Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 5 , Pages 786-792 , May 2009

Self-Report of Missteps in Older Adults: A Valid Proxy of Fall Risk?

Presented to the American Geriatric Society, May 2–4, 2008, Washington DC.

  • Jennifer M. Srygley, BS

      Affiliations

    • Movement Disorders Unit, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel
    • Harvard Medical School, Boston, MA
  • ,
  • Talia Herman, MS

      Affiliations

    • Movement Disorders Unit, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel
  • ,
  • Nir Giladi, MD

      Affiliations

    • Movement Disorders Unit, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel
    • Department of Neurology, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
  • ,
  • Jeffrey M. Hausdorff, PhD

      Affiliations

    • Movement Disorders Unit, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel
    • Department of Physical Therapy, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
    • Harvard Medical School, Boston, MA
    • Corresponding Author InformationReprint requests to Jeffrey M. Hausdorff, PhD, Laboratory for Gait Analysis and Neurodynamics Movement Disorders Unit, Tel Aviv Sourasky Medical Center, 6 Weizman St, Tel Aviv 64239 Israel

  • Image Result

    Factors associated with missteps. (A) Scores on the Geriatric Depression Scale were higher, reflecting increased depressive symptoms, among the subgroup of subjects who reported multiple missteps (n=3

    Factors associated with missteps. (A) Scores on the Geriatric Depression Scale were higher, reflecting increased depressive symptoms, among the subgroup of subjects who reported multiple missteps (n=30), compared with subjects who reported none (n=211). (B) Scores on the State-Trait Anxiety Inventory were also higher, reflecting increased anxiety, in the subgroup of subjects who reported multiple missteps.

  • Image Result
    Factors not associated with missteps that were associated with falls. (A) Age, (B) Timed Up & Go times, (C) executive function index.;

    Factors not associated with missteps that were associated with falls. (A) Age, (B) Timed Up & Go times, (C) executive function index.

 Supported by the National Institutes of Health (grant no. AG-14100), by the Israel Ministry of Absorption, and by the European Union Sixth Framework Program (grant no. FET 018474-2), Dynamic Analysis of Physiological Networks (DAPHNet), and STREP 045622 SENSing and ACTION to support mobility in Ambient Assisted Living (SENSACTION-AAL).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(09)00086-0

doi: 10.1016/j.apmr.2008.11.007

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 5 , Pages 786-792 , May 2009