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Table 5 Summary table of Gait Speed as a falls assessment tool

From: Predicting falls in older adults: an umbrella review of instruments assessing gait, balance, and functional mobility

Review Review characteristics Risk of bias Summary of key findings Interpretation
Ambrose [19] Narrative High No data to extract Unclear
Abellan Van Kan [22] Systematic review without meta-analysis
(n = 4, 9477 participants)
Community-dwelling older adults
High All demonstrated gait speed was an independent predictor of falls or falls related fracture. Gait speed reported as at usual pace. Favourable
Pamoukdjian [34] Systematic review without meta-analysis
(n = 9, 6357 participants)
Community-dwelling
High Recommend evaluating gait speed over a distance of 4 m with a threshold of 1 m/s in a single measure as a screening tool for frailty in older patients with cancer (aged 65 years and older); those with gait speed < 1 m/s over a 4-m distance should then be assessed with a CGA. Favourable
Lee [29] Systematic review without meta-analysis
(n = 2)
Mixed settings
High Community dwelling older people (n = 1):
- 6-m walk test 50% sensitivity, 68% specificity, 37% positive predictive value
Outpatient stroke clinics (n = 1):
- 10-MWT sensitivity 80%, specificity 58%, positive predictive value 64%, negative predictive value 76%, AUC (95%CI) 0.74 (0.64–0.81)
Favourable for stroke patients
Scott [35] Systematic review without meta-analysis
(n = 1)
Mixed settings
High Long term care setting:
IRR = 0.88 and not reported as an independent predictor for falls.
Not favourable
Dolatabadi [26] Systematic review without meta-analysis
(n = 6)
Older adults with diagnosis of dementia
Unclear Gait speeds were often found to differentiate between faller and non-faller in a dementia population. No specific synthesis of data to extract from the review. Favourable
Chantanachai [38] Meta-analysis
(n = 18)
Older people with cognitive impairment living in the community
Low Gait speed −0.07 (−0.28,-0.06) (4 studies, (p = 0.46)
Of the eight studies that assessed gait speed, six found slow gait speed under standard conditions to predict falls
Not favourable
Ganz [28] Meta-analysis
(n = 15)
Community-dwelling older adults
Low Taking more than 13 seconds to walk 10 m predicts recurrent falls with about the same LR as perceived mobility problems (LR, 2.0; 95% CI, 1.5–2.7) Favourable
Marin-Jimenez [30] Systematic review without meta-analysis
(n = 25, 2 systematic reviews)
Healthy community-based population older than 18 years.
Sub population > 65 years old
Low Strong evidence for slower gait predicting falls in adults over 60 years (seven studies+ seven studies from systematic reviews)
Three studies did not find an association between gait speed test and falls.
6 m walk test reported
Favourable
Menant [41] Meta-analysis
(n = 30)
Mixed settings
Low Pooled MD (95% CI) for gait speed between fallers and non-fallers (0.069 (0.045–0.094). Findings indicate single and dual task tests of gait speed are equivalent in the prediction of falls. Slower gait speeds under both single and dual-Task conditions significantly discriminate between fallers and non-fallers.
The majority of included studie reported self selected gait speed with two studies reporting unclear specifications.
Favourable
  1. Abbreviation: AUC Area under the curve, CI Confidence interval, CGA Comprehensive geriatric assessment, IRR Incidence rate ratio, n number of included studies, MD Mean difference, SROC Summary receiver operating characteristic, 10-MWT 10 m walking test