Browse > Article
http://dx.doi.org/10.13066/kspm.2020.15.3.117

Relationship Between the Postural Alignments and Spatio-temporal Gait Parameters in Elderly Woman  

Kim, Sung-Hyeon (Department of Health Science, Gachon University Graduate School)
Shin, Ho-Jin (Department of Health Science, Gachon University Graduate School)
Suh, Hye-Rim (Department of Physiology, Korea University College of Medicine)
Jung, Kyoung-Sim (Department of Physical Therapy, Gimcheon University)
Cho, Hwi-Young (Department of Physical Therapy, Gachon University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.15, no.3, 2020 , pp. 117-125 More about this Journal
Abstract
PURPOSE: Aging causes changes in the postural alignment and gait due to changes in the nervous and musculoskeletal systems. On the other hand, the relationship between the changes in posture alignment and gait is unclear. This study examined the relationship between the postural alignment and spatiotemporal gait parameters in Korean elderly women. METHODS: Thirty-two-healthy elderly women participated in this study. All subjects were assessed for their posture alignment and gait ability. Stepwise multiple linear regression was performed to determine to what extent the postural alignments could explain the spatiotemporal gait parameters. RESULTS: Coronal head angle was moderately correlated with the velocity (r = -.51), normalized velocity (r = -.46) and gait-stability ratio (r = .58) (p < .05). The trunk angle was moderately correlated with the normalized velocity (r = -.32) and gait-stability ratio (r = .32) and weakly correlated with the velocity (r = -.28) (p < .05). The coronal shoulder angle was moderately correlated with the swing phase (r = -.57), stance phase (r = .56), single limb stance (r = -.56) and double limb stance (r = .51) (p < .05). The coronal head angle and trunk angle accounted for 36% of the variance in velocity, 33% variance in normalized velocity and 46% variance in the gait-stability ratio (p < .05). The coronal shoulder angle accounted for 32% variance in the swing phase, 32% variance in the stance phase, 31% variance in the single limb stance and 26% variance in the double limb stance (p < .05). CONCLUSION: Changes in posture alignment in elderly women may serve as a biomarker to predict a decrease in walking ability due to physical aging.
Keywords
Aging; Posture; Gait analysis; Biomarkers;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Rantanen T, Harris T, Leveille SG, et al. Muscle strength and body mass index as long-term predictors of mortality in initially healthy men. J Gerontol A Biol Sci Med Sci. 2000;55(3):M168-73.   DOI
2 Gill J, Allum JH, Carpenter MG, et al. Trunk sway measures of postural stability during clinical balance tests: effects of age. J Gerontol A Biol Sci Med Sci. 2001;56(7):M438-47.   DOI
3 Lord SR, Rogers MW, Howland A, Fitzpatrick R. Lateral stability, sensorimotor function and falls in older people. J Am Geriatr Soc. 1999;47(9):1077-81.   DOI
4 Newton RA. Balance screening of an inner city older adult population. Arch Phys Med Rehabil. 1997;78(6):587-91.   DOI
5 Shumway-Cook A, Woollacott M. Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci. 2000;55(1):M10-6.   DOI
6 Simoneau M, Teasdale N, Bourdin C, et al. Aging and postural control: postural perturbations caused by changing the visual anchor. J Am Geriatr Soc. 1999;47(2):235-40.   DOI
7 Narici MV, Maffulli N. Sarcopenia: characteristics, mechanisms and functional significance. Br Med Bull. 2010;95:139-59.   DOI
8 Gill TM, Williams CS, Tinetti ME. Assessing risk for the onset of functional dependence among older adults: the role of physical performance [published correction appears in J Am Geriatr Soc 1995 Oct;43(10):1172]. J Am Geriatr Soc. 1995;43(6):603-9.   DOI
9 Guralnik JM, Simonsick EM, Ferruci L, et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology. 1994;49:M85-94.   DOI
10 Janssen I, Heymsfield SB, Wang Z, et al.. Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr. Journal of applied physiology. 2000;89(1):81-8.   DOI
11 Narici MV, Maffulli N, Maganaris CN. Ageing of human muscles and tendons. Disabil Rehabil. 2008;30(20-22):1548-54.   DOI
12 Manini TM, Clark BC. Dynapenia and aging: an update. J Gerontol A Biol Sci Med Sci. 2012;67(1):28-40.   DOI
13 Uthaikhup S, Jull G. Performance in the cranio-cervical flexion test is altered in elderly subjects. Man Ther. 2009;14(5):475-9.   DOI
14 Baumgartner RN. Body composition in healthy aging. Ann N Y Acad Sci. 2000;904:437-48.   DOI
15 Taaffe DR. Sarcopenia--exercise as a treatment strategy. Aust Fam Physician. 2006;35(3):130-4.
16 Kocur P, Tomczak M, Wiernicka M, et al. Relationship between age, BMI, head posture and superficial neck muscle stiffness and elasticity in adult women. Sci Rep. 2019;9(1):8515.   DOI
17 Park MS, Moon SH, Lee HM, et al. Age-related changes in cervical sagittal range of motion and alignment. Global Spine J. 2014;4(3):151-6.   DOI
18 Yukawa Y, Kato F, Suda K, et al. Age-related changes in osseous anatomy, alignment, and range of motion of the cervical spine. Part I: Radiographic data from over 1,200 asymptomatic subjects. Eur Spine J. 2012;21(8):1492-8.   DOI
19 Raine S, Twomey LT. Head and shoulder posture variations in 160 asymptomatic women and men. Arch Phys Med Rehabil. 1997;78(11):1215-23.   DOI
20 Ailon T, Shaffrey CI, Lenke LG, et al. Progressive Spinal Kyphosis in the Aging Population. Neurosurgery. 2015;77 Suppl 4:S164-72.   DOI
21 Medell JL, Alexander NB. A clinical measure of maximal and rapid stepping in older women. J Gerontol A Biol Sci Med Sci. 2000;55(8):M429-33.   DOI
22 Cho BL, Scarpace D, Alexander NB. Tests of stepping as indicators of mobility, balance, and fall risk in balance-impaired older adults. J Am Geriatr Soc. 2004;52(7):1168-73.   DOI
23 Schoon Y, Weerdesteyn V, Stunnenberg A, et al. Sense and simplicity: maximum step length is also reliable, feasible, and valid in very old adults. J Am Geriatr Soc. 2010;58(12):2444-5.   DOI
24 Goldberg A, Schepens S, Wallace M. Concurrent validity and reliability of the maximum step length test in older adults. J Geriatr Phys Ther. 2010;33(3):122-7.
25 Lindemann U, Lundin-Olsson L, Hauer K, et al. Maximum step length as a potential screening tool for falls in non-disabled older adults living in the community. Aging Clin Exp Res. 2008;20(5):394-9.   DOI
26 Studenski S, Perera S, Patel K, et al. Gait speed and survival in older adults. JAMA. 2011;305(1):50-8.   DOI
27 Chu LW, Chiu AY, Chi I. Impact of falls on the balance, gait, and activities of daily living functioning in community-dwelling Chinese older adults. J Gerontol A Biol Sci Med Sci. 2006;61(4):399-404.   DOI
28 Montero-Odasso M, Schapira M, Soriano ER, et al. Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older. J Gerontol A Biol Sci Med Sci. 2005;60(10):1304-9.   DOI
29 Viccaro LJ, Perera S, Studenski SA. Is timed up and go better than gait speed in predicting health, function, and falls in older adults?. J Am Geriatr Soc. 2011;59(5):887-92.   DOI
30 Abellan van Kan G, Rolland Y, Andrieu S, et al. Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging. 2009;13(10):881-9.   DOI
31 Lamb SE, McCabe C, Becker C, Fried LP, Guralnik JM. The optimal sequence and selection of screening test items to predict fall risk in older disabled women: the Women's Health and Aging Study. J Gerontol A Biol Sci Med Sci. 2008;63(10):1082-8.   DOI
32 Paul SS, Canning CG, Sherrington C, et al. Three simple clinical tests to accurately predict falls in people with Parkinson's disease. Mov Disord. 2013;28(5):655-62.   DOI
33 Hewston P, Deshpande N. Head and Trunk Control While Walking in Older Adults with Diabetes: Effects of Balance Confidence. J Mot Behav. 2018;50(1):65-72.   DOI
34 McDonough AL, Batavia M, Chen FC, et al. The validity and reliability of the GAITRite system's measurements: A preliminary evaluation. Arch Phys Med Rehabil. 2001;82(3):419-25.   DOI
35 de Groot MH, van der Jagt-Willems HC, van Campen JP, et al. A flexed posture in elderly patients is associated with impairments in postural control during walking. Gait Posture. 2014;39(2):767-72.   DOI
36 Cromwell RL, Newton RA, Forrest G. Head stability in older adults during walking with and without visual input. J Vestib Res. 2001;11(2):105-14.
37 Cromwell RL, Newton RA. Relationship between balance and gait stability in healthy older adults. J Aging Phys Act. 2004;12(1):90-100.   DOI
38 Cromwell RL. Movement strategies for head stabilization during incline walking. Gait Posture. 2003;17(3):246-53.   DOI
39 Ellis G, Langhorne P. Comprehensive geriatric assessment for older hospital patients. Br Med Bull. 2005;71:45-59.   DOI
40 Punt M, Bruijn SM, Wittink H, et al. Effect of arm swing strategy on local dynamic stability of human gait. Gait Posture. 2015;41(2):504-9.   DOI
41 Bruijn SM, Meijer OG, Beek PJ, et al. The effects of arm swing on human gait stability. J Exp Biol. 2010;213(Pt 23):3945-52.   DOI
42 Elftman, H. The function of the arms in walking. Human biology. 1939;11(4):529.
43 Meyns P, Bruijn SM, Duysens J. The how and why of arm swing during human walking. Gait Posture. 2013;38(4):555-62.   DOI
44 Wannier T, Bastiaanse C, Colombo G, et al. Arm to leg coordination in humans during walking, creeping and swimming activities. Exp Brain Res. 2001;141(3):375-9.   DOI
45 Fitzgerald C, Thomson D, Zebib A, et al. A comparison of gait stability between younger and older adults while head turning [published online ahead of print, 2020 Jun 11]. Exp Brain Res. 2020;10.1007/s00221-020-05846-3.
46 Kanekar N, Aruin AS. Aging and balance control in response to external perturbations: role of anticipatory and compensatory postural mechanisms. Age (Dordr). 2014;36(3):9621.   DOI
47 Rosengren SM, Colebatch JG. Vestibular evoked myogenic potentials are intact in cervical dystonia. Mov Disord. 2010;25(16):2845-53.   DOI
48 Hoogendijk EO, Rijnhart JJM, Skoog J, et al. Gait speed as predictor of transition into cognitive impairment: Findings from three longitudinal studies on aging. Exp Gerontol. 2020;129:110783.   DOI
49 Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?. Age Ageing. 2006;35 Suppl 2:ii7-11.   DOI