Spatiotemporal gait analysis of older persons in clinical practice and research : Which parameters are relevant?

Published on Mar 1, 2020in Zeitschrift Fur Gerontologie Und Geriatrie0.919
· DOI :10.1007/S00391-019-01520-8
Ulrich Lindemann20
Estimated H-index: 20
(Robert Bosch Hospital)
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, regularity, coordination, dynamic balance and foot movement during the swing phase, can serve as outcome parameters in geriatric research and in clinical practice. Clinicians and researchers have to decide which parameters are appropriate to be used as relevant outcome parameters in the investigated person or group of persons.
  • References (88)
  • Citations (0)
📖 Papers frequently viewed together
4 Authors (Bofeng Zhang, ..., Darning Wei)
10 Citations
1 Author (F. A. Storm)
1 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
#1Fabio Storm (University of Sheffield)H-Index: 5
#2K. P. S. Nair (University of Sheffield)H-Index: 9
Last. Claudia Mazzà (University of Sheffield)H-Index: 20
view all 5 authors...
BACKGROUND: Wearable sensors offer the potential to bring new knowledge to inform interventions in patients affected by multiple sclerosis (MS) by thoroughly quantifying gait characteristics and gait deficits from prolonged daily living measurements. The aim of this study was to characterise gait in both laboratory and daily life conditions for a group of patients with moderate to severe ambulatory impairment due to MS. To this purpose, algorithms to detect and characterise gait from wearable in...
5 CitationsSource
#1Olivier Beauchet (McGill University)H-Index: 59
#2Gilles Allali (University of Geneva)H-Index: 31
Last. Jorunn L. Helbostad (NTNU: Norwegian University of Science and Technology)H-Index: 24
view all 22 authors...
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 value...
29 CitationsSource
#1Michal Elboim-Gabyzon (University of Haifa)H-Index: 5
#2Shira Rotchild (University of Haifa)H-Index: 1
Abstract Backward walking (BW) is an inherent component of mobility and function in daily activities, particularly indoors, when it is more likely that a person is barefoot. No studies to date have compared the spatio-temporal characteristics of BW with and without shoes in elderly individuals. This study compared spatio-temporal measures of BW and forward walking (FW) among elderly individuals while barefoot or wearing shoes. Forty-seven elderly individuals (13 men and 34 women, 76.7 ± 7.7 year...
8 CitationsSource
#1Lindsay Bahureksa (UA: University of Arizona)H-Index: 1
#2Bijan Najafi (UA: University of Arizona)H-Index: 32
Last. Michael Schwenk (UA: University of Arizona)H-Index: 20
view all 7 authors...
BACKGROUND: In addition to cognitive deficits, people with mild cognitive impairment (MCI) can experience motor dysfunction, including deficits in gait and balance. OBJECTIVE, instrumented motor performance assessment may allow the detection of subtle MCI-related motor deficits, allowing early diagnosis and intervention. Motor assessment under dual-task conditions may increase diagnostic accuracy; however, the sensitivity of different cognitive tasks is unclear. OBJECTIVE: To systematically revi...
44 CitationsSource
#1Lars Donath (University of Basel)H-Index: 18
#2Oliver Faude (University of Basel)H-Index: 9
Last. Annegret Mündermann (University of Konstanz)H-Index: 28
view all 5 authors...
Background Gait analysis serves as an important tool for clinicians and other health professionals to assess gait patterns related to functional limitations due to neurological or orthopedic conditions. The purpose of this study was to assess the validity of a body-worn inertial sensor system (RehaGait®) for measuring spatiotemporal gait characteristics compared to a stationary treadmill (Zebris) and the reliability of both systems at different walking speeds and slopes.
30 CitationsSource
#1Maha Almarwani (KSU: King Saud University)H-Index: 2
#2Jessie M. VanSwearingen (University of Pittsburgh)H-Index: 34
Last. Jennifer S. Brach (University of Pittsburgh)H-Index: 45
view all 5 authors...
Abstract Background Gait variability is a measure of motor control of gait. Little is known about age-related changes in the motor control of gait (gait variability) during challenging walking conditions, such as slower and faster pace walking. Objective The purpose of this study was to examine the impact of challenging walking conditions (slower and faster speeds) on gait variability in younger and older adults. Design This study was a cross-sectional, observational design. Methods Forty younge...
11 CitationsSource
#1Hyun-Gyu Cha (American Physical Therapy Association)H-Index: 6
#2Tae Hoon Kim (Daegu University)H-Index: 17
Last. Myoung-Kwon Kim (Daegu University)H-Index: 8
view all 3 authors...
In this study, the therapeutic effects of backward walking were examined. [Subjects and Methods] In all, 16 subjects were randomly assigned to an experimental group and 17 to a control group. All subjects walked barefoot on a treadmill (HM50EX, Daeho, Korea) for 20 min, five times per week, for a total of 4 weeks. The average gait velocity of the subjects was 3 km/h on a 10% slope. The experimental group walked backwards and the control group walked forwards. [Results] The experimental group sho...
3 CitationsSource
Background Gait disorders are common in the elderly populations, and their prevalence increases with age. Abnormal gait has been associated with greater risk for adverse outcomes in older adults, such as immobility and falls, which in turn lead to loss of functional independence and death.
31 CitationsSource
#1Silvia Del Din (Newcastle University)H-Index: 12
#2Alan Godfrey (Newcastle University)H-Index: 19
Last. Lynn Rochester (Newcastle University)H-Index: 53
view all 5 authors...
Background Gait is emerging as a powerful diagnostic and prognostic tool, and as a surrogate marker of disease progression for Parkinson’s disease (PD). Accelerometer-based body worn monitors (BWMs) facilitate the measurement of gait in clinical environments. Moreover they have the potential to provide a more accurate reflection of gait in the home during habitual behaviours. Emerging research suggests that measurement of gait using BWMs is feasible but this has not been investigated in depth. T...
56 CitationsSource
#1Hui-Fen PanH-Index: 2
#2Horng-Chaung Hsu (PRC: China Medical University (PRC))H-Index: 24
Last. Hong-Wen Wu (NTU: National Taiwan University)H-Index: 1
view all 5 authors...
[Purpose] Tripping is a frequent cause of falls among aging adults. Appropriate limb movements while negotiating obstacles are critical to trip avoidance. The aim of our study was to investigate the mechanics of obstacle crossing in older adults at low or high risk of falling. [Subjects and Methods] Twenty community-dwelling adults aged ≥55 years, were evaluated with the Tinetti Balance and Gait scale and classified as being at high or low risk of falling. Between-group comparisons of kinematics...
6 CitationsSource
Cited By0