Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

Przeglądasz jako GOŚĆ
Tytuł pozycji:

Gait disorders are associated with non-cardiovascular falls in elderly people: a preliminary study.

Tytuł :
Gait disorders are associated with non-cardiovascular falls in elderly people: a preliminary study.
Autorzy :
Montero-Odasso M; Division of Geriatric Medicine, McGill University, Montreal, Canada. />Schapira M
Duque G
Soriano ER
Kaplan R
Camera LA
Pokaż więcej
Źródło :
BMC geriatrics [BMC Geriatr] 2005 Dec 01; Vol. 5, pp. 15. Date of Electronic Publication: 2005 Dec 01.
Typ publikacji :
Journal Article; Research Support, Non-U.S. Gov't
Język :
English
Imprint Name(s) :
Original Publication: London : BioMed Central, [2001]-
MeSH Terms :
Accidental Falls*/statistics & numerical data
Gait*
Mobility Limitation*
Aged ; Aged, 80 and over ; Cardiovascular Diseases/complications ; Cross-Sectional Studies ; Female ; Geriatric Assessment ; Humans ; Male
References :
J Am Geriatr Soc. 2000 Sep;48(9):1098-101. (PMID: 10983910)
J Gerontol A Biol Sci Med Sci. 2005 Oct;60(10):1304-9. (PMID: 16282564)
J Am Geriatr Soc. 2001 May;49(5):664-72. (PMID: 11380764)
J Am Geriatr Soc. 2001 May;49(5):676-7. (PMID: 11380766)
Age Ageing. 2001 Nov;30 Suppl 4:3-7. (PMID: 11769786)
Age Ageing. 2001 Nov;30 Suppl 4:19-24. (PMID: 11769783)
N Engl J Med. 2003 Jan 2;348(1):42-9. (PMID: 12510042)
Am J Cardiol. 2003 Mar 1;91(5):643-5. (PMID: 12615286)
J Nutr Health Aging. 2004;8(5):340-3. (PMID: 15359349)
Rheumatol Rehabil. 1981 Aug;20(3):153-9. (PMID: 7280490)
J Am Geriatr Soc. 1986 Feb;34(2):119-26. (PMID: 3944402)
J Am Geriatr Soc. 1988 Jul;36(7):613-6. (PMID: 3385114)
N Engl J Med. 1988 Dec 29;319(26):1701-7. (PMID: 3205267)
N Engl J Med. 1989 Oct 5;321(14):952-7. (PMID: 2674714)
J Am Geriatr Soc. 1991 Feb;39(2):197-202. (PMID: 1991951)
J Gerontol. 1991 Jul;46(4):M114-22. (PMID: 2071832)
Am J Med. 1993 Aug;95(2):203-8. (PMID: 8356984)
Ann Intern Med. 1995 Feb 15;122(4):286-95. (PMID: 7825766)
J Am Geriatr Soc. 1996 Apr;44(4):434-51. (PMID: 8636592)
Postgrad Med J. 1997 Oct;73(864):635-9. (PMID: 9497972)
J Am Geriatr Soc. 2005 Jan;53(1):74-8. (PMID: 15667379)
Ann Intern Med. 2000 Oct 3;133(7):533-6. (PMID: 11015166)
Entry Date(s) :
Date Created: 20051203 Date Completed: 20060614 Latest Revision: 20181113
Update Code :
20210209
PubMed Central ID :
PMC1325027
DOI :
10.1186/1471-2318-5-15
PMID :
16321159
Czasopismo naukowe
Background: The association between unexplained falls and cardiovascular causes is increasingly recognized. Neurally mediated cardiovascular disorders and hypotensive syndromes are found in almost 20 percent of the patients with unexplained falls. However, the approach to these patients remains unclear. Gait assessment might be an interesting approach to these patients as clinical observations suggests that those with cardiovascular or hypotensive causes may not manifest obvious gait alterations. Our primary objective is to analyze the association between gait disorders and a non-cardiovascular cause of falls in patients with unexplained falls. A second objective is to test the sensitivity and specificity of a gait assessment approach for detecting non-cardiovascular causes when compared with intrinsic-extrinsic classification.
Methods: Cross-sectional study performed in a falls clinic at a university hospital in 41 ambulatory elderly participants with unexplained falls. Neurally mediated cardiovascular conditions, neurological diseases, gait and balance problems were assessed. Gait disorder was defined as a gait velocity < 0.8 m/s or Tinetti Gait Score < 9. An attributable etiology of the fall was determined in each participant. Comparisons between the gait assessment approach and the attributable etiology regarding a neurally mediated cardiovascular cause were performed. Fisher exact test was used to test the association hypothesis. Sensitivity and specificity of gait assessment approach and intrinsic-extrinsic classification to detect a non-cardiovascular mediated fall was calculated with 95% confidence intervals (CI95%).
Results: A cardiovascular etiology (orthostatic and postprandial hypotension, vasovagal syndrome and carotid sinus hypersensitivity) was identified in 14% of participants (6/41). Of 35 patients with a gait disorder, 34 had a non-cardiovascular etiology of fall; whereas in 5 out of 6 patients without a gait disorder, a cardiovascular diagnosis was identified (p < 0.001). Sensitivity and specificity of the presence of gait disorder for identifying a non-cardiovascular mediated cause was 97.1% (CI95% = 85-99) and 83% (CI95% = 36-99), respectively.
Conclusion: In community dwelling older persons with unexplained falls, gait disorders were associated with non-cardiovascular diagnosis of falls. Gait assessment was a useful approach for the detection of a non-cardiovascular mediated cause of falls, providing additional value to this assessment.

Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies