Fast gait spatiotemporal parameters in adults and association with muscle strength – The Yishun study

Jabbar, Khalid Abdul; Seah, Wei-Ting; Lau, Lay Khoon; Pang, Benedict Wei Jun; Ng, Daniella Hui-Min; Tan, Queenie Lin-Ling; Chen, Kexun Kenneth; Ullal, Jagadish Mallya; Ng, Tze‐Pin; Wee, Shiou‐Liang

doi:10.1016/j.gaitpost.2021.01.001

Cited by 13 publications

(13 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The decreased muscle strength in the lower limbs is a major cause of the unhealthy gait in stroke patients ( Lau et al, 2011 ). The muscle strength in lower limbs was positively associated with spatiotemporal variations in stride length, stride time, stance time and double support time in old adults ( Abdul Jabbar et al, 2021 ). The meta-analysis revealed that different changes in walking spatiotemporal parameters occurred after the intervention of WBV training for stroke patients.…”

Section: Discussionmentioning

confidence: 99%

Does whole-body vibration training have a positive effect on balance and walking function in patients with stroke? A meta-analysis

Yin

Wang

et al. 2023

Front. Hum. Neurosci.

View full text Add to dashboard Cite

ObjectiveAfter a stroke, patients usually suffer from dysfunction, such as decreased balance ability, and abnormal walking function. Whole-body vibration training can promote muscle contraction, stimulate the proprioceptive system, enhance the muscle strength of low limbs and improve motor control ability. The study aims to evaluate the effectiveness of whole-body vibration training on the balance and walking function of patients with stroke.MethodsPubMed, CNKI, VIP, CBM, EBSCO, Embase and Web of Science were searched. According to the inclusion and exclusion criteria, randomized controlled trials on the effectiveness of whole-body vibration training on the balance and walking function of patients with stroke were collected. The search time ranged from the date of database construction to November 2022. The included trials were evaluated by the Cochrane risk-of-bias tool. The meta-analysis was performed using two software packages, consisting of RevMan 5.4 and Stata 12.2. If the results included in the literature were continuous variables, use the mean difference (MD) and 95% confidence interval (CI) for statistics.Results(1) A total of 22 randomized controlled trials (RCTs) with a total of 1089 patients were included. (2) The results of meta-analysis showed that: compared with the controls, step length (MD = 6.12, 95%CI [5.63, 6.62], p < 0.001), step speed (MD = 0.14, 95%CI [0.09, 0.20], p < 0.001), cadence (MD = 9.03, 95%CI [2.23, 15.83], p = 0.009), stride length (MD = 6.74, 95%CI [−3.47, 10.01], p < 0.001), Berg Balance Scale (BBS) (MD = 4.08, 95%CI [2.39, 5.76], p < 0.001), Timed Up-and-Go test (TUGT) (MD = −2.88, 95%CI [−4.94, 0.81], p = 0.006), 10-meter Walk Test (10MWT) (MD = −2.69, 95%CI [−3.35, −2.03], p < 0.001), functional ambulation category scale (FAC) (MD = 0.78, 95%CI [0.65, 0.91], p < 0.001), Fugl-Meyer motor assessment of lower extremity (FMA-LE) (MD = 4.10, 95%CI [2.01, 6.20], p = 0.0001). (3) The results of subgroup analysis showed that, compared with other vibration frequencies, at 20–30 Hz frequency, WBV training had an obvious improvement effect only in TUGT. (4) The safety analysis showed that WBV training may be safe.ConclusionWhole-body vibration training has a positive effect on the balance and walking function of patients with stroke. Thus, whole-body vibration training is a safe treatment method to improve the motor dysfunction of patients with stroke.Systematic review registration[http://www.crd.york.ac.uk/PROSPERO], identifier [CRD4202348263].

show abstract

Section: Discussionmentioning

confidence: 99%

Does whole-body vibration training have a positive effect on balance and walking function in patients with stroke? A meta-analysis

Yin

Wang

et al. 2023

Front. Hum. Neurosci.

View full text Add to dashboard Cite

show abstract

“…The disparity in findings could be due to inclusion of studies without a control group [32], and participants from tertiary-care hospitals who were frail and at risk of falls [33], which differed from our randomized controlled study of community-dwelling adults with varying frailty status. Baseline fast GS of GT-programme participants was slightly slower than reference values of community-dwelling older adults of the same age group who were independent in performing activities of daily living [34]. These results imply lower mobility at baseline among GT-programme participants, evidenced by the majority of participants with pre-frailty and frailty, which could explain the clinically significant response of fast gait to GT training.…”

Section: Discussionmentioning

confidence: 67%

Effectiveness of a community-delivered pneumatic machine resistance training programme (Gym Tonic) for older adults at neighbourhood senior centres – a randomized controlled trial

Lee

Goh²,

Tan³

et al. 2021

Eur Rev Aging Phys Act

Self Cite

View full text Add to dashboard Cite

Background Resistance training with pneumatic machines attenuates the age-associated loss in muscle strength and function in older adults. However, effectiveness of scaled-up pneumatic machine resistance training in the community is not known. We evaluated the effectiveness of a multi-site community-delivered 12-week pneumatic machine resistance programme (Gym Tonic (GT)) on muscle strength and physical function in older adults. Methods Three hundred eighteen community-dwelling older adults aged ≥65 years were randomized into 12-week (twice/week) coach-supervised-community-based-GT-programme(n = 168) and wait-list control groups(n = 150). After 12 weeks, the intervention group continued with GT-training and the control group received supervised-GT-programme for further 12 weeks (partial-crossover-design). Fried frailty score, lower-extremity muscle strength and physical function (i.e., fast and habitual gait-speed, balance, repeated-chair-sit-to-stand, short physical performance battery (SPPB)) were determined at baseline, 12 and 24 weeks. Analysis adopted a modified-intention-to-treat-approach. Results After 12 weeks, lower-extremity muscle strength improved by 11–26%(all p < 0.05) and fast gait-speed improved by 7%(p = 0.008) in GT-intervention group(n = 132) than controls(n = 118), regardless of frailty status. Other physical function performance did not differ between control and intervention groups after 12 weeks (all p > 0.05). Frailty score improved by 0.5 in the intervention but not control group(p = 0.004). Within the intervention group, lower-extremity muscle strength and physical function outcomes improved at 24 weeks compared with baseline (all p < 0.001). Within controls, lower-extremity muscle strength, SPPB, repeated-chair-sit-to-stand and fast gait-speed improved post-GT (24-week) compared to both pre-GT (12-week) and baseline. Programme adherence was high in intervention [0–12-weeks,90%(SD,13%); 12–24-weeks,89%(SD,17%)] and control [12–24-weeks,90%(SD,19%)] groups. Conclusion Community-delivered GT resistance training programme with pneumatic machines has high adherence, improves muscle strength and fast gait-speed, and can be effectively implemented at scale for older adults. Future studies could examine if including other multi-modal function-specific training to complement GT can achieve better physical/functional performance in power, balance and endurance tasks. Trial registration ClinicalTrials.gov, NCT04661618, Registered 10 December 2020 - Retrospectively registered.

show abstract

“…Again, this could probably be explained as a compensatory mechanism for possible strength deficits of single muscle groups in women [ 38 , 39 ] when a sufficient walking speed is maintained. Additionally to the lower limb muscles, we included a grip strength measurement as is commonly used in geriatric research [ 11 , 13 , 14 ]. Although it is an unspecific strength test, hand grip strength was related to gait speed and step width in women and was the only strength parameter related to stride length in men.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, as commonly practiced in geriatric research [ 11 , 13 , 14 ], handgrip strength was measured with a hand dynamometer, i.e., the Seahan SH5001 (SAEHAN Corporation, Masan, Korea). Maximum hand grip strength over two trials was recorded to the nearest 0.5 kg in an upright standing position with the elbow flexed at 90 degrees.…”

Section: Methodsmentioning

confidence: 99%

“…Multiple muscle groups are involved during the complex process of walking. Most studies that investigate the relationship between muscle strength and gait parameters often limit their assessment to hand grip or knee extension strength [ 11 , 13 , 14 ]. The studies that measured multiple lower body muscle groups reported inconclusive results regarding their relationship with gait parameters [ 15 , 16 , 17 , 18 , 19 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Relationship between Muscle Strength and Gait Parameters in Healthy Older Women and Men

Stotz

Hamacher

Zech

2023

IJERPH

View full text Add to dashboard Cite

Maintaining sufficient muscle strength is fundamental to prevent a decline in basic physical functions such as gait, and is therefore a prerequisite for a healthy independent life in older people. However, the relationship between gait parameters and the strength of single muscle groups is reported with inconclusive results. The objective of this study was to analyze the relationship of strength of nine single muscle groups of lower and upper leg muscles as well as handgrip strength for gait parameters in older adults. Sixty-nine independently living older adults participated in the study. Maximum ankle plantar- and dorsiflexion, knee flexion and extension, as well as hip abduction, adduction, flexion, and extension strength, were measured using an isokinetic dynamometer. Additionally, hand grip strength measured via a hand dynamometer was obtained. Walking gait parameters were recorded with a 3D motion capture system on an instrumented treadmill. The relationships between multiple strength and gait variables were analyzed by Pearson’s correlation coefficient. Linear regression analyses were performed to identify the predictive ability of muscle strength (normalized to body weight) for gait speed, stride time, stance time, stride length and step width. Multiple significant weak to moderate positive ([r = 0.343, p = 0.047]–[r = 0.538, p = 0.002]) and negative ([r = −0.340, p = 0.046]–[r = 0.593, p = 0.001]) correlations that were unequally distributed between both sexes were detected. Significant regression models explained ([r2 = 16.6%, p = 0.015]–[r2 = 44.3 %, p = 0.003]) and ([r2 = 21.8%, p = 0.022]–[r2 = 36.1%, p = 0.044]) of the gait parameter variations for men and women, respectively. The results suggest a sex-specific relevance of single muscle groups for all gait parameters. This may be attributed to anatomical differences and it is important to prevent strength-related changes in gait parameters.

show abstract

Fast gait spatiotemporal parameters in adults and association with muscle strength – The Yishun study

Cited by 13 publications

References 28 publications

Does whole-body vibration training have a positive effect on balance and walking function in patients with stroke? A meta-analysis

Does whole-body vibration training have a positive effect on balance and walking function in patients with stroke? A meta-analysis

Effectiveness of a community-delivered pneumatic machine resistance training programme (Gym Tonic) for older adults at neighbourhood senior centres – a randomized controlled trial

Relationship between Muscle Strength and Gait Parameters in Healthy Older Women and Men

Contact Info

Product

Resources

About