Evidências longitudinais do medo de quedas e parâmetros espaço-temporais da marcha de idosos.

• Autor(a) principal: Drummond, Flávia Moura Malani
• Data de Publicação: 2018
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/4816
• topic: Older Adults; Fear of Falling; Risk factors; Gait; Idosos; Medo de quedas; Fatores de risco; Marcha; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

The general objective of this thesis was to evaluate the fear of falling in the elderly from a longitudinal perspective and to evaluate the relationship between the fear of falling and the spatio-temporal gait parameters. Its specific objectives were: a) to estimate the incidence and persistence of fear of falling in four years and its risk factors (Article 1); b) to evaluate the association between fear of falling and the spatio temporal gait parameters (Article 2). The research is a subproject of the Frailty Study of the Brazilian Elderly, section Rio de Janeiro (FIBRA-RJ), which began in 2009, the baseline of the study, and reassessed the elderly in 2013 (follow-up phase). The elderly evaluated were clients of a health care provider, residents of the North area of Rio de Janeiro, aged 65 or over. For article 1, 393 elderly people, who participated in both phases, were evaluated. Article 2 used data from 291 elderly people who participated in the follow-up phase and who agreed to participate in gait data collection through GAITRite®. Fear of falling was assessed through the Falls Efficacy Scale (FES-I-BR). In the first article, the association between fear of falling and risk factors were assessed through multivariate analyzes using Poisson regression. The incidence of fear was 33.5% and the risk factors were: use 7 or more medicines and report a worse level of activity. The persistence was 71.3% and the risk factors were: use of 7 or more medicines, history of 1 or 2 falls, diminished walking speed, hearing impairment, cognitive decline, depressive symptoms and poor / very poor self-perception of health. In article 2, fear of falling was associated with the following gait parameters: decrease in speed, cadence, step length and stride length and step time increase. Fear of falling was not associated with variability. It is concluded that the incidence and persistence of fear of falling have different risk factors, and it is a condition that should be evaluated in the elderly, with potential to interfere with gait parameters, increasing the risk of falls, injuries and loss of capacity functional. It is hoped that the results of this thesis will contribute to a greater knowledge of this condition in the elderly, allowing their early detection and appropriate interventions.