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. 2020 Feb;39(2):642-649.
doi: 10.1002/nau.24234. Epub 2019 Nov 25.

The effects of a strong desire to void on gait for incontinent and continent older community-dwelling women at risk of falls

Marie-Hélène Paquin  1   2 , Cyril Duclos  1   3 , Nolween Lapierre  2   4 , Lucie Dubreucq  3 , Melanie Morin  5 , Jean Meunier  6 , Jacqueline Rousseau  1   2 , Chantal Dumoulin  1   2
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The effects of a strong desire to void on gait for incontinent and continent older community-dwelling women at risk of falls

Marie-Hélène Paquin et al. Neurourol Urodyn. 2020 Feb.

Abstract

Aims: The fall rate in urgency urinary incontinence (UUI) and mixed UI (MUI) older women is higher when compared with that of continent women. One hypothesis is that a strong desire to void (SDV) could alter gait parameters and therefore increase the risk of falls. The aim of this study was to investigate and compare the effect of SDV on gait parameters in UUI/MUI and continent older women who experienced falls. The secondary aim was to determine the relationship between UI severity and gait parameters in incontinent women.

Methods: A quasi-experimental pilot study was conducted with two groups of healthy community-dwelling women who experienced at least one fall in the last year: continent (n = 17; age: 74.1 ± 4.3) and UUI/MUI (n = 15; age: 73.5 ± 5.9). We recorded, analyzed, and compared spatiotemporal gait parameters for participants in each group with both SDV and no desire to void condition.

Results: A pattern of reduced velocity (P = 0.05) and stride width (P = 0.02) was observed in both groups with SDV. Incontinence severity was correlated with reduced velocity (rs = -0.63, P = 0.01), increased stance time (rs = 0.65, P = .01) and stance time variability (rs = 0.65, P = .01) in no desire to void condition and with reduced velocity (rs = -0.56, P = .03) and increased stride length variability (rs = 0.54, P = .04) in SDV condition.

Conclusions: SDV reduced gait velocity and stride width regardless of continence status in older women at risk of falls. Further, UI severity in the UUI/MUI women was correlated to reduced gait velocity and increased variability. Our findings could explain the higher fall rate in this population.

Keywords: bladder sensation; community-dwelling; elderly women; falls; spatiotemporal gait parameters; urgency; urinary incontinence.

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References

REFERENCES

    1. Ambrose AF, Paul G, Hausdorff JM. Risk factors for falls among older adults: a review of the literature. Maturitas. 2013;75:51-61.
    1. Abrams P, Cardozo L, Wagg A, Wein A, eds. Incontinence. 6th edn. Bristol, UK: ICI-ICS. International Continence Society; 2017.
    1. Gale CR, Westbury LD, Cooper C, Dennison EM. Risk factors for incident falls in older men and women: the English longitudinal study of ageing. BMC Geriatr. 2018;18:117.
    1. Chiarelli PE, Mackenzie LA, Osmotherly PG. Urinary incontinence is associated with an increase in falls: a systematic review. Aust J Physiother. 2009;55:89-95.
    1. Booth J, Paul L, Rafferty D, Macinnes C. The relationship between urinary bladder control and gait in women. Neurourol Urodyn. 2013;32:43-47.

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