The influence of fear of falling on gait and balance in older people

Age Ageing. 2009 Jul;38(4):435-40. doi: 10.1093/ageing/afp066. Epub 2009 May 18.


Background: fear of falling (FoF) has great impact on functioning and quality of life of older people, but its effects on gait and balance are largely unknown.

Methods: we examined FoF in 100 participants aged >or=75 years, using the Activities-specific Balance Confidence scale. Participants with a mean score <67% were assigned to the FoF group. We quantified gait and balance during walking at the preferred velocity with and without a cognitive dual task (arithmetic task and verbal fluency), using an electronic walkway (Gaitrite) and a trunk accelerometer (SwayStar). Primary outcome measures were gait velocity, stride-length and stride-time variability, as well as mediolateral angular displacement and velocity.

Results: gait velocity was significantly lower (P < 0.05) and stride-length and stride-time variability were significantly higher (P < 0.05) in the FoF group. However, after standardisation for gait velocity, differences became non-significant. Mediolateral angular displacement and velocity were not associated with FoF. We found no difference between the FoF and no-FoF group with respect to the dual-task effect on gait and balance variables.

Conclusions: the lower gait velocity in the FoF group may be a useful adaptation to optimise balance, rather than a sign of decreased balance control. The ability to attend to a secondary task during walking is not influenced by FoF.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Accidental Falls / prevention & control*
  • Aged
  • Aged, 80 and over
  • Aging
  • Cognition
  • Fear*
  • Female
  • Gait*
  • Geriatric Assessment
  • Humans
  • Male
  • Postural Balance / physiology*
  • Psychomotor Performance / physiology*
  • Sex Distribution
  • Walking