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Cautious gait

MedGen UID:
605457
Concept ID:
C0427165
Finding
Synonyms: Elderly gait; Senile gait
SNOMED CT: Senile gait (250044006); Elderly gait (250044006); Cautious gait (250044006)
 
HPO: HP:0031953

Definition

Cautious gait refers to an excessive degree of age-related changes in walking and fear of falling. The walking difficulties seem out of proportion when considering the patient's actual sensory or motor deficits. The gait appears slow, with a wider base than normal, reduced arm swing bilaterally and a slightly stooped posture. This type of gait change often occurs after the first time a patient has fallen. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCautious gait

Professional guidelines

PubMed

Lam R
Can Fam Physician 2011 Jul;57(7):765-70. PMID: 21753097Free PMC Article

Recent clinical studies

Etiology

Soulard J, Vaillant J, Baillet A, Gaudin P, Vuillerme N
JMIR Mhealth Uhealth 2021 Nov 9;9(11):e27087. doi: 10.2196/27087. PMID: 34751663Free PMC Article
Ellmers TJ, Kal EC, Richardson JK, Young WR
Age Ageing 2021 May 5;50(3):830-837. doi: 10.1093/ageing/afaa230. PMID: 33951155Free PMC Article
Ippersiel P, Robbins SM, Dixon PC
Gait Posture 2021 Mar;85:251-257. Epub 2021 Feb 16 doi: 10.1016/j.gaitpost.2021.02.009. PMID: 33626449
Herssens N, Verbecque E, Hallemans A, Vereeck L, Van Rompaey V, Saeys W
Gait Posture 2018 Jul;64:181-190. Epub 2018 Jun 12 doi: 10.1016/j.gaitpost.2018.06.012. PMID: 29929161
Fasano A, Plotnik M, Bove F, Berardelli A
Neurol Sci 2012 Dec;33(6):1215-23. Epub 2012 Jun 5 doi: 10.1007/s10072-012-1126-6. PMID: 22673818

Diagnosis

Maas S, Festen DAM, Hilgenkamp TIM, Oppewal A
J Intellect Disabil Res 2020 Oct;64(10):793-803. Epub 2020 Sep 4 doi: 10.1111/jir.12773. PMID: 32885545Free PMC Article
Vallabhajosula S, Deaterly CD, Madzima TA
Gait Posture 2019 Oct;74:162-168. Epub 2019 Sep 7 doi: 10.1016/j.gaitpost.2019.09.004. PMID: 31525654
Auvinet B, Touzard C, Montestruc F, Delafond A, Goeb V
J Neuroeng Rehabil 2017 Jan 31;14(1):7. doi: 10.1186/s12984-017-0218-1. PMID: 28143497Free PMC Article
Lam R
Can Fam Physician 2011 Jul;57(7):765-70. PMID: 21753097Free PMC Article
Sudarsky L
Semin Neurol 2006 Jul;26(3):351-6. doi: 10.1055/s-2006-945523. PMID: 16791781

Therapy

Soulard J, Vaillant J, Baillet A, Gaudin P, Vuillerme N
JMIR Mhealth Uhealth 2021 Nov 9;9(11):e27087. doi: 10.2196/27087. PMID: 34751663Free PMC Article
Chee JN, Ye B, Gregor S, Berbrayer D, Mihailidis A, Patterson KK
Arch Phys Med Rehabil 2021 Sep;102(9):1801-1815. Epub 2021 Jan 15 doi: 10.1016/j.apmr.2020.12.013. PMID: 33460576
Maas S, Festen DAM, Hilgenkamp TIM, Oppewal A
J Intellect Disabil Res 2020 Oct;64(10):793-803. Epub 2020 Sep 4 doi: 10.1111/jir.12773. PMID: 32885545Free PMC Article
Swart SB, den Otter R, Lamoth CJC
Sci Rep 2020 Jun 15;10(1):9599. doi: 10.1038/s41598-020-66305-1. PMID: 32541837Free PMC Article
Wollesen B, Schulz S, Seydell L, Delbaere K
BMC Geriatr 2017 Sep 11;17(1):213. doi: 10.1186/s12877-017-0610-5. PMID: 28893187Free PMC Article

Prognosis

Jehu DA, Langston R, Sams R, Young L, Hamrick M, Zhu H, Dong Y
Sensors (Basel) 2024 Apr 24;24(9) doi: 10.3390/s24092691. PMID: 38732796Free PMC Article
Ellmers TJ, Kal EC, Richardson JK, Young WR
Age Ageing 2021 May 5;50(3):830-837. doi: 10.1093/ageing/afaa230. PMID: 33951155Free PMC Article
Swart SB, den Otter R, Lamoth CJC
Sci Rep 2020 Jun 15;10(1):9599. doi: 10.1038/s41598-020-66305-1. PMID: 32541837Free PMC Article
Cortelli P, Fabbri M, Calandra-Buonaura G, Capellari S, Tinuper P, Parchi P, Lugaresi E
Mov Disord 2014 Mar;29(3):420-4. Epub 2013 Dec 27 doi: 10.1002/mds.25786. PMID: 24375448
Sudarsky L
Semin Neurol 2006 Jul;26(3):351-6. doi: 10.1055/s-2006-945523. PMID: 16791781

Clinical prediction guides

Soulard J, Vaillant J, Baillet A, Gaudin P, Vuillerme N
JMIR Mhealth Uhealth 2021 Nov 9;9(11):e27087. doi: 10.2196/27087. PMID: 34751663Free PMC Article
Ellmers TJ, Kal EC, Richardson JK, Young WR
Age Ageing 2021 May 5;50(3):830-837. doi: 10.1093/ageing/afaa230. PMID: 33951155Free PMC Article
Ippersiel P, Robbins SM, Dixon PC
Gait Posture 2021 Mar;85:251-257. Epub 2021 Feb 16 doi: 10.1016/j.gaitpost.2021.02.009. PMID: 33626449
Chee JN, Ye B, Gregor S, Berbrayer D, Mihailidis A, Patterson KK
Arch Phys Med Rehabil 2021 Sep;102(9):1801-1815. Epub 2021 Jan 15 doi: 10.1016/j.apmr.2020.12.013. PMID: 33460576
Sudarsky L
Semin Neurol 2006 Jul;26(3):351-6. doi: 10.1055/s-2006-945523. PMID: 16791781

Recent systematic reviews

Semaan MB, Wallard L, Ruiz V, Gillet C, Leteneur S, Simoneau-Buessinger E
Gait Posture 2022 Feb;92:249-257. Epub 2021 Nov 21 doi: 10.1016/j.gaitpost.2021.11.009. PMID: 34890914
Chee JN, Ye B, Gregor S, Berbrayer D, Mihailidis A, Patterson KK
Arch Phys Med Rehabil 2021 Sep;102(9):1801-1815. Epub 2021 Jan 15 doi: 10.1016/j.apmr.2020.12.013. PMID: 33460576
Herssens N, Verbecque E, Hallemans A, Vereeck L, Van Rompaey V, Saeys W
Gait Posture 2018 Jul;64:181-190. Epub 2018 Jun 12 doi: 10.1016/j.gaitpost.2018.06.012. PMID: 29929161

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