J 2020

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

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30306 Sport and fitness sciences

Country of publisher

New Zealand

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 4.458

RIV identification code

RIV/00216224:14510/20:00116554

Organization unit

Faculty of Sports Studies

DOI

UT WoS

000569480000001

Keywords in English

velocity; discomfort; elderly; risk; falls

Tags

Tags

International impact, Reviewed
Změněno: 17/1/2021 22:38, Mgr. Michaela Hylsová, Ph.D.

Abstract

V originále

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.