Balance Tutor 临床文献-gait stability.pdf
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ORIGINAL ARTICLE
Dynamic Gait Stability, Clinical Correlates, and Prognosis of
Falls Among Community-Dwelling Older Adults
Tanvi Bhatt, PT, PhD, Debbie Espy, PT, PhD,* Feng Yang, PhD, Yi-Chung Pai, MPT, PhD
ABSTRACT. Bhatt T, Espy D, Yang F, Pai Y-C. Dynamic gait THE RISING SUSCEPTIBILITY to falling with aging1
stability, clinical correlates, and prognosis of falls among commu- poses a significant health threat to the older adult popula-
nity-dwelling older adults. Arch Phys Med Rehabil 2011;92: tion. Slips are responsible for about 40% of outdoor falls
799-805. among community-living adults 70 years of age or older.2
Fall-related injuries are the leading cause of injury-related
Objective: To establish an accurate measure for prognostic hospitalization; thus, they exact a great cost, both to the indi-
assessment of fall risk in community-dwelling older adults, this viduals and to the health care system.3 It must be noted that
study examined the prediction accuracy of a dynamic gait even the healthiest older adults are not immune to devastating
stability measure and common clinical tests for slip-related falls.4 A more active lifestyle may inadvertently predispose
falls among these adults. them to a greater likelihood of encountering environmental
Design: Participants were tested for their fall-risk likelihood perturbatio
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