Gait Speed as a Screening Tool for Foot Pain and the Risk of Falls in Community-Dwelling Older Women: A Cross-Sectional Study

STEFAN, Lovro, Mario KASOVIĆ and Martin ZVONAŘ. Gait Speed as a Screening Tool for Foot Pain and the Risk of Falls in Community-Dwelling Older Women: A Cross-Sectional Study. Clinical Interventions in Aging. Auckland: DOVE MEDICAL PRESS, 2020, vol. 15, September 2020, p. 1569-1574. ISSN 1178-1998. Available from: https://dx.doi.org/10.2147/CIA.S260931.

Basic information

• Original name: Gait Speed as a Screening Tool for Foot Pain and the Risk of Falls in Community-Dwelling Older Women: A Cross-Sectional Study
• Authors: STEFAN, Lovro (191 Croatia), Mario KASOVIĆ (191 Croatia, belonging to the institution) and Martin ZVONAŘ (203 Czech Republic, guarantor, belonging to the institution).
• Edition: Clinical Interventions in Aging, Auckland, DOVE MEDICAL PRESS, 2020, 1178-1998.

Other information

• Original language: English
• Type of outcome: Article in a journal
• Field of Study: 30306 Sport and fitness sciences
• Country of publisher: New Zealand
• Confidentiality degree: is not subject to a state or trade secret
• WWW: URL
• Impact factor: Impact factor: 4.458
• RIV identification code: RIV/00216224:14510/20:00116554
• Organization unit: Faculty of Sports Studies
• Doi: http://dx.doi.org/10.2147/CIA.S260931
• UT WoS: 000569480000001
• Keywords in English: velocity; discomfort; elderly; risk; falls
• Tags: rivok
• Tags: International impact, Reviewed

Abstract

Purpose: The main purpose of the study was to establish a gait speed cut-off value to predict foot pain and the risk of falls among community-dwelling older adults. Patients and Methods: In this cross-sectional study, one-hundred and twenty White older women speaking Croatian (mean +/- SD age 71.02 +/- 6.78 years, height 161.77 +/- 6.23 cm, weight 70.29 +/- 12.97 kg, body mass index 26.79 +/- 4.42 kg/m2) were recruited. The prevalence of foot pain was assessed by a single-item question and the risk of falls by the Downtown Fall Risk Index with a proposed cut-off value of "low risk" (<3 points) vs "high risk" (>= 3 points) of falls. Self-selected gait speed (the independent variable) was estimated with a pressure platform (Zebris Company, Munich, Germany). Results: Mean gait speed was 0.95 m/s. Of the total sample, 53.30% and 33.30% reported foot pain and had higher risk of falls. For foot pain and the risk of falls, gait speed cut-off values were 0.88 m/s and 0.85 m/s (area under the curve = 0.80 and 0.83, standard error = 0.043 and 0.043, p < 0.001). Sensitivity for foot pain and the risk of falls was 66.20% and 85.90% and specificity was 84.80% and 69.00%. Slower gait speed was associated with higher prevalence of foot pain (OR = 10.92, 95% CI 4.28 to 27.89, p < 0.001) and higher risk of falls (OR = 13.59, 95% CI 5.45 to 33.87, p < 0.001). Conclusion: Proposed gait speed values of 0.88 m/s and 0.85 m/s may be used in clinical settings to predict foot pain and the risk of falls among community-dwelling older women.