Effects of curved path walking compared to straight path walking in older adults with cognitive deficits: A systematic review and network meta‐analysis

Lee, Han-Suk; Shim, Sung Ryul; Kim, Jun Ho; Ko, Mansoo

doi:10.1002/pri.1935

Cited by 4 publications

(2 citation statements)

References 52 publications

(66 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Walking on a curving path requires a transition time for changing the direction of walking and correction of balance [14]. Comprehensive analysis of curve walking may provide more information for detecting MCI among older adults than straight walking because curved path walking requires prediction of direction and postural control [14,15]. However, to our knowledge, no study has quantitatively compared the performance of HC versus MCI in straight and curve walking.…”

Section: Introductionmentioning

confidence: 99%

Curve Walking Reveals More Gait Impairments in Older Adults with Mild Cognitive Impairment than Straight Walking: A Kinect Camera-Based Study

Seifallahi,

Galvin,

Ghoraani

2024

Journal of Alzheimer's Disease Reports

View full text Add to dashboard Cite

Background: Mild cognitive impairment (MCI) can be an early sign of Alzheimer’s disease and other types of dementia detectable through gait analysis. Curve walking, which demands greater cognitive and motor skills, may be more sensitive in MCI detection than straight walking. However, few studies have compared gait performance in older adults with and without MCI in these conditions. Objective: To compare the capability of curve and straight walking tests for the detection of MCI among older adults. Methods: We employed a Kinect v.2 camera to record the gait of 55 older adults (30 healthy controls, 25 with MCI) during single-task straight and curve walking tests. We examined 50 gait markers and conducted statistical analyses to compare groups and conditions. The trail was approved with protocol No. IR.SEMUMS.REC.1398.237 by the ethics committee of Semnan University of Medical Sciences in Iran. Results: Older adults with MCI exhibited more compromised gait performance, particularly during curve walking. Curve walking outperformed straight walking in MCI detection, with several gait markers showing significant differences between healthy controls and MCI patients. These markers encompass average velocity, cadence, temporal markers (e.g., gait cycle subphase durations), spatial markers (e.g., foot position changes during gait subphases), and spatiotemporal markers (e.g., step and stride velocities). Conclusions: Our study suggests curve walking as a more informative and challenging test for MCI detection among older adults, facilitating early diagnosis using non-invasive, cost-effective tools like the Kinect v.2 camera, complementing cognitive assessments in early diagnosis, and tracking MCI progression to dementia.

show abstract

Section: Introductionmentioning

confidence: 99%

Curve Walking Reveals More Gait Impairments in Older Adults with Mild Cognitive Impairment than Straight Walking: A Kinect Camera-Based Study

Seifallahi,

Galvin,

Ghoraani

2024

Journal of Alzheimer's Disease Reports

View full text Add to dashboard Cite

show abstract

“…Specifically, cognitive function and set-shifting are thought to contribute to how older adults navigate a curved walking path, but not linear walking [ 15 ]. A systematic review on turning in older adults concluded that those with cognitive deficits had significantly longer walking times in both straight- and curved-path walking, and the relationship between performance and cognition was stronger for curved walking than for straight walking [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

TURN-IT: a novel turning intervention program to improve quality of turning in daily life in people with Parkinson’s disease

et al. 2022

View full text Add to dashboard Cite

Background People with Parkinson’s disease (PD) have a high fall rate and many falls are associated with turns. Despite this, there is minimal research on effects of rehabilitation on the quality of turns. Further, quantifying turns in the home may have broader implications since rehabilitation of turns would ideally improve turning in real world mobility. Methods Sixty people with PD and a history of falls will be randomized to receive either a novel TURNing InTervention (TURN-IT) or no intervention (control group). The TURN-IT group will be seen for 6 weeks (18 visits) for an individualized, progressive program that is based on the specific constraints of turning in PD. Wearable sensors will be used to measure 7 days of mobility, including turns, before and after intervention or control period. In addition, blinded assessments of gait, mobility and turns will occur before and after intervention for both groups and falls will be monitored for twelve months post intervention with bimonthly email questionnaires. Discussion This study has the potential to change how we rehabilitate and assess turning in people with PD and falls. There are several novel aspects to our study including a comprehensive turning-focused intervention that is tailored to the underlying constraints that impair turning in people with PD. Further, our outcome measure of turning quality during 7 days of daily life is novel and has implications for determining real-life changes after rehabilitation. The ultimate goal of this rehabilitation intervention is to improve how patients turn in daily life and to reduce falls. Trials registration This protocol is registered at clinicaltrials.gov; #NCT04897256; https://clinicaltrials.gov/ct2/show/NCT04897256?term=Horak&cond=Parkinson+Disease&draw=2&rank=4.

show abstract

Detection of Mild Cognitive Impairment from Quantitative Analysis of Timed Up and Go (TUG)

Seifallahi

Galvin

Ghoraani

2022

2022 IEEE International Conference on Data Mining Workshops (ICDMW)

View full text Add to dashboard Cite

Effects of curved path walking compared to straight path walking in older adults with cognitive deficits: A systematic review and network meta‐analysis

Abstract: Objective: To determine whether the existing literature provides evidence that curved path walking time can be a reliable marker of cognitive impairment among older adults using a network meta-analysis (NMA).

Cited by 4 publications

References 52 publications

Curve Walking Reveals More Gait Impairments in Older Adults with Mild Cognitive Impairment than Straight Walking: A Kinect Camera-Based Study

Curve Walking Reveals More Gait Impairments in Older Adults with Mild Cognitive Impairment than Straight Walking: A Kinect Camera-Based Study

TURN-IT: a novel turning intervention program to improve quality of turning in daily life in people with Parkinson’s disease

Detection of Mild Cognitive Impairment from Quantitative Analysis of Timed Up and Go (TUG)

Contact Info

Product

Resources

About