Match!

Guidelines for Assessment of Gait and Reference Values for Spatiotemporal Gait Parameters in Older Adults: The Biomathics and Canadian Gait Consortiums Initiative

Published on Aug 3, 2017in Frontiers in Human Neuroscience2.87
· DOI :10.3389/fnhum.2017.00353
Olivier Beauchet59
Estimated H-index: 59
(McGill University),
Gilles Allali31
Estimated H-index: 31
(University of Geneva)
+ 19 AuthorsJorunn L. Helbostad24
Estimated H-index: 24
(NTNU: Norwegian University of Science and Technology)
Sources
Abstract
Background. Gait disorders, a highly prevalent condition in older adults, are associated with several adverse health consequences. Gait analysis allows qualitative and quantitative assessments of gait that improves the understanding of mechanisms of gait disorders and the choice of interventions. This manuscript aims 1) to give consensus guidance for clinical and spatiotemporal gait analysis based on the recorded footfalls in older adults aged 65 years and over, and 2) to provide reference values for spatiotemporal gait parameters based on the recorded footfalls in healthy older adults free of cognitive impairment and multi-morbidities. Methods. International experts working in a network of two different consortiums (i.e.; Biomathics and Canadian Gait Consortium) participated in this initiative. First, they identified items of standardized information following the usual procedure of formulation of consensus findings. Second, they merged databases including spatiotemporal gait assessments with GAITRite® system and clinical information from the “Gait, cOgnitiOn & Decline” (GOOD) initiative and the Generation 100 (Gen 100) study. Only healthy - free of cognitive impairment and multi-morbidities (i.e.; ≤3 therapeutics taken daily) - participants aged 65 and older were selected. Age, sex, body mass index, mean values and coefficients of variation (CoV) of gait parameters were used for the analyses. Results. Standardized systematic assessment of three categories of items, which were demographics and clinical information, and gait characteristics (clinical and spatiotemporal gait analysis based on the recorded footfalls), were selected for the proposed guidelines. Two complementary sets of items were distinguished: a minimal data set and a full data set. In addition, a total of 954 participants (mean age 72.8 ± 4.8 years, 45.8% women) were recruited to establish the reference values. Performance of spatiotemporal gait parameters based on the recorded footfalls declined with increasing age (mean values and CoV) and demonstrated sex differences (mean values only). Conclusions. Based on an international multicenter collaboration, we propose consensus guidelines for gait assessment and spatiotemporal gait analysis based on the recorded footfalls, and reference values for healthy older adults.
Figures & Tables
  • References (60)
  • Citations (29)
📖 Papers frequently viewed together
252 Citations
162 Citations
150 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References60
Newest
#1Olivier Beauchet (McGill University)H-Index: 59
#2Gilles Allali (University of Geneva)H-Index: 31
Last. Joe Verghese (Albert Einstein College of Medicine)H-Index: 52
view all 4 authors...
The "motoric cognitive risk" (MCR) syndrome is a newly reported predementia syndrome combining cognitive complaint and slow gait speed. We hypothesized that individuals with MCR syndrome would have lower brain volumes compared with non-MCR individuals. This study aims (i) to compare the cognitive profile of nondemented older community-dwellers with and without MCR syndrome and (ii) to examine association of global and regional brain volumes with MCR syndrome.A total of 171 individuals (28 MCR an...
15 CitationsSource
#1Gilles Allali (University of Geneva)H-Index: 31
#2Cédric Annweiler (UNAM: National Autonomous University of Mexico)H-Index: 42
Last. Olivier BeauchetH-Index: 59
view all 10 authors...
Background and purpose: The differences in gait abnormalities from the earliest to the later stages of dementia and in the different subtypes of dementia have not been fully examined. This study aims to compare spatiotemporal gait parameters in cognitively healthy individuals, patients with amnestic mild cognitive impairment (MCI) and non-amnestic MCI, and patients with mild and moderate stages of Alzheimer's disease (AD) and non-Alzheimer's disease (non-AD). Methods: Based on a cross-sectional ...
47 CitationsSource
#1Olivier Beauchet (McGill University)H-Index: 59
#2Cyrille P. LaunayH-Index: 15
Last. Gilles Allali (Yeshiva University)H-Index: 31
view all 5 authors...
Gait control depends in part on cognition. This study aims to examine the separate and combined effects of episodic memory and executive function impairments on the mean value and the coefficient of variation (CoV) of stride time among non-demented older community dwellers. Based on a cross-sectional design, 1458 older community dwellers without dementia (70.6 ± 4.9 years; 49.2 % female) were recruited and separated into cognitively healthy individuals (CHI) and individuals with cognitive impair...
8 CitationsSource
#1Fanny Artaud (French Institute of Health and Medical Research)H-Index: 8
#2Archana Singh-Manoux (UCL: University College London)H-Index: 72
Last. Alexis Elbaz (French Institute of Health and Medical Research)H-Index: 54
view all 5 authors...
OBJECTIVES: To determine whether fast gait speed at study baseline and change in gait speed had independent associations with disability onset. DESIGN: Cohort study with 11-year follow-up (1999-2010). SETTING: Three-City Study center, Dijon, France. PARTICIPANTS: Community-dwelling individuals aged 65 to 85 (N = 3,814, 61% female). MEASUREMENTS: Fast gait speed (over 6 m) was assessed up to five times and disability (mobility (Rosow-Breslau scale), instrumental activities of daily living (IADLs;...
23 CitationsSource
#1Olivier BeauchetH-Index: 59
#2Cyrille P. LaunayH-Index: 15
Last. Cédric Annweiler (UWO: University of Western Ontario)H-Index: 42
view all 5 authors...
Background Respective and combined effects of impairments in sensorimotor systems and cognition on gait performance have not been fully studied. This study aims to describe the respective effects of impairments in muscle strength, distance vision, lower-limb proprioception and cognition on the Timed Up & Go (TUG) scores (i.e., performed TUG [pTUG], imagined TUG [iTUG] and the time difference between these two tests [delta TUG]) in older communitydwellers; and to examine their combined effects on...
6 CitationsSource
#1Dorthe Stensvold (NTNU: Norwegian University of Science and Technology)H-Index: 9
#2Hallgeir Viken (NTNU: Norwegian University of Science and Technology)H-Index: 4
Last. Ulrik Wisløff (NTNU: Norwegian University of Science and Technology)H-Index: 69
view all 15 authors...
Introduction: Epidemiological studies suggest that exercise has a tremendous preventative effect on morbidity and premature death, but these findings need to be confirmed by randomised trials. Generation 100 is a randomised, controlled study where the primary aim is to evaluate the effects of 5 years of exercise training on mortality in an elderly population. Methods and analysis: All men and women born in the years 1936–1942 (n=6966), who were residents of Trondheim, Norway, were invited to par...
25 CitationsSource
#1Farah Ayoubi (UNAM: National Autonomous University of Mexico)H-Index: 3
#2Cyrille P. LaunayH-Index: 15
Last. Olivier BeauchetH-Index: 59
view all 4 authors...
Background: Fear of falling (FOF) and increased gait variability are both independent markers of gait instability. There is a complex interplay between both entities. The purposes of this study were (1) to perform a qualitative analysis of all published studies on FOF-related changes in gait variability through a systematic review, and (2) to quantitatively synthesize FOF-related changes in gait variability. Methods: A systematic Medline literature search was conducted in May 2014 using the Medi...
42 CitationsSource
#1Cédric Annweiler (UNAM: National Autonomous University of Mexico)H-Index: 42
#2Erdinc Dursun (Istanbul University)H-Index: 13
Last. Olivier Beauchet (UNAM: National Autonomous University of Mexico)H-Index: 59
view all 12 authors...
Background Hypovitaminosis D, a condition that is highly prevalent in older adults aged 65 years and above, is associated with brain changes and dementia. Given the rapidly accumulating and complex contribution of the literature in the field of vitamin D and cognition, clear guidance is needed for researchers and clinicians. Methods International experts met at an invitational summit on ‘Vitamin D and Cognition in Older Adults’. Based on previous reports and expert opinion, the task force focuse...
80 CitationsSource
#1Olivier Beauchet (University of Angers)H-Index: 59
Last. Cédric Annweiler (University of Angers)H-Index: 42
view all 3 authors...
Recently, Winblad and colleagues (Lundkvist et al., 2014) reported an interesting point of view highlighting the current failures of the pharmaceutical industry to find an effective drug solution against Alzheimer's disease, and the difficulties rising from greater Research and Development costs in the context of growing regulatory and administrative straitjacket. This paradigm shift may result to a critical situation of decline of Alzheimer's research and therapy. Alzheimer's disease is a world...
5 CitationsSource
#1Olivier BeauchetH-Index: 59
#2Gilles Allali (University of Geneva)H-Index: 31
Last. Cédric Annweiler (UWO: University of Western Ontario)H-Index: 42
view all 6 authors...
Background: Decline in cognitive performance is associated with gait deterioration. Our objectives were: 1) to determine, from an original study in older community-dwellers without diagnosis of dementia, which gait parameters, among slower gait speed, higher stride time variability (STV) and Timed Up & Go test (TUG) delta time, were most strongly associated with lower performance in two cognitive domains (i.e., episodic memory and executive function); and 2) to quantitatively synthesize, with a ...
37 CitationsSource
Cited By29
Newest
#2R Cano-de-la-Cuerda (URJC: King Juan Carlos University)
Last. E Garcia-Armada (CSIC: Spanish National Research Council)
view all 8 authors...
BACKGROUND: Few portable exoskeletons following the assist-as-needed concept have been developed for patients with neurological disorders. Thus, the main objectives of this proof-of-concept study were 1) to explore the safety and feasibility of an exoskeleton for gait rehabilitation in stroke and multiple sclerosis patients, 2) to test different algorithms for gait assistance and measure the resulting gait changes and 3) to evaluate the user's perception of the device. METHODS: A cross-sectional...
Source
#1Sarah Kneis (University of Freiburg)H-Index: 3
#2Elisa Straub (University of Freiburg)H-Index: 1
Last. Hartmut Bertz (University of Freiburg)H-Index: 42
view all 7 authors...
Background: After allogeneic hematopoietic cell transplantation (alloHCT), patients often report functional impairments like reduced gait speed and muscle weakness. These impairments can increase t...
Source
#1Myeounggon Lee (College of Health Sciences, Bahrain)H-Index: 1
#2Changhong Youm (College of Health Sciences, Bahrain)H-Index: 2
Last. Hwayoung Park (College of Health Sciences, Bahrain)H-Index: 1
view all 4 authors...
This study investigated the gait characteristics of healthy young adults using shoe-type inertial measurement units (IMU) during treadmill walking. A total of 1478 participants were tested. Principal component analyses (PCA) were conducted to determine which principal components (PCs) best defined the characteristics of healthy young adults. A non-hierarchical cluster analysis was conducted to evaluate the essential gait ability, according to the results of the PC1 score. One-way repeated analys...
Source
#1Felipe de Oliveira Silva (UFRJ: Federal University of Rio de Janeiro)
#2José Vinicius Ferreira (UFRJ: Federal University of Rio de Janeiro)H-Index: 1
Last. Andrea Camaz Deslandes (UFRJ: Federal University of Rio de Janeiro)H-Index: 21
view all 9 authors...
Abstract Gait parameters have been investigated as an additional tool for differential diagnosis in neurocognitive disorders. A videogrammetry system could be used to capture and analyze gait in older adults. Different motor conditions were used in three specific assessments: 10-m walk test (10mWT), timed up and go test (TUGT) and treadmill walk test (TWT). These tasks were compared among healthy elderly (HE = 17), mild cognitive impairment (MCI = 23) and Alzheimer's disease (AD = 23) patients. ...
Source
For older persons walking is a basic activity of daily life which characterizes the person’s functional mobility. Therefore, the improvement of walking performance is a major clinical outcome during geriatric rehabilitation. Furthermore, walking performance is relevant for several geriatric research issues. Quantitative gait analysis can describe walking performance in detail. Besides gait speed, various qualitative parameters related to different aspects of walking performance, such as symmetry...
Source
#2Sema SavciH-Index: 13
Last. Nevin UzunerH-Index: 15
view all 9 authors...
Abstract Background Cystic Fibrosis (CF), affecting functional exercise capacity generally measured by gait performance, is a progressive, autosomal recessive and metabolic disorder. Evaluating gait performance is necessary to determine the level of disability in patients. Three-axis accelerometers, which are used during gait, are easy way to assess gait parameters in patients and healthy individuals. Research question Do clinical outcomes in CF have an important role in determining gait paramet...
Source
#1Christopher A. Bailey (McGill University)H-Index: 2
#2Micaela Porta (University of Cagliari)H-Index: 3
Last. Massimiliano Pau (University of Cagliari)H-Index: 19
view all 6 authors...
Abstract Old age is associated with variability in gait motor output, particularly in females, and is linked to fall risk. However, little is known about how older age and sex affect variability in the outputs of individual joints, and how these variabilities contribute to the collective gait output. Healthy adults aged 18–99 years (N = 102, 57 females) completed six trials of straight walking at self-selected speed. Stride time variability (coefficient of variation) and variabilities of lower l...
Source
#1Bret R. Rutherford (Columbia University)H-Index: 20
#2Jongwoo Choi (Columbia University)
Last. Steven P. Roose (Columbia University)H-Index: 52
view all 11 authors...
Abstract Background Declining function in dopamine circuits is implicated in normal aging and late-life depression (LLD). Dopamine augmentation recently has shown therapeutic promise, but predictors of response are unknown. Methods Depressed elders with slowed gait underwent baseline magnetic resonance imaging (MRI) and [11C]raclopride positron emission tomography (PET). Subjects then received open treatment with carbidopa/levodopa (L-DOPA) for three weeks. Linear regressions examined relationsh...
Source
#1Jonathon Fagert (CMU: Carnegie Mellon University)H-Index: 4
#2Mostafa Mirshekari (CMU: Carnegie Mellon University)H-Index: 7
Last. Hae Young Noh (CMU: Carnegie Mellon University)H-Index: 13
view all 5 authors...
This paper presents an approach that estimates occupants temporal gait parameters (e.g. step time, stride time, and initial loading response time) through structural floor vibrations while adapting to varying structural conditions. Continuous monitoring of these temporal gait parameters is a key component for elderly fall risk assessment and diagnosing injuries and gait abnormalities in home healthcare. A primary research challenge with using floor vibration sensing is that real-world deployment...
3 CitationsSource
#1Masahiro Iwakura (RMIT: RMIT University)H-Index: 2
#2Kazuki Okura (RMIT: RMIT University)
Last. Masahiko Wakasa (RMIT: RMIT University)H-Index: 4
view all 8 authors...
Abstract Background Abnormalities of spatiotemporal gait parameters are frequently observed in chronic obstructive pulmonary disease (COPD). However, associations of gait parameters with clinical outcomes and their implementation into clinical practice have not been established. Research question To investigate gait abnormalities and their association with clinical outcomes of COPD. Methods This study included 34 male outpatients with COPD and 16 community-dwelling healthy men aged ≥65 years. Th...
1 CitationsSource