Skip to main content
Erschienen in: Zeitschrift für Gerontologie und Geriatrie 8/2015

01.12.2015 | Originalien

Spatiotemporal gait parameters during dual task walking in need of care elderly and young adults

A cross-sectional study

verfasst von: S. Agner, J. Bernet, Y. Brülhart, L. Radlinger, PhD, S. Rogan

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 8/2015

Einloggen, um Zugang zu erhalten

Abstract

Background

Up to now there have only been marginal data in the elderly in need of care regarding spatiotemporal gait parameters during single (ST) and dual tasking (DT).

Aim

The aim of this study was to allocate data for gait speed, cadence and stride length cycle variability in the elderly in need of care and in young adults during ST and DT, to compare the two groups and to demonstrate the impact of ST and DT on gait parameters.

Material and methods

This cross-sectional study investigated a group of 16 young healthy adults (mean age 23.0 ± 2.5 years) and a group of 16 elderly persons in need of care (mean age 85.5 ± 0.6 years). The RehaWatch® system was used to collect the spatiotemporal gait parameters cadence, speed and stride length. The participants completed four different measurements during normal walking and fast walking during ST and DT over a walking distance of 20 m. The Wilcoxon rank sum test and Whitney-U test were used for statistical analysis.

Results

Gait speed (ST and DT: p < 0.001), cadence (ST and DT: p < 0.001) and gait variability (ST: p = 0.007, DT: p = 0.003) were significantly reduced in the elderly in need of care group compared to the young group. The gait speed in the elderly in need of care group decreased from normal to fast walking (ST = − 2.8 %, DT = − 12.2 %) compared to the young group (ST = 31.5 %, DT = 25.2 %).

Conclusion

The results of this study are comparable with the results of existing studies, which investigated falling and non-falling participants. Elderly people in need of care cannot increase the normal gait speed.
Literatur
1.
Zurück zum Zitat Schwenk M, Howe C, Saleh A, Mohler J, Grewal G, Armstrong D, Najafi B (2014) Frailty and technology: a systematic review of gait analysis in those with frailty. Gerontology 60(1):79–89. doi:10.1159/000354211PubMedCentralCrossRefPubMed Schwenk M, Howe C, Saleh A, Mohler J, Grewal G, Armstrong D, Najafi B (2014) Frailty and technology: a systematic review of gait analysis in those with frailty. Gerontology 60(1):79–89. doi:10.1159/000354211PubMedCentralCrossRefPubMed
2.
Zurück zum Zitat Lindenberger U, Marsiske M, Baltes PB (2000) Memorizing while walking: increase in dual-task costs from young adulthood to old age. Psychol Aging 15(3):417–436CrossRefPubMed Lindenberger U, Marsiske M, Baltes PB (2000) Memorizing while walking: increase in dual-task costs from young adulthood to old age. Psychol Aging 15(3):417–436CrossRefPubMed
3.
Zurück zum Zitat Brauer SG, Woollacott M, Shumway-Cook A (2001) The interacting effects of cognitive demand and recovery of postural stability in balance-impaired elderly persons. J Gerontol A Biol Sci Med Sci 56(8):M489–496CrossRefPubMed Brauer SG, Woollacott M, Shumway-Cook A (2001) The interacting effects of cognitive demand and recovery of postural stability in balance-impaired elderly persons. J Gerontol A Biol Sci Med Sci 56(8):M489–496CrossRefPubMed
4.
Zurück zum Zitat Verghese J, Buschke H, Viola L, Katz M, Hall C, Kuslansky G, Lipton R (2002) Validity of divided attention tasks in predicting falls in older individuals: a preliminary study. J Am Geriatr Soc 50(9):1572–1576CrossRefPubMed Verghese J, Buschke H, Viola L, Katz M, Hall C, Kuslansky G, Lipton R (2002) Validity of divided attention tasks in predicting falls in older individuals: a preliminary study. J Am Geriatr Soc 50(9):1572–1576CrossRefPubMed
5.
Zurück zum Zitat Götz-Neumann K (2011) Gehen verstehen. Ganganalyse in der Physiotherapie. Thieme, Stuttgart Götz-Neumann K (2011) Gehen verstehen. Ganganalyse in der Physiotherapie. Thieme, Stuttgart
6.
Zurück zum Zitat Shumway-Cook A, Woollacott M, Kerns KA, Baldwin M (1997) The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. J Gerontol A Biol Sci Med Sci 52(4):M232–240CrossRefPubMed Shumway-Cook A, Woollacott M, Kerns KA, Baldwin M (1997) The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. J Gerontol A Biol Sci Med Sci 52(4):M232–240CrossRefPubMed
7.
Zurück zum Zitat Lord SR, Lloyd DG, Li SK (1996) Sensori-motor function, gait patterns and falls in community-dwelling women. Age Ageing 25 (4):292–299CrossRefPubMed Lord SR, Lloyd DG, Li SK (1996) Sensori-motor function, gait patterns and falls in community-dwelling women. Age Ageing 25 (4):292–299CrossRefPubMed
8.
Zurück zum Zitat Anstey KJ, von Sanden C, Luszcz MA (2006) An 8-year prospective study of the relationship between cognitive performance and falling in very old adults. J Am Geriatr Soc 54(8):1169–1176. doi:10.1111/j.1532-5415.2006.00813.xCrossRefPubMed Anstey KJ, von Sanden C, Luszcz MA (2006) An 8-year prospective study of the relationship between cognitive performance and falling in very old adults. J Am Geriatr Soc 54(8):1169–1176. doi:10.1111/j.1532-5415.2006.00813.xCrossRefPubMed
9.
Zurück zum Zitat Priest AW, Salamon KB, Hollman JH (2008) Age-related differences in dual task walking: a cross sectional study. J Neuroeng Rehabil 5:29. doi:10.1186/1743-0003-5-29PubMedCentralCrossRefPubMed Priest AW, Salamon KB, Hollman JH (2008) Age-related differences in dual task walking: a cross sectional study. J Neuroeng Rehabil 5:29. doi:10.1186/1743-0003-5-29PubMedCentralCrossRefPubMed
10.
Zurück zum Zitat Kressig RW, Beauchet O (2004) Gait analysis and tailored exercise prescription in older adults. Z Gerontol Geriatr 37(1):15–19. doi:10.1007/s00391-004-0205-6CrossRefPubMed Kressig RW, Beauchet O (2004) Gait analysis and tailored exercise prescription in older adults. Z Gerontol Geriatr 37(1):15–19. doi:10.1007/s00391-004-0205-6CrossRefPubMed
11.
12.
Zurück zum Zitat Montero-Odasso M, Muir SW, Gopaul K, Annweiler C, Beauchet O (2011) Gait velocity versus the timed up and go test: which one to use for the prediction of falls and other adverse health outcomes in primary care?. J Am Geriatr Soc 59(11):2191–2192; author reply 2192–2193. doi:10.1111/j.1532-5415.2011.03646.xCrossRefPubMed Montero-Odasso M, Muir SW, Gopaul K, Annweiler C, Beauchet O (2011) Gait velocity versus the timed up and go test: which one to use for the prediction of falls and other adverse health outcomes in primary care?. J Am Geriatr Soc 59(11):2191–2192; author reply 2192–2193. doi:10.1111/j.1532-5415.2011.03646.xCrossRefPubMed
13.
Zurück zum Zitat Najafi B, Khan T, Wrobel J (2011) Laboratory in a box: wearable sensors and its advantages for gait analysis. Conference proceedings: annual International Conference of the IEEE Engineering in Medicine and Biology Society IEEE Engineering in Medicine and Biology Society Annual Conference 2011:6507–6510. doi:10.1109/IEMBS.2011.6091605 Najafi B, Khan T, Wrobel J (2011) Laboratory in a box: wearable sensors and its advantages for gait analysis. Conference proceedings: annual International Conference of the IEEE Engineering in Medicine and Biology Society IEEE Engineering in Medicine and Biology Society Annual Conference 2011:6507–6510. doi:10.1109/IEMBS.2011.6091605
14.
Zurück zum Zitat von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP, Iniciativa S (2008) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Rev Esp Salud Publica 82(3):251–259 von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP, Iniciativa S (2008) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Rev Esp Salud Publica 82(3):251–259
15.
Zurück zum Zitat Swiss Academy of Medicine (2004) Treatment and care of elderly persons who are in need of care. Swiss Med Wkly 134(41–42):618–626. doi:2004/41/smw-10848 Swiss Academy of Medicine (2004) Treatment and care of elderly persons who are in need of care. Swiss Med Wkly 134(41–42):618–626. doi:2004/41/smw-10848
16.
Zurück zum Zitat Schwesig R, Leuchte S, Fischer D, Ullmann R, Kluttig A (2011) Inertial sensor based reference gait data for healthy subjects. Gait Posture 33(4):673–678. doi:10.1016/j.gaitpost.2011.02.023CrossRefPubMed Schwesig R, Leuchte S, Fischer D, Ullmann R, Kluttig A (2011) Inertial sensor based reference gait data for healthy subjects. Gait Posture 33(4):673–678. doi:10.1016/j.gaitpost.2011.02.023CrossRefPubMed
17.
Zurück zum Zitat Schwesig R, Kauert R, Wust S, Becker S, Leuchte S (2010) Reliabilitätsstudie zum Ganganalysesystem RehaWatch. Biomed Tech 55(2):109–115CrossRef Schwesig R, Kauert R, Wust S, Becker S, Leuchte S (2010) Reliabilitätsstudie zum Ganganalysesystem RehaWatch. Biomed Tech 55(2):109–115CrossRef
18.
Zurück zum Zitat Derlien S, Böhme B, Leistritz L, Smolenski UC (2010) Validitätsuntersuchung zum neuen, innovativen Ganganalysesystem RehaWatch von Hasomed. Man Med 48(4):254–259CrossRef Derlien S, Böhme B, Leistritz L, Smolenski UC (2010) Validitätsuntersuchung zum neuen, innovativen Ganganalysesystem RehaWatch von Hasomed. Man Med 48(4):254–259CrossRef
19.
Zurück zum Zitat Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33(1):159–174CrossRefPubMed Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33(1):159–174CrossRefPubMed
20.
Zurück zum Zitat Rogan S, de Bie R, de Bruin ED (2014) Concurrent validity study of the RehaWatch® system during single and dual task walking in elderly with mobility disability. Doctor thesis, Maastricht University and CAPHRI Scholl for Public Health and Primary Care, Maastricht, The Netherlands Rogan S, de Bie R, de Bruin ED (2014) Concurrent validity study of the RehaWatch® system during single and dual task walking in elderly with mobility disability. Doctor thesis, Maastricht University and CAPHRI Scholl for Public Health and Primary Care, Maastricht, The Netherlands
21.
Zurück zum Zitat Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA, Cardiovascular Health Study Collaborative Research Group (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56(3):M146–156CrossRefPubMed Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA, Cardiovascular Health Study Collaborative Research Group (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56(3):M146–156CrossRefPubMed
22.
Zurück zum Zitat Jansenberger H (2011) Sturzprävention in Therapie und Training. Physiofachbuch. Thieme, Stuttgart Jansenberger H (2011) Sturzprävention in Therapie und Training. Physiofachbuch. Thieme, Stuttgart
23.
Zurück zum Zitat Winter DA, Patla AE, Frank JS, Walt SE (1990) Biomechanical walking pattern changes in the fit and healthy elderly. Phys Ther 70(6):340–347PubMed Winter DA, Patla AE, Frank JS, Walt SE (1990) Biomechanical walking pattern changes in the fit and healthy elderly. Phys Ther 70(6):340–347PubMed
24.
Zurück zum Zitat Hollman JH, Childs KB, McNeil ML, Mueller AC, Quilter CM, Youdas JW (2010) Number of strides required for reliable measurements of pace, rhythm and variability parameters of gait during normal and dual task walking in older individuals. Gait Posture 32(1):23–28. doi:10.1016/j.gaitpost.2010.02.017CrossRefPubMed Hollman JH, Childs KB, McNeil ML, Mueller AC, Quilter CM, Youdas JW (2010) Number of strides required for reliable measurements of pace, rhythm and variability parameters of gait during normal and dual task walking in older individuals. Gait Posture 32(1):23–28. doi:10.1016/j.gaitpost.2010.02.017CrossRefPubMed
25.
Zurück zum Zitat Gschwind YJ, Bridenbaugh SA (2011) Die Rolle der Ganganalyse. Informierte Arzt 6:39–41 Gschwind YJ, Bridenbaugh SA (2011) Die Rolle der Ganganalyse. Informierte Arzt 6:39–41
26.
Zurück zum Zitat Hausdorff JM, Edelberg HK, Mitchell SL, Goldberger AL, Wei JY (1997) Increased gait unsteadiness in community-dwelling elderly fallers. Arch Phys Med Rehabil 78(3):278–283CrossRefPubMed Hausdorff JM, Edelberg HK, Mitchell SL, Goldberger AL, Wei JY (1997) Increased gait unsteadiness in community-dwelling elderly fallers. Arch Phys Med Rehabil 78(3):278–283CrossRefPubMed
27.
Zurück zum Zitat Maki BE (1997) Gait changes in older adults: predictors of falls or indicators of fear. J Am Geriatr Soc 45(3):313–320CrossRefPubMed Maki BE (1997) Gait changes in older adults: predictors of falls or indicators of fear. J Am Geriatr Soc 45(3):313–320CrossRefPubMed
28.
Zurück zum Zitat Verghese J, Holtzer R, Lipton RB, Wang C (2009) Quantitative gait markers and incident fall risk in older adults. J Gerontol A Biol Sci Med Sci 64(8):896–901. doi:10.1093/gerona/glp033CrossRefPubMed Verghese J, Holtzer R, Lipton RB, Wang C (2009) Quantitative gait markers and incident fall risk in older adults. J Gerontol A Biol Sci Med Sci 64(8):896–901. doi:10.1093/gerona/glp033CrossRefPubMed
Metadaten
Titel
Spatiotemporal gait parameters during dual task walking in need of care elderly and young adults
A cross-sectional study
verfasst von
S. Agner
J. Bernet
Y. Brülhart
L. Radlinger, PhD
S. Rogan
Publikationsdatum
01.12.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 8/2015
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-015-0884-1

Weitere Artikel der Ausgabe 8/2015

Zeitschrift für Gerontologie und Geriatrie 8/2015 Zur Ausgabe

Mitteilungen der DGG

Mitteilungen der DGG

Mitteilungen der DGGG

Mitteilungen der DGGG

CME Zertifizierte Fortbildung

Grundlagen der Sozialen Gerontologie

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.