What is the Relationship Between Fear of Falling and Gait in Well-Functioning Older Persons Aged 65 to 70 Years?

Rochat, Shékina; Büla, Christophe; Martin, Estelle; Seematter‐Bagnoud, Laurence; Karmaniola, Athanassia; Aminian, Kamiar; Piot-Ziegler, Chantal; Santos-Eggimann, Brigitte

doi:10.1016/j.apmr.2010.03.005

Cited by 120 publications

(101 citation statements)

References 32 publications

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“…The lower gait speed observed in the group that reported activity restriction due to fear of falling matches the literature [9][10][11]29 . Gait is a necessary ability to perform the activities of daily living.…”

Section: Discussionsupporting

confidence: 74%

“…Studies identified that depressive symptoms were associated with activity restriction 9,10,30 . Additionally, the presence of depressive symptoms seems to modulate the factors that are associated with activity restriction due to fear of falling 11 .…”

Section: Discussionmentioning

confidence: 99%

“…Individual characteristics may affect or modulate changes in the behavior associated with FOF, which may lead to the development of protection attitudes and caution in relation to falls that allow elders to manage their fear without restricting activities 4,[9][10][11][12] . Deshpandeet al 11 suggest that depression may modulate the factors that affect activity restriction due to fear of falling.…”

Section: Introductionmentioning

confidence: 99%

“…Activity restriction is a predictor of falls, possibly because of the unchaining decline of muscle function, physical deconditioning, balance and gait desorders 3,10 .…”

Section: Introductionmentioning

confidence: 99%

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Characteristics associated with activity restriction induced by fear of falling in community-dwelling elderly

Dias

Freire²,

Santos³

et al. 2011

Rev. bras. fisioter

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Activity restriction is a predictor of falls, possibly because of the unchaining decline of muscle function, physical deconditioning, balance and gait desorders 3,10 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Characteristics associated with activity restriction induced by fear of falling in community-dwelling elderly

Dias

Freire²,

Santos³

et al. 2011

Rev. bras. fisioter

View full text Add to dashboard Cite

“…Anxious elders walk more slowly, take shorter strides, have a wider base, and have a longer double limb support time and higher gait variability. 40,41 Those who are most concerned about falling tend to make disproportionate adjustments to gait speed in response to postural threat. 30 There is some evidence that a slowed gait is maladaptive and reduces, rather than improves, stability.…”

Section: Fear Of Fallingmentioning

confidence: 99%

The Complex Interplay of Depression and Falls in Older Adults: A Clinical Review

Iaboni

Flint

2013

The American Journal of Geriatric Psychiatry

212

178

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Depression and falls have a significant bidirectional relationship. Excessive fear of falling, which is frequently associated with depression, also increases the risk of falls. Both depression and fear of falling are associated with impairment of gait and balance, an association that is mediated through cognitive, sensory, and motor pathways. The management of depression in fall-prone individuals is challenging, since antidepressant medications can increase the risk of falls, selective serotonin reuptake inhibitors may increase the risk of fragility fractures, and data are lacking about the effect of fall rehabilitation programs on clinically significant depression. Based on the current state of knowledge, exercise (particularly Tai Chi) and cognitive-behavioral therapy should be considered for the first-line treatment of mild depression in older fallers. Antidepressant medications are indicated to treat moderate to severe depression in fall-prone individuals, but with appropriate precautions including low starting dose and slow dose titration, use of psychotropic monotherapy whenever possible, and monitoring for orthostatic hypotension and hyponatremia. To date, there have been no recommendations for osteoporosis monitoring and treatment in individuals prescribed antidepressant medications, beyond the usual clinical guidelines. However, treatment of the older depressed person who is at risk of falls provides the opportunity to inquire about his or her adherence with osteoporosis and fracture-prevention guidelines. KeywordsAntidepressants; depression; falls; fear of falling; fractures One-third of community-dwelling seniors fall each year, with half of these individuals falling more than once. Ten percent of all falls result in a major injury, which can lead to institutionalization and death. 1 Falls often result in a fear of further falls, leading to fearrelated restriction of activities: this activity restriction has been associated with subsequent impairment in balance, mobility, and disability. 2,3 Send correspondence and reprint requests to Alastair

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A longitudinal study of disability in activities of daily living and activity restriction‐induced fear of falling among Korean older people

Jun

Lee

2022

Nursing Open

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Aim This study examined the effects of the fear of falling (FOF) alone and fear‐associated activity restriction (FAR) on future activities of daily living (ADL) disability and analysed predictors of ADL disability among community‐dwelling older people with and without FAR. Design This prospective study involved secondary data analysis of the Korean Longitudinal Study of Aging. Methods We obtained data from 5074 community‐dwelling older adults. Generalized estimating equations were used to identify the predictors of changes in ADL disability between 2008 and 2018. Results Compared with FOF alone, FAR was significantly related to changes in ADL disability. Being older, living with others and having poor self‐rated health status were associated with future ADL disability in participants without FAR. Weakened grip strength and social engagement were associated with future ADL disability in those with FAR. Nurses must consider the impact of FAR on future ADL decline and implement tailored interventions. Patient or Public Contribution No Patient or Public Contribution.

show abstract

What is the Relationship Between Fear of Falling and Gait in Well-Functioning Older Persons Aged 65 to 70 Years?

Cited by 120 publications

References 32 publications

Characteristics associated with activity restriction induced by fear of falling in community-dwelling elderly

Characteristics associated with activity restriction induced by fear of falling in community-dwelling elderly

The Complex Interplay of Depression and Falls in Older Adults: A Clinical Review

A longitudinal study of disability in activities of daily living and activity restriction‐induced fear of falling among Korean older people

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