Zeitschrift für Gerontologie und Geriatrie

, Volume 49, Issue 3, pp 232–236 | Cite as

Prediction of future falls in a community dwelling older adult population using instrumented balance and gait analysis

  • C.M. Bauer
  • I. Gröger
  • R. Rupprecht
  • V.L. Marcar
  • K.G. Gaßmann
Originalien

Abstract

Background

The role of instrumented balance and gait assessment when screening for prospective fallers is currently a topic of controversial discussion.

Objectives

This study analyzed the association between variables derived from static posturography, instrumented gait analysis and clinical assessments with the occurrence of prospective falls in a sample of community dwelling older people.

Methods

In this study 84 older people were analyzed. Based on a prospective occurrence of falls, participants were categorized into fallers and non-fallers. Variables derived from clinical assessments, static posturography and instrumented gait analysis were evaluated with respect to the association with the occurrence of prospective falls using a forward stepwise, binary, logistic regression procedure.

Results

Fallers displayed a significantly shorter single support time during walking while counting backwards, increased mediolateral to anteroposterior sway amplitude ratio, increased fast mediolateral oscillations and a larger coefficient (Coeff) of sway direction during various static posturography tests. Previous falls were insignificantly associated with the occurrence of prospective falls.

Conclusion

Variables derived from posturography and instrumented gait analysis showed significant associations with the occurrence of prospective falls in a sample of community dwelling older adults.

Keywords

Postural balance Gait Accidental falls Prognosis Geriatric assessment 

Prädiktion von Sturzereignissen in einem Kollektiv selbständig lebender Älterer mittels instrumenteller Gang- und Gleichgewichtsanalyse

Zusammenfassung

Hintergrund

Der Nutzen instrumenteller Gang- und Gleichgewichtsanalyse, zur Früherkennung von Stürzereignissen, wird aktuell kontrovers diskutiert.

Fragestellung

Untersucht wurde der Zusammenhang zwischen Variablen der statischen Posturographie, der instrumentellen Ganganalyse und klinischer Assessments mit dem Auftreten von Stürzereignissen, bei selbstständig lebenden älteren Personen.

Methoden

Basierend auf einem prospektiv aufgetretenen Sturz wurden 84 ältere Personen in „Stürzer“ und „Nichtstürzer“ klassifiziert. Variablen aus klinischen Assessments, der statischen Posturographie und der instrumentellen Ganganalyse wurden in Hinblick auf eine Assoziation mit prospektiven Stürzen evaluiert, dazu diente ein vorwärts schrittweises, binärer, logistisches Regressionsverfahren.

Ergebnisse

Stürzer zeigten eine signifikant kürzere monopedale Standphase bein Gehen und Rückwärtszählen, im Vergleich mit anterior-posterioren Schwankungen höheremedio-laterale Schwankungen, verstärkte schnelle mediolaterale Oszillationen und einen vergrößerten Koeffizient der Schwankungsrichtung während verschiedener statische posturographischer Tests. Frühere Stürzereignisse waren nicht signifikant assoziiert mit prospektiv erfassten Stürzen.

Diskussion

Variablen der statischen Posturographie und instrumenteller Ganganalyse zeigten bei selbstständig lebenden älteren Personen signifikante Assoziationen mit prospektiv erfassten Stürzen.

Schlüsselwörter

Balance Gang Akzidentelle Stürzereignisse Prognose Geriatrisches Assessment 

Notes

Compliance with ethical guidelines

Conflict of interest

C.M. Bauer, I. Gröger, R. Ruprecht, V.L. Marcar and K.G. Gaßmann declare that there no conflicts of interest.

The study was approved by the local ethics committee and was carried out in accordance with national law and the Helsinki Declaration of 1975 (in its current revised form). All participants signed informed consent prior to the study.

Supplementary material

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391_2015_885_MOESM2_ESM.doc (46 kb)
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391_2015_885_MOESM3_ESM.docx (35 kb)
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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • C.M. Bauer
    • 1
    • 2
  • I. Gröger
    • 1
  • R. Rupprecht
    • 3
  • V.L. Marcar
    • 2
  • K.G. Gaßmann
    • 1
  1. 1.Geriatrics Centre Erlangen, Medicine IIIWaldkrankenhaus St MarienErlangenGermany
  2. 2.School of Health Professions, Institute of Physiotherapy, Research and DevelopmentZurich University of Applied SciencesWinterthurSwitzerland
  3. 3.Institute of PsychogerontologyFriedrich-Alexander University of Erlangen- NurembergNuremburgGermany

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