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gait evaluation elderly

A H Dewolf, G M Meurisse, B Schepens, P A Willems
BACKGROUND: Ageing brings profound changes in walking gait. For example, older adults reduce the modification of pelvic and trunk kinematics with walking speed. However, the modification of the coordination between lower-limb segments with age has never been investigated across various controlled speeds. RESEARCH QUESTION: Is the effect of speed on the intersegmental coordination different between elderly and young adults? METHODS: Nineteen senior and eight young adults walked on a treadmill at speeds ranging from 0...
March 5, 2019: Gait & Posture
Amr Elkholy, Mohamed Hussein, Walid Gomaa, Dima Damen, Emmanuel Saba
Elderly people can be provided with safer and more independent living by the early detection of abnormalities in their performing of actions and the frequent assessment of the quality of their motion. Low-cost depth sensing is one of the emerging technologies that can be used for unobtrusive and inexpensive motion abnormality detection and quality assessment. In this study, we develop and evaluate vision-based methods to detect and assess neuromusculoskeletal disorders manifested in common daily activities using 3D skeletal data provided by the SDK of a depth camera (e...
March 11, 2019: IEEE Journal of Biomedical and Health Informatics
C Castagneri, V Agostini, S Rosati, G Balestra, M Knaflitz
Gait asymmetry is typically evaluated using spatio-temporal or joint kinematics parameters. Only a few studies addressed the problem of defining an asymmetry index directly based on muscle activity, extracting parameters from surface electromyography (sEMG) signals. Moreover, no studies used the extraction of the muscle principal activations (activations that are necessary for accomplishing a specific motor task) as the base to construct an asymmetry index, less affected by the variability of sEMG patterns...
March 7, 2019: IEEE Transactions on Neural Systems and Rehabilitation Engineering
A H E Küçükdiler, M Varlı, Ö Yavuz, A Yalçın, H Selvi Öztorun, E Devrim, S Aras
OBJECTIVES: Oxidative stress may play a role in the pathogenesis of both sarcopenia and diabetes. Although the risk of sarcopenia is increased in people with type 2 diabetes, the relationship between sarcopenia oxidative stress and antioxidant status among the older diabetes population is not well studied. The aim of this present study was to evaluate the relationship between oxidative stress and antioxidant status and sarcopenia in elderly diabetic patients. DESIGN: This was a cross-sectional designed study with a control group...
2019: Journal of Nutrition, Health & Aging
Misora Ao, Nao Inuiya, Junko Ohta, Satoshi Kurose, Hiroko Takaoka, Yasusei Abe, Naho Niki, Shino Inoue, Shinzo Tanaka, Takashi Miyawaki, Kiyoshi Tanaka
Hyperhomocysteinemia causes various diseases including cardiovascular disease, osteoporotic fracture and dementia. Although there have been reports that hyperhomocysteinemia decreases physical performance, findings are inconsistent on the association of homocysteine, folate, vitamin B12 and physical performance. Considering that lower physical performance increases the risk of fall and fracture in the elderly, the effect of nutritional status on physical function must be clarified. This is a cross-sectional study conducted from April 2015 to November 2016...
2019: Journal of Nutritional Science and Vitaminology
Kumi Kamata, Hiroshi Ozawa, Yusuke Sekiguchi, Toshimi Aizawa, Shinichi Izumi, Eiji Itoi
BACK GROUND: Patients with spinal kyphosis were radiographically evaluated while standing. However, the spino-pelvic alignment during walking is different. This study examined the spino-pelvic-lower extremity alignment during walking by a three-dimensional (3D) motion analysis. METHODS: Twenty-six patients with a sagittal vertical axis of ≥4 cm (male: female, 5:21; average age, 66 years) were evaluated. Using a 3D motion capture system, the trunk and pelvic anterior inclination angles, hip and knee joint angles were measured during a 3-min walk...
February 6, 2019: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Tochukwu C Ikpeze, James D Brodell, Raymond E Chen, Irvin Oh
Introduction: Posterior tibialis tendon insufficiency is the most common cause of adult acquired flatfoot deformity in elderly patients. We performed a literature search of primary and secondary journal articles pertaining to posterior tibialis tendon insufficiency in the geriatric population. We examined relevant data from these articles regarding current evaluation in addition to both conservative and advanced treatment approaches that correspond to disease severity. Significance: There is a paucity of literature to guide treatment of posterior tibialis tendon insufficiency in the elderly, and this condition may be more prevalent in geriatric patients than previously realized...
2019: Geriatric Orthopaedic Surgery & Rehabilitation
Q Chen, Q Hao, Y Ding, B Dong
OBJECTIVES: The goal of the present study was to assess the relationship between sarcopenia and prealbumin levels among hospitalized patients ages 60 and older. DESIGN: Cross-sectional study. SETTING: The geriatric wards in Guizhou Provincial People's Hospital, Guiyang. Guizhou, China. MEASUREMENTS: Sarcopenia was defined according to the Asian Working Group for Sarcopenia (AWGS) criteria, which consist of three components: low muscle mass, assessed based on an index of appendicular skeletal mass/height2 <7...
2019: Journal of Nutrition, Health & Aging
Terry Gorst, Jenny Freeman, Kielan Yarrow, Jonathan Marsden
BACKGROUND: The foot sole represents a sensory dynamometric map and is essential for balance and gait control. Sensory impairments are common, yet often difficult to quantify in neurological conditions, particularly stroke. A functionally oriented and quantifiable assessment, the Foot Roughness Discrimination Test (FoRDT™), was developed to address these shortcomings. OBJECTIVE: To evaluate inter- and intra-rater reliability, convergent and discriminant validity of the Foot Roughness Discrimination Test (FoRDT™)...
January 28, 2019: PM & R: the Journal of Injury, Function, and Rehabilitation
N B Fernandez, M Hars, A Trombetti, P Vuilleumier
BACKGROUND: Falls are the leading cause of injury-related deaths in the elderly worldwide. Both gait impairment and cognitive decline have been shown to constitute major fall risk factors. However, further investigations are required to establish a more precise link between the influence of age on brain systems mediating executive cognitive functions and their relationship with gait disturbances, and thus help define novel markers and better guide remediation strategies to prevent falls...
January 17, 2019: NeuroImage
Takatomo Mine, Masaya Kajino, Jun Sato, Seiichi Itou, Koichiro Ihara, Hiroyuki Kawamura, Ryutaro Kuriyama, Yasuhiro Tominaga
BACKGROUND: Evaluation of knee and lower limb function alone is not sufficient to assess gait. For accurate assessment of gait abnormality, gait oscillation should also be measured. The goal of this analysis was to assess the influence of the knee joint on gait oscillation during gait and stair-stepping in patients with osteoarthritis of the knee. METHODS: In 33 patients diagnosed with knee osteoarthritis and 33 healthy adults as the control group, we examined acceleration (anterior and lateral directions) and gait barycentric factors (single-support phase and ratio of center of gravity maximum values) during gait and stair-stepping...
January 16, 2019: Journal of Orthopaedic Surgery and Research
Ryota Matsuzawa, Kentaro Kamiya, Nobuaki Hamazaki, Kohei Nozaki, Shinya Tanaka, Emi Maekawa, Atsuhiko Matsunaga, Takashi Masuda, Junya Ako
BACKGROUND: The detection of impaired physical performance in older adults with cardiovascular disease is essential for clinical management and therapeutic decision-making. There is a requirement for an assessment tool that can be used conveniently, rapidly, and securely in clinical practice for screening decreased physical performance. OBJECTIVE: The present study was performed to evaluate the association of office-based physical assessments with decreased physical performance and to compare the prognostic capability of these assessments in older adults with cardiovascular disease...
January 16, 2019: Gerontology
Yanxia Lu, Leonidas G Karagounis, Tze Pin Ng, Christophe Carre, Vipin Narang, Glenn Wong, Crystal Tze Ying Tan, Ma Shwe Zin Nyunt, Qi Gao, Brian Abel, Michael Poidinger, Tamas Fulop, Nabil Bosco, Anis Larbi
Background: Evidence suggests the pivotal contribution of nutrition as a modifiable risk factor for sarcopenia. The present cross-sectional study characterized the nutritional and metabolic profile of sarcopenia through an extensive exploration of a wide array of blood biomarkers related to muscle protein metabolism and transcriptomic signatures in community-dwelling elderly. Methods: Among 189 older individuals with a mean age of 73.2 years, sarcopenia was diagnosed according to the Asian Working Group for Sarcopenia (AWGS) criteria based on appendicular lean mass measured by dual-energy X-ray absorptiometry (DXA) scan, muscle strength, and gait speed...
January 8, 2019: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Mohamed Irfan Mohamed Refai, Bert-Jan F van Beijnum, Jaap H Buurke, Peter H Veltink
Remote monitoring of gait performance offers possibilities for objective evaluation, and tackling impairment in motor ability, gait, and balance in populations such as elderly, stroke, multiple sclerosis, Parkinson's, etc. This requires a wearable and unobtrusive system capable of estimating ambulatory gait and balance measures, such as Extrapolated Centre of Mass (XCoM) and dynamic Margin of Stability (MoS). These estimations require knowledge of 3D forces and moments (F&M), and accurate foot positions...
December 24, 2018: IEEE Transactions on Neural Systems and Rehabilitation Engineering
Maria Angélica Binotto, Maria Helena Lenardt, María Del Carmen Rodríguez-Martínez
OBJECTIVE: To identify the outcomes of studies on gait speed and its use as a marker of physical frailty in community elderly. METHOD: Systematic review of the literature performed in the following databases: LILACS, SciELO, MEDLINE/PubMed, ScienceDirect, Scopus and ProQuest. The studies were evaluated by STROBE statement, and the PRISMA recommendations were adopted. RESULTS: There were 6,303 studies, and 49 of them met the inclusion criteria...
December 13, 2018: Revista da Escola de Enfermagem da U S P
Tuhin Virmani, Harsh Gupta, Jesal Shah, Linda Larson-Prior
BACKGROUND: Neurodegenerative diseases increase in incidence with age. Prior studies using differing populations and gait paradigms have reported various parameters changing with age, some of which correlate with falls and mortality. Here we use three different paradigms to evaluate gait and balance in healthy non-fallers. RESEARCH QUESTION: What objective gait and balance parameters are correlated with aging. METHODS: Healthy subjects aged 21-79 years without histories of falls, lower extremity orthopedic procedures or chronic pain were included...
September 2018: Gait & Posture
Guillaume M Meurisse, Guillaume J Bastien, Bénédicte Schepens
Gait is a powerful measurement tool to evaluate the functional decline throughout ageing. Falls in elderly adults happen mainly during the redirection of the center of mass of the body (CoM) in the transition between steps. In young adults, this step-to-step transition begins before the double contact phase (DC) with a simultaneous forward and upward acceleration of the CoM. We hypothesize that, compared to young adults, elderly adults would exhibit unbalanced contribution of the back leg and the front leg during the transition...
December 8, 2018: Journal of Biomechanics
Yuan-Yuei Chen, Tung-Wei Kao, Chung-Ching Wang, Ying-Jen Chen, Chen-Jung Wu, Wei-Liang Chen
Dysmobility syndrome (DMS) was considered as a comprehensive approach to evaluate the condition of musculoskeletal system and adverse health problems in older population. The objective of our study was to examine the association between metabolic syndrome (MetS) and DMS in a U.S. adult population. 1760 eligible participants from the National Health and Nutrition Examination Survey (NHANES) 1999-2002 were enrolled in the study. The criteria of DMS consisted of six domains including increased body fat, declined muscle mass, reduced muscle strength, osteoporosis, slow gait speed, and balance problem...
2018: PloS One
Sang Yoon Lee, Se Hee Jung, Shi-Uk Lee, Yong-Chan Ha, Jae-Young Lim
Background: Although balance impairment after hip fracture surgery (HFS) can constitute a long-term problem of limiting mobility and increasing the risk of falls in older adults, little is known about the effect of balance training (BT) on physical functioning after HFS. Thus, we performed a meta-analysis to evaluate whether BT improved the overall physical functioning of patients after HFS. Methods: We searched the PubMed-Medline, Embase, and Cochrane Library databases in January 2018 and included all randomized controlled trials comparing BT with usual care after HFS...
December 4, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Eliana Patricia Dueñas, Liliana Patricia Ramírez, Elizabeth Ponce, Carmen Lucía Curcio
INTRODUCTION: The fear of falling has a high prevalence in the community, and intervention programs for this condition are scarce, making it is necessary to strengthen this type of therapy in order to prevent adverse consequences in the elderly population. OBJECTIVE: To establish the effectiveness of three intervention programs in reducing the fear of falling and increasing functionality in elderly people in the city of Manizales. PARTICIPANTS AND METHODS: A randomised trial was conducted on ambulatory elderly patients with fear of falling and functional limitation of the city of Manizales...
November 24, 2018: Revista Española de Geriatría y Gerontología
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