al, 2005) osteoporosis, arthritis, congestive heart failure, muscle pain, stroke, dementia (Duxbury, 2000) and death (Hardy et al, 2007). Furthermore, walking speed may represent a general measure of overall health and can be an indication of risk for future disabilities (Onder et al, 2005).…”

Section: Drosophila As a Model For Age-related Locomotor Impairment (mentioning

confidence: 99%

Drosophila as a model for age-related impairment in locomotor and other behaviors

Jones

Grotewiel

2011

Experimental Gerontology

123

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Aging is a multifaceted phenomenon that occurs in most species including humans and the fruit fly, Drosophila melanogaster. One of the most fundamental features of aging is the progressive decline in functional capacity that occurs with age (i.e. functional senescence). Age-related declines in function undermine many aspects of normal youthful physiology including behavior. Age-related behavioral declines are quite telling because they presumably reflect primary functional defects in the nervous system or musculature. Consequently, a more detailed understanding of behavioral declines that occur with age, including mechanisms that impinge on them, could ultimately lead to improved treatment or diagnosis of age-related defects in physiological processes that depend on normal function of the nervous system or musculature. Such advances in diagnosis or treatment would translate into tremendous gains in quality of life for elderly populations. In this article, we review progress using Drosophila to better understand age-related behavioral declines with a focus on age-related locomotor impairment. Age-related behavioral declines in humans and fruit fliesAging is a complex process or collection of processes that leads to death. While death in some experimental settings can be a definitive endpoint of aging, age-related declines in function are essential features of aging that likely drive the increased risk of death with age. Furthermore, casual conversations with most individuals beyond the age of ~30-35 years suggest that age-related functional declines, the reduced ability to perform various tasks as we age, is how we define aging in our day to day lives. Model organisms such as Drosophila hold tremendous promise for identifying genetic and other mechanisms that influence agerelated functional declines. Consequently, studies in the fruit fly and other genetic models can greatly facilitate the identification of interventions that forestall the most troubling features of aging.Among the functional changes that occur during aging, age-related behavioral deficits are especially distressing. Age-related behavioral changes in humans include a progressive decline in locomotor ability, olfactory sensitivity, memory function, and circadian rhythmicity . Furthermore, age-related behavioral limitations collectively form the most common single complaint of elderly individuals (Espeland et al., Corresponding Author: Mike Grotewiel, Department of Human and Molecular Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA 23113. Phone: (804) 628-4086. msgrotewiel@vcu.edu. * Current address: Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. ...

show abstract

Gait disorders and fall risk: Detection and prevention

Abstract: Elderly patients are at risk for high levels of morbidity and mortality from falls related to gait disorders. Gait disorders are often missed in clinical practice but can be easily detected and characterized so at-risk patients can be given appropriate therapy.

Cited by 14 publications

References 20 publications

E Mergency M Edical S Ervices S Creening of E Lderly F Alls in the H Ome

E Mergency M Edical S Ervices S Creening of E Lderly F Alls in the H Ome

Assistive mobility devices focusing on Smart Walkers: Classification and review

Drosophila as a model for age-related impairment in locomotor and other behaviors

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