Frontiers in Neurology (Mar 2019)

Fear of Falling Contributing to Cautious Gait Pattern in Women Exposed to a Fictional Disturbing Factor: A Non-randomized Clinical Trial

  • Guilherme Augusto Santos Bueno,
  • Guilherme Augusto Santos Bueno,
  • Flávia Martins Gervásio,
  • Darlan Martins Ribeiro,
  • Darlan Martins Ribeiro,
  • Anabela Correia Martins,
  • Thiago Vilela Lemos,
  • Ruth Losada de Menezes

DOI
https://doi.org/10.3389/fneur.2019.00283
Journal volume & issue
Vol. 10

Abstract

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Objective: This study aimed to investigate the gait pattern of elderly women with and without fall-history, with high and low fear of falling, when exposed to a disturbing factor.Materials and Methods: Forty-nine elderly women without cognitive impairment agreed to participate. Participants were divided into four groups, considering the history of falls and fear of falling. Three-dimensional gait analysis was performed to assess gait kinematics before and after exposure to the fictional disturbing factor (psychological and non-motor agent).Results: After being exposed to the perturbation, all showed shorter step length, stride length and slower walking speed. Those without fall-history and with high fear of falling showed greater changes and lower Gait Profile Score.Conclusion: The gait changes shown in the presence of a fear-of-falling causing agent led to a cautious gait pattern in an attempt to increase protection. However, those changes increased fall-risk, boosted by fear of falling.Clinical Trial Registration:www.residentialclinics.gov.br, identifier: RBR-35xhj5.

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