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gait evaluation elderly

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...
July 26, 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...
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...
September 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 Paolo 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...
October 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...
November 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...
2018: Dementia and Geriatric Cognitive Disorders
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