TABLE OF CONTENTS page A C K N O W L E D G M E N T S ................................................................................................. iv LIST OF TABLES ................................ ......... .. .. .. .......... ....... ix LIST OF FIGURES ......... ......................... ...... ........ ............ xi ABSTRACT ........ .............. ............. .. ...... .......... .......... xii CHAPTER 1 IN TR OD U CTION ............................................... .. ......................... .. Theoretical M models ............................................... ...... ........................ ........ .3 The World Health Organization Model: International Classification of Functioning, Disability, and Health .............. ............................................ 3 Theoretical Fram ew ork ............................................................................. 6 R research Q uestions........... .................................................................... ........ .... 7 2 REVIEW OF THE LITERATURE ........................................ ......................... 9 Introduction ................................................................. ............... Mobility in the Community Dwelling Elderly...........................................................10 G ait V velocity ................................................................. .. ......................... 11 Gait velocity as an outcome measure.................................... ..................11 Gait velocity and other aspects of mobility...............................................12 F a lls ........................................ ...... .......... ............ ................ 1 2 Incidence and consequences of falls in the community dwelling elderly ....12 M ultifactorial risk factors................................... .............................. ...... 13 N um ber of risk factors...................... .................... ......... .......... ............... 14 Fear of falling as a risk factor and consequence of falls ............................15 F ear of F allin g ......................................... ....... ..... .. ........ ............... 15 Incidence of fear of falling in the community dwelling elderly.................. 16 Fear of falling risk factors ...........................................................17 M ability in the Post-Stroke Population ........................................... .....................18 Stroke and Mobility Impairment .................. ..................... ...............18 Stroke .................. ...... .. ......... ...... ..................... ....... 18 G ait V elocity A after Stroke........................................................ ............... 19 Falls A after Stroke ........................................ .. .. .... ........ ..... .... 22