Elham Dolatabadi1, Karen Van Ooteghem1, Babak Taati1,2,3, Andrea Iaboni1,4. 1. Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada. 2. Department of Computer Science, University of Toronto, Toronto, Ontario, Canada. 3. Institute of Biomaterials and Biomedical Engineering, Toronto, Ontario, Canada. 4. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Abstract
BACKGROUND: Impairments of gait and balance often progress through the course of dementia, and are associated with increased risk of falls. SUMMARY: This systematic review provides a critical analysis of the evidence linking quantitative measures of gait and balance to fall risk in older adults with dementia. Various instrumented measures of gait and postural stability including gait speed and non-instrumented performance measures including Timed Up and Go were shown to be capable of distinguishing fallers from non-fallers. Key Messages: Existing reviews indicate that impairments of gait and balance are associated with increased risk of falls in cognitively intact older people. There are inconsistencies, however, regarding the characteristics most predictive of a fall. In order to advance fall prevention efforts, there is an important need to understand the relationship between gait, balance, and fall risk, particularly in high-risk populations such as individuals with dementia.
BACKGROUND:Impairments of gait and balance often progress through the course of dementia, and are associated with increased risk of falls. SUMMARY: This systematic review provides a critical analysis of the evidence linking quantitative measures of gait and balance to fall risk in older adults with dementia. Various instrumented measures of gait and postural stability including gait speed and non-instrumented performance measures including Timed Up and Go were shown to be capable of distinguishing fallers from non-fallers. Key Messages: Existing reviews indicate that impairments of gait and balance are associated with increased risk of falls in cognitively intact older people. There are inconsistencies, however, regarding the characteristics most predictive of a fall. In order to advance fall prevention efforts, there is an important need to understand the relationship between gait, balance, and fall risk, particularly in high-risk populations such as individuals with dementia.
Authors: Kimberley-Dale Ng; Sina Mehdizadeh; Andrea Iaboni; Avril Mansfield; Alastair Flint; Babak Taati Journal: IEEE J Transl Eng Health Med Date: 2020-05-28 Impact factor: 3.316
Authors: Helena Kisvetrová; David Školoudík; Roman Herzig; Kateřina Langová; Petra Kurková; Jitka Tomanová; Yukari Yamada Journal: Dement Geriatr Cogn Dis Extra Date: 2019-08-29
Authors: Karen Van Ooteghem; Avril Mansfield; Elizabeth L Inness; Jaimie Killingbeck; Kathryn M Sibley Journal: Arch Rehabil Res Clin Transl Date: 2020-01-16