Kinetic comparison of older men and women during walk-to-stair descent transition

Singhal, Kunal; Kim, Jemin; Casebolt, Jeffrey B.; Lee, Sang‐Woo; Han, Ki Hoon; Kwon, Young Hoo

doi:10.1016/j.gaitpost.2014.07.004

Cited by 19 publications

(7 citation statements)

References 26 publications

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“…Previous research has shown that age and gender play an important role in gait kinematics ( Singhal et al, 2014 ; Boyer et al, 2017 ). In addition, obesity and high BMI have also been found to have a significant influence on gait kinematics, causing a large hip joint angle in both sagittal and transverse planes ( Rosso et al, 2019 ) and a smaller hip ROM ( Agostini et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Gait Kinematic and Kinetic Characteristics of Older Adults With Mild Cognitive Impairment and Subjective Cognitive Decline: A Cross-Sectional Study

Zhong

Ali

Gao

et al. 2021

Front. Aging Neurosci.

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BackgroundOlder adults with mild cognitive impairment (MCI) have slower gait speed and poor gait performance under dual-task conditions. However, gait kinematic and kinetic characteristics in older adults with MCI or subjective cognitive decline (SCD) remain unknown. This study was designed to explore the difference in gait kinematics and kinetics during level walking among older people with MCI, SCD, and normal cognition (NC).MethodsThis cross-sectional study recruited 181 participants from July to December 2019; only 82 met the inclusion criteria and consented to participate and only 79 completed gait analysis. Kinematic and kinetic data were obtained using three-dimensional motion capture system during level walking, and joint movements of the lower limbs in the sagittal plane were analyzed by Visual 3D software. Differences in gait kinematics and kinetics among the groups were analyzed using multivariate analysis of covariance (MANCOVA) with Bonferroni post-hoc analysis. After adjusting for multiple comparisons, the significance level was p < 0.002 for MANCOVA and p < 0.0008 for post-hoc analysis.ResultsTwenty-two participants were MCI [mean ± standard deviation (SD) age, 71.23 ± 6.65 years], 33 were SCD (age, 72.73 ± 5.25 years), and 24 were NC (age, 71.96 ± 5.30 years). MANCOVA adjusted for age, gender, body mass index (BMI), gait speed, years of education, diabetes mellitus, and Geriatric Depression Scale (GDS) revealed a significant multivariate effect of group in knee peak extension angle (F = 8.77, p < 0.0001) and knee heel strike angle (F = 8.07, p = 0.001) on the right side. Post-hoc comparisons with Bonferroni correction showed a significant increase of 5.91° in knee peak extension angle (p < 0.0001) and a noticeable decrease of 6.21°in knee heel strike angle (p = 0.001) in MCI compared with NC on the right side. However, no significant intergroup difference was found in gait kinetics, including dorsiflexion, plantar flexion, knee flexion, knee extension, hip flexion, and hip extension(p > 0.002).ConclusionAn increase of right knee peak extension angle and a decrease of right knee heel strike angle during level walking were found among older adults with MCI compared to those with NC.

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Section: Discussionmentioning

confidence: 99%

Gait Kinematic and Kinetic Characteristics of Older Adults With Mild Cognitive Impairment and Subjective Cognitive Decline: A Cross-Sectional Study

Zhong

Ali

Gao

et al. 2021

Front. Aging Neurosci.

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“…Accordingly, only three studies assessed upright standing [ 40 , 44 , 51 ], all expressing promising results. Other activities, such as stair descent, which is regarded as one of the most difficult activities for older adults [ 60 ], are important to be assessed and processed in a broader context. In this review, only one study aimed to compare the gait patterns between young and older adults during stair climbing [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Systematic Review on the Applicability of Principal Component Analysis for the Study of Movement in the Older Adult Population

Moreira

Silva

Faria

et al. 2022

Sensors

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Principal component analysis (PCA) is a dimensionality reduction method that has identified significant differences in older adults’ motion analysis previously not detected by the discrete exploration of biomechanical variables. This systematic review aims to synthesize the current evidence regarding PCA use in the study of movement in older adults (kinematics and kinetics), summarizing the tasks and biomechanical variables studied. From the search results, 1685 studies were retrieved, and 19 studies were included for review. Most of the included studies evaluated gait or quiet standing. The main variables considered included spatiotemporal parameters, range of motion, and ground reaction forces. A limited number of studies analyzed other tasks. Further research should focus on the PCA application in tasks other than gait to understand older adults’ movement characteristics that have not been identified by discrete analysis.

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“…Most people with knee OA complain about difficulty when walking up and down stairs due to decreased mobility, strength, and motor control capabilities of their lower limbs. Several studies have reported that different factors, such as gender, age, and history of falls, influence exercise performance in seniors during the transition between floor and stairs ( Alcock et al, 2014 ; Singhal et al, 2014 ; Di Giulio et al, 2020 ; Gerstle et al, 2021 ), but little is known about how individuals with knee OA adjust their gait in anticipation of walking-stair transitions.…”

Section: Introductionmentioning

confidence: 99%

Gait strategies for individuals with knee osteoarthritis when transitioning between floor and stair walking

et al. 2023

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Objective: Individuals with knee osteoarthritis are at higher risk for falls during transitions between floor and stair walking due to their reduced lower extremity function. However, the adjust gait characteristics of knee osteoarthritis subjects for dealing with stair transitions have not been explored. We aimed to investigate gait strategies in individuals with knee osteoarthritis compared to age-matched individuals without knee OA during the transition between walking on floor and stairs.Method: Gait of 30 individuals with knee osteoarthritis and 30 individuals without knee osteoarthritis during floor-to-stair and stair-to-floor walking transitions were accessed using a 3D motion capture system. Foot-tread clearance, and angles of lower extremity joints and trunk at Foot-tread clearance timepoint were analyzed by using biomechanical software (Visual 3D).Results: Compared with asymptomatic control group, the knee osteoarthritis group demonstrated no difference in vertical Foot-tread clearance and horizontal Foot-tread clearance during stair transitions. However, ankle dorsiflexion (p = 0.01) decreased, hip flexion (p = 0.02) and trunk lateral tilt (p = 0.02) increased in knee osteoarthritis group during the stair ascent transition. Moreover, trunk lateral tilt to the support side (p = 0.003) and pelvic rotation (p = 0.03) increased, while hip abduction of the swing leg (p = 0.03) decreased during the stair descent transition in individuals with knee osteoarthritis.Conclusion: Increased trunk lateral tilt and altered angle of hip may be a strategy utilized by individuals with knee OA to increase the foot clearance ability and compensate for the disease-related loss of lower extremity strength, range of motion, and balance. However, compensatory manifestations, such as the increased lateral tilt of the trunk and movement of the gravity center may enhance the risk of falls and result in more abnormal knee joint loading.

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Kinetic comparison of older men and women during walk-to-stair descent transition

Cited by 19 publications

References 26 publications

Gait Kinematic and Kinetic Characteristics of Older Adults With Mild Cognitive Impairment and Subjective Cognitive Decline: A Cross-Sectional Study

Gait Kinematic and Kinetic Characteristics of Older Adults With Mild Cognitive Impairment and Subjective Cognitive Decline: A Cross-Sectional Study

Systematic Review on the Applicability of Principal Component Analysis for the Study of Movement in the Older Adult Population

Gait strategies for individuals with knee osteoarthritis when transitioning between floor and stair walking

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