Article (Scientific journals)
Assessing gait parameters with accelerometer-based methods to identify older adults at risk of falls: a systematic review
GILLAIN, Sophie; Boutaayamou, Mohamed; Beaudart, Charlotte et al.
2018In European Geriatric Medicine, 9, p. 435-448
Peer reviewed
 

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Keywords :
gait parameters; falls; older adults; accelerometer-based methods
Abstract :
[en] Purpose The purpose of this study was to perform a systematic review to assess the utility of accelerometric methods to identify older adults at risk of falls. Methods The Preferred Reporting Item for Systematic review and Meta-Analysis (PRISMA) guidelines were followed during all steps of this systematic review. Cross sectional and longitudinal studies assessing gait parameters in older adults using accelerometric devices, and comparing groups based on the risk of falls or fall history were identified from studies published in the MEDLINE, SCOPUS and Cochrane Database of Systematic Reviews databases between January 1996 and January 2017. Study selection and data extraction were performed independently by two reviewers. The quality of the methodology used in the studies included was assessed using the Newcastle–Ottawa Scale. Results In total, 354 references were identified through the database search. After selection, ten studies were included in this systematic review. According to the cross sectional studies, people who fall or are at risk of fall are slower, and walk with shorter steps, lower step frequency, worse stride and step regularity in terms of time, position and acceleration profiles. One longitudinal study suggests considering harmonic ratio of upper trunk acceleration in the vertical plane. Two other longitudinal studies highlight the importance of considering more than one gait parameter, and sophisticated statistical tools to discern older adults at risk for future fall(s). Conclusion This systematic review essentially highlights the lack of available literature providing strong evidence that gait parameters obtained using acceleration-based methods could be useful to discern older people at risk of fall. Available literature is encouraging, but further high quality studies are needed to highlight the cross-sectional and longitudinal relationships between gait parameters and falls in older adults.
Disciplines :
Public health, health care sciences & services
Geriatrics
Author, co-author :
GILLAIN, Sophie ;  Centre Hospitalier Universitaire de Liège - CHU > Service de gériatrie
Boutaayamou, Mohamed ;  Université de Liège - ULiège > Dép. d'électric., électron. et informat. (Inst.Montefiore) > Exploitation des signaux et images
Beaudart, Charlotte ;  Université de Liège - ULiège > Département des sciences de la santé publique > Epidémiologie clinique
DEMONCEAU, Marie ;  Centre Hospitalier Universitaire de Liège - CHU > Service de médecine de l'appareil locomoteur
Bruyère, Olivier  ;  Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Reginster, Jean-Yves  ;  Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Garraux, Gaëtan  ;  Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Biochimie et physiologie du système nerveux
PETERMANS, Jean ;  Centre Hospitalier Universitaire de Liège - CHU > Service de gériatrie
Language :
English
Title :
Assessing gait parameters with accelerometer-based methods to identify older adults at risk of falls: a systematic review
Publication date :
2018
Journal title :
European Geriatric Medicine
ISSN :
1878-7649
eISSN :
1878-7657
Publisher :
Springer, Cham, Switzerland
Volume :
9
Pages :
435-448
Peer reviewed :
Peer reviewed
Available on ORBi :
since 11 June 2018

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