Purpose: To establish a relationship between falls and handgrip strength (GS) in communitydwelling senior citizens in Egypt. Subjects: Crosssectional study enrolling 132 subjects, all ≥60 years old. Materials and Met...Purpose: To establish a relationship between falls and handgrip strength (GS) in communitydwelling senior citizens in Egypt. Subjects: Crosssectional study enrolling 132 subjects, all ≥60 years old. Materials and Methods: History of falls in the past year and their number as well as GS measurement in both hands using Baseline? pneumatic squeeze handheld dynamometer. Results: There is a highly significant difference between the GS of fallers and non-fallers in both hands (P = 0.000). There is a highly significant negative correlation between the mean GS and the number of falls (P = 0.003). There is a highly significant positive correlation between GS of the right hand with the number of falls (R = 0.226, P = 0.009), as for the correlation with the left GS it was a weaker positive correlation (R = 0.209, P = 0.16). Conclusion: Seniors with history of falls have a lower GS in both dominant and nondominant hands and it is directly related to the number of falls. GS is decreased in senior fallers even if within the normal range.展开更多
This study evaluates the effects of a fall experience caused by tripping during the repetitive stepping movements over an obstacle [obstacle-single leg forward step (OSFS) test]. The study included 147 participants wh...This study evaluates the effects of a fall experience caused by tripping during the repetitive stepping movements over an obstacle [obstacle-single leg forward step (OSFS) test]. The study included 147 participants who were divided into 2 groups: 25 fallers caused by tripping and 122 nonfallers. The subjects were asked to step forward over a 10-cm-high obstacle with 1 leg and then return to their original position, as quickly as possible, and this test was repeated for 5 times. The OSFS test was evaluated in 2 phases: the OSFS-F phase, wherein the participants stepped forward on one leg, and the OSFS-R phase, wherein they returned to their original position. Significant differences were observed in both phases of the OSFS test between the two groups, and the fallers by tripping were significantly inferior to the nonfallers. The area under the curve [AUC;area under the receiver operating characteristic (ROC) curve] was more than 0.63 for all the parameters, which was statistically significant. In conclusion, the fallers by tripping were inferior to the nonfallers in the obstacle step movement.展开更多
In this paper, a comparative analysis of walking patterns during different cognitive states is conducted, followed by the classification of our database into Fallers and Non-fallers;by Fallers we describe subjects wit...In this paper, a comparative analysis of walking patterns during different cognitive states is conducted, followed by the classification of our database into Fallers and Non-fallers;by Fallers we describe subjects with repeated falling history. Vertical Ground Reaction Forces (VGRF) acquired from underneath the heel and toes of both feet are processed and analyzed for that endeavor. The subjects underwent three levels of tasks: 1) Single task: Walking at self-selected-speed (MS), 2) Dual task: Walking while performing a verbal fluency task (MF) and 3) Complex Dual task: Walking while counting backwards (MD).The ultimate objective of our research is fall prediction among the elderly by characterizing the variation of time-domain feature of Gait signals. For that, walking VGRF is analyzed and tested for the existence of indicators of the effect of dual task on subject falling susceptibility, whether parametric or pattern-wise analysis. As a result to our work, dual task in Fallers VGRF signals were recognized at 74% while at those non-fallers were recognized at 85%. Most importantly, subjects with history of fall have shown more potential to change the way they walk while performing mathematical cognitive task.展开更多
This study examines the effects of fall experience caused by tripping on the movement of stepping over an obstacle. The participants were divided into 3 groups (26 fallers caused by tripping, 24 fallers caused by othe...This study examines the effects of fall experience caused by tripping on the movement of stepping over an obstacle. The participants were divided into 3 groups (26 fallers caused by tripping, 24 fallers caused by other causes, and 145 non-fallers). Participants stepped forward over a 10 cm high obstacle with one leg, and then returned to their original position five times as quickly as possible. The OSFS (obstacle single leg forward step) test was measured in the following 2 phases: the OSFS-F phase, in which participants stepped out on one leg, and the OSFS-R phase, in which they returned it. Significant differences among the three groups were found in all parameters, and the fallers by tripping were significantly inferior to the non-fallers. There were no significant differences between the fallers by other reasons and the non-fallers in all parameters. The fallers by tripping were slower in the obstacle step movement than the non-fallers.展开更多
文摘Purpose: To establish a relationship between falls and handgrip strength (GS) in communitydwelling senior citizens in Egypt. Subjects: Crosssectional study enrolling 132 subjects, all ≥60 years old. Materials and Methods: History of falls in the past year and their number as well as GS measurement in both hands using Baseline? pneumatic squeeze handheld dynamometer. Results: There is a highly significant difference between the GS of fallers and non-fallers in both hands (P = 0.000). There is a highly significant negative correlation between the mean GS and the number of falls (P = 0.003). There is a highly significant positive correlation between GS of the right hand with the number of falls (R = 0.226, P = 0.009), as for the correlation with the left GS it was a weaker positive correlation (R = 0.209, P = 0.16). Conclusion: Seniors with history of falls have a lower GS in both dominant and nondominant hands and it is directly related to the number of falls. GS is decreased in senior fallers even if within the normal range.
文摘This study evaluates the effects of a fall experience caused by tripping during the repetitive stepping movements over an obstacle [obstacle-single leg forward step (OSFS) test]. The study included 147 participants who were divided into 2 groups: 25 fallers caused by tripping and 122 nonfallers. The subjects were asked to step forward over a 10-cm-high obstacle with 1 leg and then return to their original position, as quickly as possible, and this test was repeated for 5 times. The OSFS test was evaluated in 2 phases: the OSFS-F phase, wherein the participants stepped forward on one leg, and the OSFS-R phase, wherein they returned to their original position. Significant differences were observed in both phases of the OSFS test between the two groups, and the fallers by tripping were significantly inferior to the nonfallers. The area under the curve [AUC;area under the receiver operating characteristic (ROC) curve] was more than 0.63 for all the parameters, which was statistically significant. In conclusion, the fallers by tripping were inferior to the nonfallers in the obstacle step movement.
文摘In this paper, a comparative analysis of walking patterns during different cognitive states is conducted, followed by the classification of our database into Fallers and Non-fallers;by Fallers we describe subjects with repeated falling history. Vertical Ground Reaction Forces (VGRF) acquired from underneath the heel and toes of both feet are processed and analyzed for that endeavor. The subjects underwent three levels of tasks: 1) Single task: Walking at self-selected-speed (MS), 2) Dual task: Walking while performing a verbal fluency task (MF) and 3) Complex Dual task: Walking while counting backwards (MD).The ultimate objective of our research is fall prediction among the elderly by characterizing the variation of time-domain feature of Gait signals. For that, walking VGRF is analyzed and tested for the existence of indicators of the effect of dual task on subject falling susceptibility, whether parametric or pattern-wise analysis. As a result to our work, dual task in Fallers VGRF signals were recognized at 74% while at those non-fallers were recognized at 85%. Most importantly, subjects with history of fall have shown more potential to change the way they walk while performing mathematical cognitive task.
文摘This study examines the effects of fall experience caused by tripping on the movement of stepping over an obstacle. The participants were divided into 3 groups (26 fallers caused by tripping, 24 fallers caused by other causes, and 145 non-fallers). Participants stepped forward over a 10 cm high obstacle with one leg, and then returned to their original position five times as quickly as possible. The OSFS (obstacle single leg forward step) test was measured in the following 2 phases: the OSFS-F phase, in which participants stepped out on one leg, and the OSFS-R phase, in which they returned it. Significant differences among the three groups were found in all parameters, and the fallers by tripping were significantly inferior to the non-fallers. There were no significant differences between the fallers by other reasons and the non-fallers in all parameters. The fallers by tripping were slower in the obstacle step movement than the non-fallers.
