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Association between the history of fall and the fear of falling on stair descent and gait transition spatiotemporal parameters and lower-limb kinematics in older adults

dc.contributor.authorTeles, Ivone
dc.contributor.authorMoreira, Juliana
dc.contributor.authorSousa, Andreia S. P.
dc.contributor.authorSantos Moreira, Juliana
dc.contributor.authorPinheiro de Sousa, Andreia Sofia
dc.date.accessioned2025-11-03T14:43:16Z
dc.date.available2025-11-03T14:43:16Z
dc.date.issued2025-06-14
dc.description.abstractAmong older adults, there is a high incidence of history of fall (HoF), fear of falling (FoF), and falls on stair descent during gait transitions. We aim to evaluate the association between HoF and FoF on spatiotemporal and lower-limb kinematic parameters in older adults during stair descents and gait transitions. Sixty older adults (>60 years) were evaluated through an optoelectrical motion capture system during stair descents and gait transitions, using the mean value of the task velocity and time; single- and double-support time; peak downward center of mass (CoM) velocity; hip, knee, and ankle positions of ipsi and the contralateral limb; and foot clearance and foot placement, assessed through multivariate analysis of variance. FOF exhibited longer time to complete (p = 0.009) and double-support (p = 0.047) and single-support (p = 0.009) times and a reduced peak downward CoM velocity (p = 0.043). In the gait transition cycle, HOF exhibited reduced ipsi ankle angles at toe-off (p = 0.015), and FOF presented reduced ipsi ankle angles at heel-strike (p = 0.041) and toe-off (p = 0.026) and reduced contralateral ankle angles at toe-off (p = 0.022).Older adults with HoF and FoF exhibit biomechanical changes during stair descents and gait transitions, in line with the use of more conservative strategies to avoid falling.por
dc.identifier.citationTeles, I., Moreira, J., & Sousa, A. S. P. (2025). Association Between the History of Fall and the Fear of Falling on Stair Descent and Gait Transition Spatiotemporal Parameters and Lower-Limb Kinematics in Older Adults. Applied Sciences, 15(12), 6689. https://doi.org/10.3390/app15126689
dc.identifier.doi10.3390/app15126689
dc.identifier.eissn2076-3417
dc.identifier.urihttp://hdl.handle.net/10400.22/30728
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation2020.05356.BD; UIDB/05210/2020
dc.relation.hasversionhttps://www.mdpi.com/2076-3417/15/12/6689
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHistory of fall
dc.subjectFear of falling
dc.subjectGeriatrics
dc.subjectStair descent
dc.subjectBiomechanics
dc.titleAssociation between the history of fall and the fear of falling on stair descent and gait transition spatiotemporal parameters and lower-limb kinematics in older adultspor
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.issue12
oaire.citation.titleApplied Sciences
oaire.citation.volume15
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameSantos Moreira
person.familyNamePinheiro de Sousa
person.givenNameJuliana
person.givenNameAndreia Sofia
person.identifier1070119
person.identifier.ciencia-idF217-BF1E-8507
person.identifier.ciencia-id2216-9200-7EF6
person.identifier.orcid0000-0003-0123-4960
person.identifier.orcid0000-0001-9528-1463
person.identifier.ridC-7138-2019
person.identifier.scopus-author-id55950021600
relation.isAuthorOfPublication574f928e-bf87-4e65-8396-ae884fa7e544
relation.isAuthorOfPublicationaeecfe02-e80d-49ab-9033-a1ade15658f2
relation.isAuthorOfPublication.latestForDiscovery574f928e-bf87-4e65-8396-ae884fa7e544

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