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gait evaluation elderly

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 diabetic patients. MATERIALS AND METHODS: This was a cross-sectional observation study. Total 267 diabetic patients (159 men, 108 women) aged > 65 years were recruited in our 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...
August 6, 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
A I Rodriguez-Rejon, R Artacho, A Puerta, A Zuñiga, M D Ruiz-Lopez
OBJECTIVE: To analyze the prevalence of sarcopenia in elderly care homes using the algorithm of the European Working Group on Sarcopenia in Older People (EWGSOP) and to evaluate the applicability, sensitivity, and specificity of two simplified algorithms that do not include gait speed measurement. DESIGN: Cross-sectional study. SETTING: Long-term care homes. PARTICIPANTS: 249 residents (187 females and 62 males) with a mean age of 84...
2018: Journal of Nutrition, Health & Aging
Katarzyna Pierchała, Magdalena Lachowska, Jarosław Wysocki, Krzysztof Morawski, Kazimierz Niemczyk
BACKGROUND: Among the elderly, instability leading to falls (and consequences of them) is one of the most important problems. The etiology of falls is usually complex, but balance, posture and gait problems are considered to be the most important risk factors. OBJECTIVES: The objective of this study was to assess the usefulness of the Sensory Organization Test (SOT) in differentiating multi-fallers from single-fallers. MATERIAL AND METHODS: The studied group included 92 patients aged >60 years with balance disorders and falls in their history...
July 30, 2018: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
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...
July 19, 2018: Gait & Posture
Marina Hitz, Pascal Schütz, Michael Angst, William R Taylor, Renate List
Video-fluoroscopic analysis can provide important insights for the evaluation of outcome and functionality after total knee arthroplasty, allowing the in vivo assessment of tibiofemoral kinematics without soft tissue artefacts. To enable measurement of the knee throughout activities of daily living such as gait, robotic systems like the moving fluoroscope have been developed that follow the knee movement and maintain the joint in front of the image intensifier. Since it is unclear whether walking while being accompanied by moving fluoroscope affects normal gait, the objective of this study was to investigate its influence on gait characteristics in healthy subjects...
2018: PloS One
Martin Benka Wallén, Maria Hagströmer, David Conradsson, Kimmo Sorjonen, Erika Franzén
OBJECTIVES: To determine long-term effects of a highly challenging training program in people with Parkinson's disease, as well as describe how initially observed improvements of the program deteriorated over time. DESIGN: Long-term follow-up of previously reported outcomes at 10 weeks of a randomized controlled trial. SETTING: University hospital setting. PARTICIPANTS: One-hundred elderly with mild-to-moderate (Hoehn and Yahr 2-3) Parkinson's disease...
June 1, 2018: Clinical Rehabilitation
Pier P Panciani, Karol Migliorati, Andrea Muratori, Marco Gelmini, Alessandro Padovani, Marco Fontanella
BACKGROUND: Gait disturbance (GD) is usually the first and most prominent symptom observed in idiopathic normal pressure hydrocephalus (iNPH). The reversibility of symptoms is related to early diagnosis and treatment. Nowadays early recognition of patients is challenging because GD in the elderly is frequently neglected, leading to late diagnosis and increased disability. In addition, GD is generally assessed by clinical evaluation since computerized gait analysis methods are rarely available...
June 29, 2018: European Journal of Physical and Rehabilitation Medicine
Ning Su, Xinyu Liang, Fei-Fei Zhai, Li-Xin Zhou, Jun Ni, Ming Yao, Feng Tian, Shu-Yang Zhang, Zheng-Yu Jin, Li-Ying Cui, Gaolang Gong, Yi-Cheng Zhu
In the elderly, brain structural deficits and gait disturbances due to cerebral small vessel disease (CSVD) have been well demonstrated. The relationships among CSVD, brain atrophy, and motor impairment, however, are far from conclusive. Particularly, the effect of CSVD on subcortical nuclear atrophy, motor performance of upper extremities, and associating patterns between brain atrophy and motor impairment remains largely unknown. To address these gaps, this study recruited 770 community-dwelling subjects (35-82 years of age), including both CSVD and non-CSVD individuals...
June 28, 2018: Human Brain Mapping
Seonjeong Byun, Ji Won Han, Tae Hui Kim, Kayoung Kim, Tae Hyun Kim, Jae Young Park, Seung Wan Suh, Ji Young Seo, Yoonseop So, Kyoung Hwan Lee, Ju Ri Lee, Hyeon Jeong, Hyun-Ghang Jeong, Kyuhee Han, Jong Woo Hong, Ki Woong Kim
BACKGROUND: The aim of this study was to investigate the association of gait speed and gait variability, an index of how much gait parameters, such as step time, fluctuate step-to-step, with risk of cognitive decline in cognitively normal elderly individuals. While high gait variability is emerging as an early indicator of dementing illnesses, there is little research on whether high gait variability predicts cognitive decline in cognitively normal elderly who have no evidence of cognitive impairment...
June 28, 2018: Dementia and Geriatric Cognitive Disorders
Ting Zhao, Hong-Ying Pi, Hong-An Ku, Li Pan, Zhu-Yun Gong
OBJECTIVES: To investigate establishing, applying and evaluating the fall prevention and control information system in elderly community. METHODS: Relying on internet technology and informatization means, the fall comprehensive prevention and control strategy of elderly was guided into online from offline. The fall prevention and control information system which was a collection of risk assessment, remote education and feedback was established. One hundred and twenty-six elderly (over 60 years old) in community were screened in this study and 84 high-risk elders who were involved in the remote continuous comprehensive intervention were screened out...
February 8, 2018: Chinese Journal of Applied Physiology
Guilherme Medeiros de Alvarenga, Simone Arando Charkovski, Larissa Kelin Dos Santos, Mayara Alves Barbosa da Silva, Guilherme Oliveira Tomaz, Humberto Remigio Gamba
OBJECTIVE: Aging is progressive, and its effects on the respiratory system include changes in the composition of the connective tissues of the lung that influence thoracic and lung compliance. The Powerbreathe® K5 is a device used for inspiratory muscle training with resistance adapted to the level of the inspiratory muscles to be trained. The Pilates method promotes muscle rebalancing exercises that emphasize the powerhouse. The aim of this study was to evaluate the influence of inspiratory muscle training combined with the Pilates method on lung function in elderly women...
2018: Clinics
Juan José Calvo Aguirrey, Josu Alustiza Navarro, Joana Uranga Zaldúa, Cristina Sarasqueta Eizaguirre, Olga Bueno Yáñez
INTRODUCTION: Physical and psychological functional conditions are key factors in the elderly population. Many evaluation tools are available, but they cannot be applied to the whole geriatric population. The use Alusti Test is presented. This test consists of 2versions, which enable it to encompass this wide and complex population spectrum. MATERIALS AND METHODS: A prospective study with the institutionalised, hospitalised, and community population, was conducted between September and December 2016...
June 11, 2018: Revista Española de Geriatría y Gerontología
Mustafa Mohamed Osman Elhadi, Christina Zong-Hao Ma, Wing Kai Lam, Winson Chiu-Chun Lee
BACKGROUND: Long-distance walking is a convenient way for prompting physical activity of elderly people. However, walking ability declines with aging. RESEARCH QUESTION: This study assessed if silicone insoles with heel lifts (named here the prescribed insoles) could facilitate long-distance walking of older adults. METHODS: Fifteen adults aged over 65, who did not have obvious lower-limb problems, walked on a treadmill for totally 60 min in two separate walking sessions: 1) with the prescribed insoles, and 2) with original insoles of the standardized shoes...
July 2018: Gait & Posture
Galit Weinstein, Miri Lutski, Uri Goldbourt, David Tanne
AIMS: To assess the relationship between physical frailty and cognitive function among elderly men with a history of cardiovascular disease (CVD). METHODS: Three-hundred-twenty-four community-dwelling men with chronic CVD (mean age 77.2 ± 6.4 years) who previously participated in the Bezafibrate Infarction Prevention (BIP) trial (1990-1998) underwent assessment of frailty and cognitive function between 2011 and 2013. Physical frailty was assessed using the Fried phenotypic model, and cognitive performance overall and in memory, executive function, visuospatial and attention domains was evaluated using a validated set of computerized cognitive tests...
May 29, 2018: Archives of Gerontology and Geriatrics
Xiaolei Qiu, Zhiming Yao, Xianjun Yang, Shengqiang Xu, Yao Liu, Zheng Tang, Junli Wen, Yining Sun
At present, the somatic function assessment of the elderly mostly depends on the doctor's observation and the scale evaluation, and there isn't the objective and quantitative assessment criteria. In this paper, we design and construct a digital system for the geriatric somatic function assessment, which is based on digital ground, inertial unit, mobile terminal and PC terminal. The gait and balance parameters of the elderly were obtained by the Time Up and Go test and five postures test. Based on the linear regression model of gait and balance parameters, the system was used to evaluate the somatic function of the elderly...
September 30, 2017: Zhongguo Yi Liao Qi Xie za Zhi, Chinese Journal of Medical Instrumentation
William Egan, Eric Steinberg, Jeremy Rose
A 24-year-old female, otherwise healthy, presented to the Emergency Department (ED) with difficulty walking and bilateral leg pain. The patient was a recreational nitrous oxide (NO2 ) user, also known as "whippets" or simply nitrous. Neurologic examination demonstrated an unsteady gait and positive Romberg sign along with normal deep tendon reflexes and normal muscle strength in upper and lower extremities. Laboratory results demonstrated macrocytic erythropoiesis, reduced B12 , elevated homocysteine, and elevated methylmalonic acid...
May 24, 2018: American Journal of Emergency Medicine
Daniel Schließmann, Maria Nisser, Christian Schuld, Till Gladow, Steffen Derlien, Laura Heutehaus, Norbert Weidner, Ulrich Smolenski, Rüdiger Rupp
BACKGROUND: Walking disabilities negatively affect inclusion in society and quality of life and increase the risk for secondary complications. It has been shown that external feedback applied by therapists and/or robotic training devices enables individuals with gait abnormalities to consciously normalize their gait pattern. However, little is known about the effects of a technically-assisted over ground feedback therapy. The aim of this study was to assess whether automatic real-time feedback provided by a shoe-mounted inertial-sensor-based gait therapy system is feasible in individuals with gait impairments after incomplete spinal cord injury (iSCI), stroke and in the elderly...
May 29, 2018: Journal of Neuroengineering and Rehabilitation
Rita McGuire, Julie Honaker, Bunny Pozehl, Melody Hertzog
PURPOSE: The aim of this pilot study was to evaluate the effect of a multicomponent balance and resistance training intervention on physical function, balance, and falls in older (≥65 years) community-dwelling heart failure (HF) patients. DESIGN: Randomized, two-group repeated-measures experimental design. METHODS: The intervention involved once weekly supervised group sessions with home sessions encouraged twice weekly. Focus groups held pre/post intervention...
May 19, 2018: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
Kanako Nakajima, Yoshiyuki Kobayashi, Mitsunori Tada, Masaaki Mochimaru
BACKGROUND: Foot deformities are serious problems in the elderly as they increase the risk of falling. OBJECTIVE: This study aimed to examine the relationship between foot plantar pressure during gait and hallux valgus (HV). METHODS: Foot-pressure data were recorded using an F-scan II system. We analyzed the entire waveform of plantar pressure during gait from 37 healthy adults using principle component analysis (PCA), conducted using a 370 × 357 matrix of time-normalized plantar data of 7 areas during gait (5 gait trials × 2 (both feet) of 37 participants × 51 data points × 7 plantar areas)...
April 29, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
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