"Fear of falling" gait: a potentially reversible psychogenic gait disorder.
OBJECTIVE
To describe "fear of falling" gait.


BACKGROUND
"Fear of falling" gait is a largely psychogenic gait disorder of the elderly that is often unrecognized.


METHODS
Report of a representative case and clinical experience.


RESULTS
"Fear of falling" gait usually begins after a fall and is characterized by a shuffling or sliding stride and an intense need to hold on for support. It appears to be most common in elderly women, can be reversed by education, suggestion, and physical therapy, and is often mistaken for Parkinson disease.


CONCLUSIONS
"Fear of falling" gait is a potentially reversible, largely psychogenic gait disorder that occurs mostly in women and must be distinguished from other gait disorders in the elderly.
Kurlan
Roger
R
University of Rochester School of Medicine and Dentistry, Department of Neurology, Rochester, New York 14620, USA. Roger_Kurlan@urmc.rochester.edu
D000368:Aged; D001007:Anxiety / Q000150:complications / Q000188:drug therapy; D003937:Diagnosis, Differential; D005239:Fear / Q000523:psychology*; D005260:Female; D020233:Gait Disorders, Neurologic / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D017374:Paroxetine / Q000627:therapeutic use; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use
D017374:Paroxetine; D017367:Selective Serotonin Reuptake Inhibitors