TITLE

Frail elderly patients with dementia go too fast

AUTHOR(S)
van Lersel, M. B.; Verbeek, A. L. M.; Bloem, B. R.; Munneke, M.; Esselink, R. A. J.; Olde Rikkert, M. G. M.
PUB. DATE
July 2006
SOURCE
Journal of Neurology, Neurosurgery & Psychiatry;Jul2006, Vol. 77 Issue 7, p874
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The reason why patients with dementia fall more often and sustain more fractures than patients without dementia remains unclear. Therefore, the relationship between dementia and gait velocity as a marker for mobility and falls in a cohort of frail elderly (mean age of 77.3 years) inpatients was assessed. Patients with dementia were expected to walk slower than patients without dementia. A trend was indeed observed: absolute gait velocity of 0.59 m/s in patients with dementia (n=63) versus 0.65 m/s in patients without dementia (n = 62; p=0.19). After adjustment for parkinsonism and walking aids, however, patients with dementia walked 0.44 m/s faster than patients without dementia (p = 0.02). Probable explanations are frontal lobe disinhibition and lack of insight, causing patients with dementia to walk relatively too fast in the context of their frailly. Therefore, the high risk of falls in dementia may be partially explained by the loss of control of gait velocity.
ACCESSION #
21579400

 

Related Articles

  • The Effect of Functional Circuit Training on Physical Frailty in Frail Older Adults: A Randomized Controlled Trial. Giné-Garriga, Maria; Guerra, Míriam; Esther Pagès; Manini, Todd M.; Jiménez, Rosario; Unnithan, Viswanath B. // Journal of Aging & Physical Activity;Oct2010, Vol. 18 Issue 4, p401 

    The purpose of this study was to evaluate whether a 12-wk functional circuit-training program (FCT) could alter markers of physical frailty in a group of frail community-dwelling adults. Fifty-one individuals (31 women, 20 men), mean age (± SD) 84 (± 2.9) yr, met frailty criteria and were...

  • The Electrical Characteristics of the Muscles Surrounding the Kneeduring Underwater Resistance Training. TAKAYOSHI TAKAHASHI; KENTAROU INOUE; KAZUHIKO MORI; MICHIO MIYANO // Rigakuryoho Kagaku;Nov/Dec2012, Vol. 27 Issue 6, p677 

    [Purpose] The purpose of this study was to examine the influence of walking environment on the gait pattern of frail elderly people. [Subject] Fifteen frail elderly women volunteered for this study (mean age 85.1±5.3 years). [Method] Measurements were conducted under two conditions. In...

  • Multifactorial intervention after a fall in older people with cognitive impairment and dementia presenting to the accident and emergency department. Shaw, Fiona E; Bond, John; Richardson, David A; Dawson, Pamela; Steen, I Nicholas; McKeith, Ian G; Kenny, Rose Anne // BMJ: British Medical Journal (International Edition);1/11/2003, Vol. 326 Issue 7380, p73 

    Abstract Objective: To determine the effectiveness of multifactorial intervention after a fall in older patients with cognitive impairment and dementia attending the accident and emergency department. Design: Randomised controlled trial. Participants: 274 cognitively impaired older people (aged...

  • Parkinsonian single fallers versus recurrent fallers: different fall characteristics and clinical features. Mak, Margaret K. Y.; Pang, Marco T. C. // Journal of Neurology;Sep2010, Vol. 257 Issue 9, p1543 

    The study aimed to compare the fall characteristics between parkinsonian single (P-SF) and recurrent fallers (P-RF), and the clinical features among parkinsonian non-fallers (P-NF), P-SF, P-RF and age-matched healthy controls. As many as 72 patients with PD and 74 healthy subjects completed the...

  • Neurological gait abnormalities and risk of falls in older adults. Verghese, Joe; Ambrose, Anne F.; Lipton, Richard B.; Wang, Cuiling // Journal of Neurology;Mar2010, Vol. 257 Issue 3, p392 

    To estimate the validity of neurological gait evaluations in predicting falls in older adults. We studied 632 adults age 70 and over (mean age 80.6 years, 62% women) enrolled in the Einstein Aging Study whose walking patterns were evaluated by study clinicians using a clinical gait rating scale....

  • Falls-Related Self-Efficacy Is Independently Associated With Balance and Mobility in Older Women With Low Bone Mass. Liu-Ambrose, Teresa; Khan, Karim M.; Donaldson, Meghan G.; Eng, Janice J.; Lord, Stephen R.; McKay, Heather A. // Journals of Gerontology Series A: Biological Sciences & Medical ;Aug2006, Vol. 61 Issue 8, p832 

    Background. It is currently unknown whether falling is independently associated with measures of balance and mobility in older adults after accounting for relevant physiological functions. This cross-sectional study assessed the independent association of falls-related self-efficacy to balance...

  • A Growing Troubling Triad: Diabetes, Aging, and Falls. Crews, Ryan T.; Yalla, Sai V.; Fleischer, Adam E.; Wu, Stephanie C. // Journal of Aging Research;2013, p1 

    There is a significant and troubling link between diabetes (DM) and falls in the elderly. Individuals with DM are prone to fall for reasons such as decreased sensorimotor function, musculoskeletal/neuromuscular deficits, foot and body pain, pharmacological complications, and specialty...

  • A Comparison Between the Effects of Specific Balance Exercise and General Balance Exercise on Balance Performance in Institutionalized Frail Elderly. Anuradha; Noohu, Majumi M.; Walia, Shefali // Indian Journal of Gerontology;2012, Vol. 26 Issue 3, p297 

    The article investigates whether a specific balance training programme will be better than that of general balance exercise programme in improving balance among institutionalized frail elderly people. It concludes that a specific balance exercise improves the functional balance among frail...

  • Developing a navigation aid for the frail and visually impaired. Engelbrektsson, Pontus; Karlsson, I.; Gallagher, Blaithin; Hunter, Heather; Petrie, Helen; O’Neill, Ann-Marie // Universal Access in the Information Society;Oct2004, Vol. 3 Issue 3/4, p194 

    This paper describes the development of a new navigational aid for the frail, elderly, and visually impaired person. The users were involved both in the user requirements study and in the evaluation of different prototypes. The results show that the users were able to provide information on...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics