Peng H, Yao N, Song YP, Huang L, Chen HB, Jiang Y, Chen QG. Motoric cognitive risk syndrome: A review of fall risk assessment and management strategies. World J Psychiatry 2025; 15(4): 101800 [DOI: 10.5498/wjp.v15.i4.101800]
Corresponding Author of This Article
Qi-Gang Chen, Department of Rehabilitation, Kunming Municipal Hospital of Traditional Chinese Medicine, No. 2628 Xiangyun Street, Chenggong District, Kunming 650011, Yunnan Province, China. qigangchenchen@163.com
Research Domain of This Article
Primary Health Care
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Apr 19, 2025; 15(4): 101800 Published online Apr 19, 2025. doi: 10.5498/wjp.v15.i4.101800
Motoric cognitive risk syndrome: A review of fall risk assessment and management strategies
Hao Peng, Na Yao, Yan-Ping Song, Li Huang, Hong-Bo Chen, Yang Jiang, Qi-Gang Chen
Hao Peng, Yang Jiang, College of Physical Education, Yunnan Normal University, Kunming 650500, Yunnan Province, China
Na Yao, Yan-Ping Song, Li Huang, Hong-Bo Chen, Qi-Gang Chen, Department of Rehabilitation, Kunming Municipal Hospital of Traditional Chinese Medicine, Kunming 650011, Yunnan Province, China
Author contributions: Peng H, Yao N, Song YP, Huang L, Chen HB, Jiang Y, and Chen QG designed the review framework and identified the research focus; Peng H, Yao N, Song YP, and Huang L conducted the literature search and selected relevant studies; Chen HB and Jiang Y contributed new insights and analytical tools for data synthesis; Peng H, Yao N, and Song YP analyzed the data and drafted the manuscript; Chen QG provided critical revisions and final approval of the manuscript; all the authors have read and approved the final manuscript.
Conflict-of-interest statement: Dr. Chen has nothing to disclose.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qi-Gang Chen, Department of Rehabilitation, Kunming Municipal Hospital of Traditional Chinese Medicine, No. 2628 Xiangyun Street, Chenggong District, Kunming 650011, Yunnan Province, China. qigangchenchen@163.com
Received: September 26, 2024 Revised: November 9, 2024 Accepted: January 24, 2025 Published online: April 19, 2025 Processing time: 179 Days and 18.8 Hours
Abstract
The aging global population is driving an increase in dementia, making the early identification of at-risk individuals crucial. Studies have shown that elderly people often exhibit a slowing gait before dementia diagnosis, which is linked to cognitive decline and predicts dementia risk. With 30% of those over 65 years of age experiencing falls annually, managing fall risk is essential. Motoric cognitive risk syndrome (MCR), characterized by subjective memory impairment and slow gait, is a pre-dementia condition that can identify high-risk individuals without extensive evaluation. The prevalence of MCR varies globally and is associated with an increased risk of falls, disability, and death. Early screening and intervention for MCR can delay dementia and improve fall regulation, offering a new perspective on elderly health management. This review synthesizes the current understanding of MCR-related falls, evaluates risk assessment methods, and discusses health strategies to provide a theoretical basis for fall prevention in community-dwelling older adults.
Core Tip: This review highlights motoric cognitive risk syndrome (MCR), a critical pre-dementia condition associated with an increased risk of falls in the elderly. This underscores the necessity for early MCR identification and tailored intervention strategies to mitigate fall risk, offering a novel approach to geriatric fall prevention. MCR, characterized by subjective memory impairment and gait slowing, requires focused assessment and management to enhance safety in the elderly population.
