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gait evaluation elderly

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
Esra Ates Bulut, Nuri Karabay, Pinar Soysal, Ahmet Turan Isik
Traumatic brain injury (TBI) is nondegenerative insult to brain from external mechanical forces. It may cause cognitive impairment, psychological problems in the long period. Besides traumatic brain injury also induces neuroinflammation and neurodegeneration process, and increases risk of dementia. It may cause various psychiatric complications such as depression, posttraumatic stress disorder, generalized anxiety disorder, and other cognitive and behavioral sequela according to site of involvement in the brain...
November 26, 2018: International Journal of Neuroscience
Stanford Chihuri, Christopher Kevin Wong
BACKGROUND: People with lower limb loss that live in the community fall at a rate that exceeds that of other vulnerable populations such as hospitalized elderly people. Past research in a small single state study has identified factors associated with fall-related injury. The purpose of this study was to use a larger multistate sample of people with lower limb loss living in community settings to evaluate factors associated with fall-related injury in a multivariable model. METHOD: This retrospective cohort study included community-dwelling people with lower limb loss participating in wellness-walking programs in 6 states within the United States...
November 12, 2018: Injury Epidemiology
Gisele Cristine Vieira Gomes, Maria do Socorro Simões, Sumika Mori Lin, Jéssica Maria Ribeiro Bacha, Larissa Alamino Pereira Viveiro, Eliana Maria Varise, Nelson Carvas Junior, Belinda Lange, Wilson Jacob Filho, José Eduardo Pompeu
BACKGROUND: Recently, interactive video games (IVGs) have been used as a health-care intervention that provides both exercise and cognitive stimulation. Several studies have shown that IVGs can improve postural control, gait, cognition, and functional independence in elderly people and patients with neurological disease. However, there is a lack of evidence about the effects of IVGs on frail and pre-frail elderly people. The aim of this study was to evaluate the feasibility, safety, and acceptability of playing Nintendo Wii Fit Plus™ (NWFP) interactive video games, and the functional outcomes (postural control, gait, cognition, mood, and fear of falling) in frail and pre-frail older adults...
December 2018: Maturitas
Elaheh Azadian, Mahdi Majlesi, Amir Ali Jafarnezhadgero
INTRODUCTION: The purpose of this study was to evaluate the role of working memory (WM) training on walking patterns in elderly people. METHODS: 20 elderly adults were selected and assigned randomly to two groups: WM training group and control group. WM training group received 6 weeks of computerized training on various spatial and verbal WM tasks. The spatial-temporal parameters, the ground reaction force and the timing activity of muscles in pre-posttest and in a follow-up were taken...
October 2018: Journal of Bodywork and Movement Therapies
David López-Sanz, Isabel Suárez-Méndez, Raquel Bernabé, Natalia Pasquín, Leocadio Rodríguez-Mañas, Fernando Maestú, Stefan Walter
Background: Neuroimaging techniques are a cornerstone for diagnosing and investigating cognitive decline and dementia in the elderly. In frailty research, the physical as opposed to the cognitive domain of the aging process, neuroimaging studies are less common. Here we systematically review the use of neuroimaging techniques in frailty research. Methods: We searched PUBMED for any publication reporting the association between neuroimaging markers and frailty, following Fried's original definition, as well as its determining phenotypes: gait speed, grip strength, fatigue and recent weight loss in the non-diseased population older than 65 years...
2018: Frontiers in Medicine
Sebastian Fudickar, Christian Stolle, Nils Volkening, Andreas Hein
Since variations in common gait parameters (such as cadence, velocity and stride-length) of elderly people are a reliable indicator of functional and cognitive decline in aging and increased fall risks, such gait parameters have to be monitored continuously to enable preventive interventions as early as possible. With scanning laser rangefinders (SLR) having been shown to be suitable for standardised (frontal) gait assessments, this article introduces an unobtrusive gait monitoring (UGMO) system for lateral gait monitoring in homes for the elderly...
October 12, 2018: Sensors
Daan Meester, Emad Al-Yahya, Andrea Dennis, Johnny Collett, Derick T Wade, Martin Ovington, Francesca Liu, Meaney Andy, Cockburn Janet, Heidi Johansen-Berg, Helen Dawes
OBJECTIVE: To evaluate the tolerability of, adherence to and efficacy of a community walking training programme with simultaneous cognitive demand (dual-task) compared to a control walking training programme without cognitive distraction. METHODS: Adult stroke survivors, at least 6 months after stroke with a visibly obvious gait abnormality or reduced two-minute walk distance were included into a 2-arm parallel randomized controlled trial of complex intervention with blinded assessments...
October 11, 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
D G Ohara, M S Pegorari, N L Oliveira Dos Santos, C de Fátima Ribeiro Silva, R L Monteiro, A P Matos, M Jamami
OBJECTIVES: To compare the values obtained from maximum respiratory pressures (MRP) between sarcopenic and non-sarcopenic elderly; to verify the association of maximum respiratory pressures with sarcopenia and its indicators; and to establish cut-off points for MRP as a discriminator of sarcopenia. DESIGN: Cross-sectional study. LOCATION: Macapá, Brazil. PARTICIPANTS: Community-dwelling elderly ≥ 60 years old, both sexes...
2018: Journal of Nutrition, Health & Aging
W Verrusio, A Renzi, F Cecchetti, F Gaj, M Coi, M Ripani, M Cacciafesta
CONTEXT: The Human Body Posturizer (HBP) is an exoskeleton used in the neurorehabilitation. The HBP may improve motor control by stimulating the pre-frontal cortex, a brain region involved also in the inhibitory modulation of the amygdala whose hyperactivity is involved in the mechanisms of depression. OBJECTIVE: The aim of the study was to investigate in institutionalized elderly patients the effects on depression of a physical training with the use of the HBP compared to a traditional training...
2018: Journal of Nutrition, Health & Aging
Shashank Ghai, Ishan Ghai, Alfred O Effenberg
Rhythmic auditory cueing has been widely used in gait rehabilitation over the past decade. The entrainment effect has been suggested to introduce neurophysiological changes, alleviate auditory-motor coupling and reduce cognitive-motor interferences. However, a consensus as to its influence over aging gait is still warranted. A systematic review and meta-analysis was carried out to analyze the effects of rhythmic auditory cueing on spatiotemporal gait parameters among healthy young and elderly participants. This systematic identification of published literature was performed according to PRISMA guidelines, from inception until May 2017, on online databases: Web of science, PEDro, EBSCO, MEDLINE, Cochrane, EMBASE, and PROQUEST...
October 2018: Aging and Disease
Conran Joseph, Nina Brodin, Breiffni Leavy, Maria Hagströmer, Niklas Löfgren, Erika Franzén
OBJECTIVE: To determine the cost-effectiveness of the HiBalance training program for managing Parkinson's disease (PD)-related balance and gait disorders. DESIGN: Cost comparison design following the randomized controlled trial comparing a novel balance training intervention with care as usual. SUBJECTS: A total of 100 participants with mild-moderate PD were randomized to either the intervention ( n = 51) or the control group ( n = 49)...
September 24, 2018: Clinical Rehabilitation
Fidel Hita-Contreras, Juan Bueno-Notivol, Antonio Martínez-Amat, David Cruz-Díaz, Adrian V Hernandez, Faustino R Pérez-López
OBJECTIVE: To evaluate the effect of exercise (EXE) alone or exercise combined with dietary supplements (EXE-SUPPL) on body composition and physical performance in subjects 60 years and older with sarcopenic obesity. METHODS: A systematic review was carried out of studies identified through five search engines up to April 15, 2018. We searched for randomized controlled trials (RCTs) evaluating EXE or EXE-SUPPL in elderly individuals with sarcopenic obesity for at least six weeks...
October 2018: Maturitas
Yusuke Ogawa, Yoshitsugu Kaneko, Tomohiko Sato, Soichiro Shimizu, Hidekazu Kanetaka, Haruo Hanyu
Although sarcopenia is closely linked to dementia, particularly Alzheimer disease (AD), there are few studies examining the prevalence and associated factors of sarcopenia in subjects with AD. This study aimed to investigate the prevalence of sarcopenia, factors associated with sarcopenia in elderly subjects with AD, and differences in muscle functions of the upper and lower extremities and gait speed at various stages of AD. We evaluated handgrip and knee extension strength, muscle mass, and gait speed in 285 elderly outpatients with probable AD (mean age 82...
2018: Frontiers in Neurology
Massimo W Rivolta, Md Aktaruzzaman, Giovanna Rizzo, Claudio L Lafortuna, Maurizio Ferrarin, Gabriele Bovi, Daniela R Bonardi, Andrea Caspani, Roberto Sassi
Gait and balance disorders are among the main predisposing factors of falls in elderly. Clinical scales are widely employed to assess the risk of falling, but they require trained personnel. We investigate the use of objective measures obtained from a wearable accelerometer to evaluate the fall risk, determined by the Tinetti clinical scale. Seventy-nine patients and eleven volunteers were enrolled in two rehabilitation centers and underwent a full Tinetti test, while wearing a triaxial accelerometer at the chest...
September 5, 2018: Artificial Intelligence in Medicine
Daniela Ciprandi, Matteo Zago, Filippo Bertozzi, Chiarella Sforza, Christel Galvani
Typically gait speed decreases and gait variability increases in elderly. The aim of this study was to define the influence of energy cost of walking on gait speed and of health-related physical fitness on gait variability. Thirty healthy young and older women were recruited in the study. Energy cost of walking (NetCW ) was analyzed with indirect calorimetry while a kinematic analysis was performed with an optoelectronic system to calculate gait variability (GV) during treadmill walking at different speeds...
December 2018: Journal of Electromyography and Kinesiology
Yuki Fukuoka, Takuma Narita, Hiroki Fujita, Tsukasa Morii, Takehiro Sato, Mariko Harada Sassa, Yuichiro Yamada
AIMS/INTRODUCTION: To investigate the prevalence of sarcopenia, its related factors and indicators of physical evaluation in elderly diabetes patients. MATERIALS AND METHODS: This was a cross-sectional observation study. A total of 267 diabetes patients (159 men, 108 women) aged >65 years were recruited in the present study. Skeletal muscle mass index, grip strength and usual gait speed were measured to diagnose sarcopenia according to the Asian Working Group for Sarcopenia...
August 11, 2018: Journal of Diabetes Investigation
Akifumi Uehara, Hiroaki Obata, Hiroshi Watanabe, Yuki Izumi, Yorio Suzuki, Tohru Izumi
The discharge of elderly patients from hospital on the basis of their independent gait program (DOPPO) is a new rehabilitation strategy for physically frail hospitalized elderly that aims to recover independent gait and to achieve ambulatory discharge. We retrospectively investigated baseline determinants of physical measures associated closely with the 6-min walking distance (6MWD) after DOPPO. Participants were 137 consecutive elderly inpatients, irrespective of the causative disease (mean age: 82±7 years; 76 women), who had a Short Physical Performance Battery (SPPB) score of less than 12 and low independent walking capacity...
December 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
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