PMID- 17576513
OWN - NLM
STAT- MEDLINE
DCOM- 20080404
LR  - 20181113
IS  - 0300-9564 (Print)
IS  - 0300-9564 (Linking)
VI  - 114
IP  - 10
DP  - 2007
TI  - The effects of reducing fear of falling on locomotion in older adults with a 
      higher level gait disorder.
PG  - 1309-14
AB  - Fear of falling (FOF) is one of the key clinical features affecting older adults 
      with a higher-level gait disorder (HLGD), however, its effect on gait is not 
      clear. Twenty-one HLGD patients walked under four conditions: 1) usual walking, 
      2) while holding a physical therapist's hand, 3) while using a walker, and 4) 
      while being guarded. All three interventions reduced FOF, but guarding did not 
      significantly affect any gait parameter (p > 0.10) and the walker only increased 
      gait speed. In contrast, handholding improved gait speed and reduced gait 
      variability, however, an altered gait pattern persisted even with handholding. 
      Interventions such as handholding, guarding or use of a walker apparently may 
      reduce FOF in HLGD patients, but the impact of this reduction on gait is limited. 
      Thus, it appears that the gait disturbances in these patients are apparently not 
      simply the consequence of FOF.
FAU - Balash, Y
AU  - Balash Y
AD  - Movement Disorders Unit, Department of Neurology, Tel-Aviv Sourasky Medical 
      Center, Tel-Aviv, Israel.
FAU - Hadar-Frumer, M
AU  - Hadar-Frumer M
FAU - Herman, T
AU  - Herman T
FAU - Peretz, C
AU  - Peretz C
FAU - Giladi, N
AU  - Giladi N
FAU - Hausdorff, J M
AU  - Hausdorff JM
LA  - eng
GR  - AG-08812/AG/NIA NIH HHS/United States
GR  - AG-14100/AG/NIA NIH HHS/United States
GR  - HD-39838/HD/NICHD NIH HHS/United States
GR  - RR-13622/RR/NCRR NIH HHS/United States
PT  - Clinical Trial
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20070618
PL  - Austria
TA  - J Neural Transm (Vienna)
JT  - Journal of neural transmission (Vienna, Austria : 1996)
JID - 9702341
SB  - IM
MH  - Accidental Falls/*prevention & control
MH  - Aged
MH  - Aged, 80 and over
MH  - *Fear
MH  - Female
MH  - *Gait Disorders, Neurologic/physiopathology/psychology/rehabilitation
MH  - *Geriatrics
MH  - Humans
MH  - Locomotion/*physiology
MH  - Male
MH  - *Physical Therapy Modalities
MH  - Regression Analysis
MH  - Trauma Severity Indices
MH  - Veterans Disability Claims
EDAT- 2007/06/20 09:00
MHDA- 2008/04/05 09:00
CRDT- 2007/06/20 09:00
PHST- 2007/05/10 00:00 [received]
PHST- 2007/05/17 00:00 [accepted]
PHST- 2007/06/20 09:00 [pubmed]
PHST- 2008/04/05 09:00 [medline]
PHST- 2007/06/20 09:00 [entrez]
AID - 10.1007/s00702-007-0771-z [doi]
PST - ppublish
SO  - J Neural Transm (Vienna). 2007;114(10):1309-14. doi: 10.1007/s00702-007-0771-z. 
      Epub 2007 Jun 18.