Urinary urgency acts as a source of divided attention leading to changes in gait in older adults with overactive bladder.

<h4>Aims</h4>There is a well-recognised but unexplained association between lower urinary tract symptoms including urgency and urgency incontinence and falls in older people. It has been hypothesised that urinary urgency acts as a source of divided attention, leading to gait changes whic...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	William Gibson, Allyson Jones, Kathleen Hunter, Adrian Wagg
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/612966e87afb4f8784f4d98a6c9a9ac1
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:612966e87afb4f8784f4d98a6c9a9ac1
record_format	dspace
spelling	oai:doaj.org-article:612966e87afb4f8784f4d98a6c9a9ac12021-12-02T20:17:22ZUrinary urgency acts as a source of divided attention leading to changes in gait in older adults with overactive bladder.1932-620310.1371/journal.pone.0257506https://doaj.org/article/612966e87afb4f8784f4d98a6c9a9ac12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257506https://doaj.org/toc/1932-6203<h4>Aims</h4>There is a well-recognised but unexplained association between lower urinary tract symptoms including urgency and urgency incontinence and falls in older people. It has been hypothesised that urinary urgency acts as a source of divided attention, leading to gait changes which increase falls risk. This study aimed to assess whether urinary urgency acts as a source of divided attention in older adults with overactive bladder (OAB).<h4>Methods</h4>27 community-dwelling adults aged 65 years and over with a clinical diagnosis of OAB underwent 3-Dimensional Instrumented Gait Analysis under three conditions; bladder empty, when experiencing urgency, and when being distracted by the n-back test. Temporal-spatial gait and kinematic gait data were compared between each condition using repeated measures ANOVA.<h4>Results</h4>Gait velocity decreased from 1.1ms-1 in the bladder empty condition to 1.0ms-1 with urgency and 0.9ms-1 with distraction (p = 0.008 and p<0.001 respectively). Stride length also decreased, from 1.2m to 1.1m with urgency and 1.0m with distraction (p<0.001 for both). The presence of detrusor overactivity did not influence these results (p = 0.77).<h4>Conclusions</h4>In older adults with OAB, urinary urgency induced similar changes in gait to those caused by a distracting task. These gait changes are associated with increased fall risk. This may be part of the explanation for the association between falls and lower urinary tract symptoms in older people. Future research should examine the effect of pharmacological treatment of OAB on gait and on the effect of dual-task training on gait when experiencing urgency.William GibsonAllyson JonesKathleen HunterAdrian WaggPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0257506 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q William Gibson Allyson Jones Kathleen Hunter Adrian Wagg Urinary urgency acts as a source of divided attention leading to changes in gait in older adults with overactive bladder.
description	<h4>Aims</h4>There is a well-recognised but unexplained association between lower urinary tract symptoms including urgency and urgency incontinence and falls in older people. It has been hypothesised that urinary urgency acts as a source of divided attention, leading to gait changes which increase falls risk. This study aimed to assess whether urinary urgency acts as a source of divided attention in older adults with overactive bladder (OAB).<h4>Methods</h4>27 community-dwelling adults aged 65 years and over with a clinical diagnosis of OAB underwent 3-Dimensional Instrumented Gait Analysis under three conditions; bladder empty, when experiencing urgency, and when being distracted by the n-back test. Temporal-spatial gait and kinematic gait data were compared between each condition using repeated measures ANOVA.<h4>Results</h4>Gait velocity decreased from 1.1ms-1 in the bladder empty condition to 1.0ms-1 with urgency and 0.9ms-1 with distraction (p = 0.008 and p<0.001 respectively). Stride length also decreased, from 1.2m to 1.1m with urgency and 1.0m with distraction (p<0.001 for both). The presence of detrusor overactivity did not influence these results (p = 0.77).<h4>Conclusions</h4>In older adults with OAB, urinary urgency induced similar changes in gait to those caused by a distracting task. These gait changes are associated with increased fall risk. This may be part of the explanation for the association between falls and lower urinary tract symptoms in older people. Future research should examine the effect of pharmacological treatment of OAB on gait and on the effect of dual-task training on gait when experiencing urgency.
format	article
author	William Gibson Allyson Jones Kathleen Hunter Adrian Wagg
author_facet	William Gibson Allyson Jones Kathleen Hunter Adrian Wagg
author_sort	William Gibson
title	Urinary urgency acts as a source of divided attention leading to changes in gait in older adults with overactive bladder.
title_short	Urinary urgency acts as a source of divided attention leading to changes in gait in older adults with overactive bladder.
title_full	Urinary urgency acts as a source of divided attention leading to changes in gait in older adults with overactive bladder.
title_fullStr	Urinary urgency acts as a source of divided attention leading to changes in gait in older adults with overactive bladder.
title_full_unstemmed	Urinary urgency acts as a source of divided attention leading to changes in gait in older adults with overactive bladder.
title_sort	urinary urgency acts as a source of divided attention leading to changes in gait in older adults with overactive bladder.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/612966e87afb4f8784f4d98a6c9a9ac1
work_keys_str_mv	AT williamgibson urinaryurgencyactsasasourceofdividedattentionleadingtochangesingaitinolderadultswithoveractivebladder AT allysonjones urinaryurgencyactsasasourceofdividedattentionleadingtochangesingaitinolderadultswithoveractivebladder AT kathleenhunter urinaryurgencyactsasasourceofdividedattentionleadingtochangesingaitinolderadultswithoveractivebladder AT adrianwagg urinaryurgencyactsasasourceofdividedattentionleadingtochangesingaitinolderadultswithoveractivebladder
_version_	1718374407820279808

Urinary urgency acts as a source of divided attention leading to changes in gait in older adults with overactive bladder.

Ejemplares similares