Browse > Article
http://dx.doi.org/10.5392/JKCA.2013.13.10.444

Analysis of Spatio-Temporal Parameters of Gait in Elderly by Various Walking Pathways Width  

Son, Ho-Hee (부산가톨릭대학교 물리치료학과)
Kim, Eun-Jung (마산대학교 물리치료과)
Publication Information
The Journal of the Korea Contents Association / v.13, no.10, 2013 , pp. 444-451 More about this Journal
Abstract
The purpose of this study was to investigate the changes in temporospatial variables in healthy elderly and healthy adults during usual walking, narrow base walking and centerline-guided walking. Twenty healthy elderly and nineteen healthy adults were participated in this study. In each conditions, the subjects were walked on a 6m walkway at comfortable self-selected speeds under three conditions : (1) usual walking, (2) walking within a 50% of the distance between the subject's ASIS (3) walking along a centerline. GAITRite system was used for kinematic analysis to assess the temporospatial variables. There were no significant changes in healthy adults(p>.05), but walking speed, cadence, H-H base support, functional ambulation performance were significantly decreased progressively as pathway narrowed in elderly adults(p<.05). The results show that elderly people had more difficulty with walking on narrow pathway for fear of falling. This study provides data for use in basic research into safe walking and preventing falling for elderly.
Keywords
Elderly; Falling; Narrow base walking;
Citations & Related Records
연도 인용수 순위
  • Reference
1 H. H. Son and K. Kim, "A kinematic analysis of patients with knee osteoarthritis during gait on level ground, ramps and stairs," J Phys Ther Sci, Vol.25, No.3, pp.277-280, 2013.   DOI
2 W. Sun, M. Watanabe, C. Hirota, Y. Tanimoto, R. Kono, K. Takasaki, and K. Kono, "Obstacle-negotiating gait and related physical measurement indicators for the communitydwelling elderly in Japan," Arch Gerontol Geriatr, Vol.50, No.3, pp.41-45, 2010.   DOI   ScienceOn
3 M. A. Schrager, V. E. Kelly, R. Price, L. Ferrucci, and A. Shumway-Cook, "The effects of age on medio-lateral stability during normal and narrow base walking," Gait Posture, Vol.28, No.3, pp.466-471, 2008.   DOI   ScienceOn
4 J. W. Chow, M. E. Hemleben, and D. S. Stokic, "Effect of centerline-guided walking on gait characteristics in healthy subjects," J Biomech, Vol.42, No.8, pp.1134-1137, 2009.   DOI   ScienceOn
5 C. J. van Uden and M. P. Besser, "Test-retest reliability of temporal and spatial gait characteristics measured with an instrumented walkway system (GAITRite)," BMC Musculoskelet Disord, Vol.17, No.5, p.13, 2004.
6 S. Studenski, S. Perera, K. Patel, C. Rosano, K. Faulkner, M. Inzitari, and J. Guralnik, "Gait speed and survival in older adults," JAMA, Vol.305, No.1, pp.50-58, 2011.   DOI   ScienceOn
7 J. Verghese, A. LeValley, C. B. Hall, M. J. Katz, A. F. Ambrose, and R. B. Lipton. "Epidemiology of gait disorders in community-residing older adults," J Am Geriatr Soc, Vol.54, No.2, pp.255-261, 2006.   DOI   ScienceOn
8 L. A. Brown, W. H. Gage, M. A. Polych, R. J. Sleik, and T. R. Winder, "Central set influences on gait. Age-dependent effects of postural threat," Exp Brain Res, Vol.145, No.3, pp.286-296, 2002.   DOI   ScienceOn
9 S. D. Lark and S. Pasupuleti, "Validity of a functional dynamic walking test for the elderly," Arch Phys Med Rehabil, Vol.90, No.3, pp.470-474, 2009.   DOI   ScienceOn
10 T. Herman, N. Giladi, T. Gurevich, and J. M. Hausdorff, "Gait instability and fractal dynamics of older adults with a "cautious" gait: why do certain older adults walk fearfully?," Gait Posture, Vol.21, No.2, pp.178-185, 2005.   DOI   ScienceOn
11 M. C. A. Tersteeg, D. E. Marple-Horvat, and I. D. Loram, "Cautious gait in relation to knowledge and vision of height: is altered visual information the dominant influence?," J Neurophysiol, Vol.107, pp.2686-2691, 2012.   DOI   ScienceOn
12 M. Davis, D. Walker, L. Miles, and C. Grillon, "Phasic vs sustained fear in rats and humans : role of the amygdala in fear and anxiety," Neuropsychopharmacology, Vol.35, pp.105-135, 2010.   DOI   ScienceOn
13 D. C. Blanchard and R. J. Blanchard. "Ethoexperimental approaches to the biology of emotion," Ann Rev Psychol, Vol.39, pp.43-48, 1988.   DOI   ScienceOn
14 D. C. Lee, Y. W. Ham, and P. S. Sung, "Effect of visual input on normalized standing stability in subjects with recurrent low back pain," Gait Posture, Vol.36, pp.580-585, 2012.   DOI   ScienceOn
15 A. J. Nelson, L. J. Certo, L. S. Lembo, D. A. Lopez, E. F. Manfredonia, S. K. Vanichpong, and D. Zwick, "The functional ambulation performance of elderly fallers and non-fallers walking at their preferred velocity," NeuroRehabilitation, Vol.13, No.3, pp.141-146, 1999.
16 A. J. Nelson, "Functional ambulation profile," Phys Ther, Vol.54, No.10, pp.1059-1065, 1974.   DOI
17 Y. Jian, D. A. Winter, M. G. Ishac, and L. Gilchrist, "Trajectory of the body COG and COP during initiation and termination of gait," Gait Posture, Vol.1, No.1, pp.9-22, 1993.   DOI   ScienceOn
18 이택영, "노인의 감각처리능력과 삶의 질과의 상관관계 연구", 한국콘텐츠학회, 제12권, 제5호, pp.272-279, 2012.
19 K. A. Hartholt, N. van der Velde, C. W. Looman, E. M. van Lieshout, M. J. Panneman, E. F. van Beeck, and T.,J. van der Cammen, "Trends in fall-related hospital admissions in older persons in the Netherlands," Arch Intern Med, Vol.170, No.10, pp.905-911, 2010.   DOI   ScienceOn
20 D. Keskin, P. Borman, M. Ersoz, A. Kurtaran, H. Bodur, and M. Akyuz, "The risk factors related to falling in elderly females," Geriatric Nursing, Vol.29, No.1, pp.58-63, 2008.   DOI   ScienceOn
21 M. E. Tinetti, M. Speechley, and S. F. Ginter, "Risk factors for falls among elderly persons living in the community," N Engl J Med, Vol.319, No.26, pp.1701-1707, 1988.   DOI   ScienceOn
22 M. Hanlon and R. Anderson, "Prediction methods to account for the effect of gait speed on lower limb angular kinematics," Gait Posture, Vol.24, No.3, pp.280-287, 2006.   DOI   ScienceOn
23 V. S. Stel, J. H. Smit, S. M. Pluijm, and P. Lips, "Consequences of falling in older men and women and risk factors for health service use and functional decline," Age Ageing, Vol.33, No.1, pp.58-65, 2004.   DOI   ScienceOn
24 H. Shimada, A. Tiedemann, S. R. Lord, M. Suzukawa, H. Makizako, K. Kobayashi, and T. Suzuki, "Physical factors underlying the association between lower walking performance and falls in older people: a structural equation model," Arch Gerontol Geriatr, Vol.53, No.2, pp.131-134, 2011.   DOI   ScienceOn
25 J. Perry, Gait analysis : normal and pathological function. New Jersey : SLACK, 1992.
26 C. P. Chen, M. J. Chen, Y. C. Pei, H. L. Lew, P. Y. Wong, and S. F. Tang, "Sagittal plane loading response during gait in different age groups and in people with knee osteoarthritis," Am J Phys Med Rehabil, Vol.82, No.4, pp.307-312, 2003.
27 N. Shkuratova and N. Taylor, "The influence of age on gait parameters during the transition from a wide to a narrow pathway," Physiother Res Int, Vol.13, No.2, pp.75-83, 2008.   DOI   ScienceOn
28 P. Dunlap, S. Perera, J. M. VanSwearingen, D. Wert, and J. S. Brach, "Transitioning to a narrow path: The impact of fear of falling in older adults," Gait Posture, Vol.35, No.1, pp.92-95, 2012.   DOI   ScienceOn
29 J. L. Helbostad and R. Moe-Nilssen, "The effect of gait speed on lateral balance control during walking in healthy elderly," Gait Posture, Vol.18, No.2, pp.27-36, 2003.   DOI   ScienceOn
30 N. Ramstrand, A. H. Thuesen, D. B. Nielsen, and D. Rusaw, "Effects of an unstable shoe construction on balance in women aged over 50 years," Clin Biomech, Vol.25, No.5, pp.455-460, 2010.   DOI   ScienceOn