
@article{ref1,
title="Multifactorial pathogenesis of gait disorders, falls and hip fractures in the elderly",
journal="Zeitschrift fur Gerontologie und Geriatrie",
year="1997",
author="Runge, M.",
volume="30",
number="4",
pages="267-275",
abstract="Age, gait disorders, falls, and hip fractures are connected in a pathological cascade. 90% of hip fractures happen at the age of 70 and older; 90% are a consequence of a fall. Only a minority of these patients regain their former level of locomotion. For many of them a hip fracture ends in dependence on personal help, placement in a nursing home, or even death. About 80% of falls occur due to pathological balance and gait disorder and are not due to syncope or overwhelming external force. 5% of all falls result in a fracture, including 1% of all falls with hip fractures. What determines the fracture risk is the relation of bone fragility to geometrical and physical factors of the fall. Regarding the cascade gait disorder-fall-hip fracture, there are always multiple factors interacting. It is useful to give this distinct entity of multifactorial gait disorder with high risk of falling a new diagnostic label: We suggest &quot;age-associated multifactorial gait disorder.&quot; To identify individual risk factors and regard their interactions can be a basis for therapy and interventions to prevent falls.<p /><p>Language: de</p>",
language="de",
issn="0948-6704",
doi="",
url="http://dx.doi.org/"
}