The modified Gait Abnormality Rating Scale for recognizing the risk of recurrent falls in community-dwelling elderly adults.
Phys Ther
; 76(9): 994-1002, 1996 Sep.
Article
em En
| MEDLINE
| ID: mdl-8790277
ABSTRACT
BACKGROUND AND PURPOSE:
The purpose of this study was to determine the reliability and validity of measurements obtained with a seven-item modified version of the Gait Abnormality Rating Scale (GARS-M), an assessment of gait designed to predict risk of falling among community-dwelling, frail older persons.SUBJECTS:
Fifty-two community-dwelling, frail older persons, with a mean age of 74.8 years (SD = 6.75), participated.METHODS:
A history of falls was determined from self-report or by proxy report. The GARS-M was scored from videotapes of subjects walking at self-selected paces. Gait characteristics were recorded during a timed walk on a 6-m brown-paper walkway.RESULTS:
Scores obtained by three raters for 23 subjects demonstrated moderate to substantial intrarater and interrater reliability. Concurrent validity, as assessed by Spearman rank-order correlation coefficients, was demonstrated for the relationship between GARS-M scores and stride length (r = -.754) and for the relationship between GARS-M scores and walking speed (r = -.679). Mean GARS-M scores distinguished between frail older persons with and without a history of recurrent falls (mean GARS-M scores of 9.0 and 3.8, respectively). CONCLUSION ANDDISCUSSION:
The GARS-M is a reliable and valid measure for documenting gait features associated with an increased risk of falling among community-dwelling, frail older persons and may provide a clinically useful alternative to established quantitative gait-assessment methods.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Acidentes por Quedas
/
Marcha
/
Transtornos dos Movimentos
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
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Risk_factors_studies
Limite:
Aged
/
Aged80
/
Humans
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Middle aged
Idioma:
En
Revista:
Phys Ther
Ano de publicação:
1996
Tipo de documento:
Article
País de afiliação:
Estados Unidos