IJPR.2017.190

Type of Article:  Original Research

Volume 5; Issue 4 (August 2017)

Page No.: 2276-2281

DOI: https://dx.doi.org/10.16965/ijpr.2017.190

INFLUENCE OF FEAR OF FALL ON SPATIAL AND TEMPORAL PARAMETERS OF GAIT IN COMMUNITY-DWELLING ELDERLY

Priti Nisheet Agni *1, Riddhi Naresh Doshi 2.

*1 Assistant Professor, K.J. Somaiya College of Physiotherapy, Ayurvihar, Eastern Express Highway, Sion. Mumbai, India.

2 Intern, K.J. Somaiya College of Physiotherapy, Ayurvihar, Eastern Express Highway, Sion. Mumbai, India.

Corresponding Author: Dr. Priti Nisheet Agni, Assistant Professor, K.J. Somaiya College of Physiotherapy, Ayurvihar, Eastern Express Highway, Sion, Mumbai, Maharashtra, India. E-Mail: pritikulkarni2002@yahoo.co.uk

ABSTRACT

Background: Aging is a gradual deterioration of physiological function.It is a multidimensional process involving various systems of the body.Out of the various problems faced by the geriatric age group “falls” are one of the major problems faced by the elderly.Fear of fall and associated avoidance of activity may lead to functional decline, restriction of social participation and hence affection of quality of life.This fear can also affect the gait pattern of an individual.Therefore the purpose of this study was to find out the influence of fear of fall on the spatial and temporal gait parameters in elderly.

Materials and Methods: 100 community dwelling elderly were made to walk 10 meters and their gait parameters were noted.The participants were classified into fearful and fearless groups on the basis of the MFES, before the test.

Result: The statistical analysis of the study was done using the mann-whitney test and a significant difference was found between the gait parameters of the fearless and fearful group.

Conclusion: There is an influence of fear of fall on the gait parameters of elderly. Fearful participants were shown to have a significantly slower gait speed,shorter stride length and step length,lesser cadence and increased stride width when compared to fearless participants.

KEY WORDS: Fear of falling, Gait, Spatial parameters, Temporal parameters.

REFERENCES

  1. Christopher J, Early. Restless Legs Syndrome. New England Journal of Medicine 2003;348 (21).
  2. Skidmore, F M; Drago, V., Foster, P S, Heilman, K M. Bilateral restless legs affecting a phantom limb, treated with dopamine agonists. Journal of    Neurology, Neurosurgery & Psychiatry 2009;80(5):569–70.
  3. Harmeet Singh, Savita Verma, Sameer Aggarwal. Restless Leg syndrome. JIACM 2008;9(3):188-92.
  4. Hening W, Walters AS, Allen RP, Montplaisir J,Myers A, Ferini-Strambi Impact, diagnosis and treatment of restless legs syndrome (RLS) in a pri-mary care population: the REST (RLS epidemiology, symptoms, and treatment) primary care study. Sleep Med 2004;5:237–46.
  5. Sevim S, Dogu O, Kaleagasi H, Aral M, Metin O,Camdeviren Correlation of anxiety and depression symptoms in patients with restless legs syndrome: a population based survey. J Neurol Neuro-surg Psychiatry 2004;75:226–30.
  6. Hornyak M. Depressive disorders in restless legs syndrome: Epidemiology, pathophysiology and management. CNS Drugs. 2010;24:89–98.
  7. Cho SJ, Hong JP, Hahm BJ, Jeon HJ, Chang SM, Cho MJ, et al. Restless legs syndrome in a community sample of Korean adults: Prevalence, impact on quality of life, and association with DSM-IV psychiatric disorders. 2009;32:1069–76.
  8. Benes H, Mattern W, Peglau I, Dreykluft T, Bergmann L, Hansen C, et al. Ropinirole improves depressive symptoms and restless legs syndrome severity in RLS patients: A multicentre, randomized, placebo-controlled study. J Neurol. 2011;258:1046–54.
  9. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000. p. 356.
  10. Earley CJ. Clinical practice. Restless legs syndrome. N Engl J Med 2003;348:2103-9.
  11. Allen RP, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisir J. Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med 2003;4:101-19.
  12. Yue W, Hao W, Liu P, Liu T, Ni M, Guo Q. A case-control study on psychological symptoms in sleep apnea-hypopnea syndrome. Can J Psychiatry 2003;48:318-23.
  13. Dorsey CM, Lukas SE, Cunningham SL. Fluoxetine-induced sleep disturbance in depressed patients. Neuropsychopharmacology 1996;14:437-42.
  14. Cuellar NG, Hanlon A, Ratcliffe SJ.The Relationship with Iron and Health Outcomes in Persons With Restless Legs Syndrome. Clin nur res 2010.nov 1.
  15. Kim E. Innes, MSPH, PhD, Efficacy of an Eight-Week Yoga Intervention on Symptoms of Restless Legs Syndrome (RLS): A Pilot Study. J Altern Complement Med. 2013 Jun; 19(6): 527–535.
  16. Andrea Maculano Esteves, Marco Túlio de Mello, Ana Amélia Benedito-Silva, Sérgio Tufik. Impact of aerobic physical exercise on Restless Legs Syndrome. Sleep Sci. 2011;4(2): 45-48.

Cite this article: Priti Nisheet Agni, Riddhi Naresh Doshi. INFLUENCE OF FEAR OF FALL ON SPATIAL AND TEMPORAL PARAMETERS OF GAIT IN COMMUNITY-DWELLING ELDERLY. Int J Physiother Res 2017;5(4):2276-2281. DOI: 10.16965/ijpr.2017.190