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Updated: Jan 26, 2026

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
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Fear of Falling Contributing to Cautious Gait Pattern in Women Exposed to a Fictional Disturbing Factor: A

Guilherme Augusto Santos Bueno1,2, Flávia Martins Gervásio2, Darlan Martins Ribeiro2,3

  • 1Postgraduate Program in Health Sciences and Technologies, University of Brasília, Brasília, Brazil.

Frontiers in Neurology
|April 12, 2019
PubMed

Objective: This study aimed to investigate the gait pattern of elderly women with and without fall-history, with high and low fear of falling, when exposed to a disturbing factor. Materials and Methods: Forty-nine elderly women without cognitive impairment agreed to participate. Participants were divided into four groups, considering the history of falls and fear of falling. Three-dimensional gait analysis was performed to assess gait kinematics before and after exposure to the fictional disturbing factor (psychological and non-motor agent). Results: After being exposed to the perturbation, all showed shorter step length, stride length and slower walking speed. Those without fall-history and with high fear of falling showed greater changes and lower Gait Profile Score. Conclusion: The gait changes shown in the presence of a fear-of-falling causing agent led to a cautious gait pattern in an attempt to increase protection. However, those changes increased fall-risk, boosted by fear of falling. Clinical Trial Registration: www.residentialclinics.gov.br, identifier: RBR-35xhj5.

Keywords:
accidental fallsagingbiomechanical phenomenamotor skillsperception

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