Obstacle-negotiating gait and related physical measurement indicators for the community-dwelling elderly in Japan

Sun, Wei; Watanabe, Misuzu; Hirota, Chika; Tanimoto, Yoshimi; Kono, Rei; Takasaki, Kyosuke; Kono, Koichi

doi:10.1016/j.archger.2009.01.016

Cited by 13 publications

(6 citation statements)

References 25 publications

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“…A total of 12 studies fulfilled the inclusion criteria: eight studies 13,[19][20][21][22][23][24][25] provided data on maximum effort (Table 1), and five studies 14,22,[27][28][29] provided data on the usual pace (Table 2). Studies with maximum effort data involved 2903 subjects (men 1083, women 1820), and studies with usual pace data involved 2396 subjects (men 815, women 1343, unknown 238).…”

Section: Resultsmentioning

confidence: 99%

Reference values for the Timed Up and Go test in healthy Japanese elderly people: Determination using the methodology of meta‐analysis

Kamide¹,

Takahashi

Shiba³

2011

Geriatrics Gerontology Int

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Section: Resultsmentioning

confidence: 99%

Reference values for the Timed Up and Go test in healthy Japanese elderly people: Determination using the methodology of meta‐analysis

Kamide¹,

Takahashi

Shiba³

2011

Geriatrics Gerontology Int

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“…The Stops walking when talking observation (Lundin‐Olsson, Nyberg, & Gustafson, ) and the Timed Up and Go test with an added cognitive task (TUG‐cog) (Shumway‐Cook, Brauer, & Woollacott, ) assesses the ability to simultaneously walk and answer a question or walk and perform an added cognitive task, which can be used to identify fallers (Beauchet et al, ; Hofheinz & Mibs, ). There are a few tests assessing walking with the attentional and proactive gait control demanding task of negotiating and crossing obstacles (Punt et al, ; Sun et al, ; Taylor & Gunther, ; van Swigchem et al, ), but these tests cannot be performed when walking aids are used. We developed the Cone Evasion Walk test (CEW) to assess fall risk by the ability to evade obstacles, an activity classified with the ICF‐code d455, which requires attentional (ICF‐code b140), perceptual (ICF‐code b156), seeing (ICF‐code b210), and several neuromusculoskeletal and movement related functions (ICF‐codes 710‐799).…”

Section: Introductionmentioning

confidence: 99%

The Cone Evasion Walk test: Reliability and validity in acute stroke

Sjöholm

Hägg

Nyberg

et al. 2018

Physiotherapy Res Intl

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“…Both these tests can be used to identify fallers (82,83). Other tests assess the attentional and proactive gait control-demanding task of negotiating and crossing obstacles while walking (79,(84)(85)(86), but these tests cannot be performed when walking aids are used. Since persons with stroke commonly use walking aids (50), it is important to develop reliable and valid assessments of obstacle avoidance for persons with stroke (87) and to assess the predictive value for future falls of such tests.…”

Section: Obstacle Avoidance and Attention During Gait Activitiesmentioning

confidence: 99%

“…Impairments in the ability to walk and simultaneously perform attentiondemanding tasks are common after stroke (75) and assessments of this ability can be used to identify fallers (82,83). Other tests assess the attentional and proactive gait control-demanding task of negotiating and crossing obstacles while walking (79,(84)(85)(86), but these tests cannot be performed when walking aids are used. Such a test needed to be developed and assessed for reliability and predictive validity of falls for persons with acute stroke.…”

Section: Rationale Of the Thesismentioning

confidence: 99%

Assessments and Risk Factors for Falls in Persons with Acute Stroke

Sjöholm

2021

Linköping University Medical Dissertations

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Background: Early identification of risk factors is crucial for reducing the high fall risk associated with stroke, and sex differences in relation to falls need to be further investigated. There is a lack of uniform, standardized, and reliable testing procedures for postural reactions, and existing tests assessing negotiating obstacles while walking cannot be performed when walking aids are used. Aim:To investigate the predictive validity of fall risk in persons with acute stroke for easily administered data and assessments, as well as to investigate the psychometric properties of two new tests. Methods:The Postural Rections Test (PRT) and the Cone Evasion Walk Test (CEW) were developed based on literature, and on input from an expert panel. To estimate the reliability of the PRT and CEW, videorecordings of 20 persons with acute stroke performing each item in the PRT and CEW were assessed by 10 physiotherapists on two occasions, at least two weeks apart. The construct validity of the CEW (n = 221), was examined in relation to selected corresponding tests, and predictive validity by correlating the CEW to falls within six months. In 124 women and 160 men the results from the PRT and CEW, along with other easily administered data and assessments on participant characteristics, functions, and activities were analyzed in relation to the number of days to the first fall by Cox regression, while fall incidence was analyzed by negative binomial regression, both for the total cohort, and for women and men separately. Sex differences in monthly fall incidence were analyzed with Poisson regression.Results: For the intra-rater reliability of the PRT, the overall proportion of agreement was 87 − 92% for the different postural reactions, and in median 9-10 out of 10 physiotherapists scored the same value for interrater reliability. In the CEW the intra-class correlation coefficients for intra-rater and inter-rater reliability were 0.88-0.98. The results showed expected poor to moderate correlations to the selected tests for construct validity, and to falls within six months. Participants touched significantly more cones on the side that was opposite to the side of their lesion. The Cox regression analysis showed that intake of more than eight medications, paresis in the arms, paresis in the legs, impaired protective reactions in sitting, and limitations in self-care activities were decisive risk factors for the time to the first fall, and according to the negative Abstract 2 binomial regression, limitations in mobility activities was a decisive risk factor for high fall incidence in the total cohort (p<0.0005). The assessor's judgment of a person's six-month fall risk, was particularly well suited for identification of individuals with a high risk for multiple falls; however only in women when analyzed for each sex separately (p<0.0005). Compared to men, a higher number of fall risk factors were identified in women, including impaired mental functions, paresis in the arms, and limitations in several activities of self-care a...

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Obstacle-negotiating gait and related physical measurement indicators for the community-dwelling elderly in Japan

Cited by 13 publications

References 25 publications

Reference values for the Timed Up and Go test in healthy Japanese elderly people: Determination using the methodology of meta‐analysis

Reference values for the Timed Up and Go test in healthy Japanese elderly people: Determination using the methodology of meta‐analysis

The Cone Evasion Walk test: Reliability and validity in acute stroke

Assessments and Risk Factors for Falls in Persons with Acute Stroke

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