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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 1/2019

28.06.2017 | Original contribution

Influence of single and dual tasks on gait stability and gait speed in the elderly

An explorative study

verfasst von: Dr. Slavko Rogan, MSc PT, MSc Osteo, M.A. ad e, Dr. Jan Taeymans, MPH, MSc, MSc, Christian Bangerter, BSc PT, Sven Simon, BSc PT, Dr. Philippe Terrier, Roger Hilfiker, MSc

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 1/2019

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Abstract

Background

Gait stability during dual tasks is important for elderly persons, especially for elderly individuals in need of care. A study was conducted to assess gait stability by using Lyapunov exponents (λS) during single task and dual task conditions in independently living elderly people (Go-Goes) and elderly people in need of care (No-Goes).

Material and methods

This study was conducted with 26 participants (average age 82 ± 9.4 years) who were allocated to the Go-Goes or No-Goes group. Outcomes were mediolateral and vertical Lyapunov exponents (λS) from accelerometer data and gait speed under single task and dual task conditions.

Results

In both groups significantly higher mediolateral and vertical Lyapunov exponent values as well as significantly lower walking speeds under dual task conditions were found in both groups. The effect sizes were small to moderate for mediolateral λS and large for vertical λS and these differences remained when the analyses were adjusted for walking speed.

Conclusion

Elderly people showed lower gait stability and gait speed under dual task conditions compared to single task conditions.
Literatur
2.
Zurück zum Zitat Bruijn SM, Bregman DJ, Meijer OG, Beek PJ, van Dieën JH (2012) Maximum Lyapunov exponents as predictors of global gait stability: a modelling approach. Med Eng Phys 34(4):428–436CrossRefPubMed Bruijn SM, Bregman DJ, Meijer OG, Beek PJ, van Dieën JH (2012) Maximum Lyapunov exponents as predictors of global gait stability: a modelling approach. Med Eng Phys 34(4):428–436CrossRefPubMed
3.
Zurück zum Zitat Bruijn SM, van Dieën JH, Meijer OG, Beek PJ (2009) Is slow walking more stable? J Biomech 42(10):1506–1512CrossRefPubMed Bruijn SM, van Dieën JH, Meijer OG, Beek PJ (2009) Is slow walking more stable? J Biomech 42(10):1506–1512CrossRefPubMed
4.
Zurück zum Zitat Rosenstein MT, Collins JJ, De Luca CJ (1993) A practical method for calculating largest Lyapunov exponents from small data sets. Physica D 65(1):117–134CrossRef Rosenstein MT, Collins JJ, De Luca CJ (1993) A practical method for calculating largest Lyapunov exponents from small data sets. Physica D 65(1):117–134CrossRef
5.
Zurück zum Zitat Rogan S (2015) Innovative training program for elderly in long-term care. J Health Care Curr Rev 2(4):40 Rogan S (2015) Innovative training program for elderly in long-term care. J Health Care Curr Rev 2(4):40
6.
Zurück zum Zitat Rogan S, de Bruin ED, Radlinger L, Joehr C, Wyss C, Stuck N‑J, Bruelhart Y, de Bie RA, Hilfiker R (2015) Effects of whole-body vibration on proxies of muscle strength in old adults: a systematic review and meta-analysis on the role of physical capacity level. Eur Rev Aging Phys Act 12(1):1–26CrossRef Rogan S, de Bruin ED, Radlinger L, Joehr C, Wyss C, Stuck N‑J, Bruelhart Y, de Bie RA, Hilfiker R (2015) Effects of whole-body vibration on proxies of muscle strength in old adults: a systematic review and meta-analysis on the role of physical capacity level. Eur Rev Aging Phys Act 12(1):1–26CrossRef
7.
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
8.
Zurück zum Zitat Swiss AOM (2004) Treatment and care of elderly persons who are in need of care. Swiss Med Wkly 134(618):41–42 Swiss AOM (2004) Treatment and care of elderly persons who are in need of care. Swiss Med Wkly 134(618):41–42
11.
Zurück zum Zitat Agner S, Bernet J, Brulhart Y, Radlinger L, Rogan S (2015) Spatiotemporal gait parameters during dual task walking in need of care elderly and young adults: a cross-sectional study. Z Gerontol Geriatr 48(8):740–746. doi:10.1007/s00391-015-0884-1 CrossRefPubMed Agner S, Bernet J, Brulhart Y, Radlinger L, Rogan S (2015) Spatiotemporal gait parameters during dual task walking in need of care elderly and young adults: a cross-sectional study. Z Gerontol Geriatr 48(8):740–746. doi:10.​1007/​s00391-015-0884-1 CrossRefPubMed
12.
Zurück zum Zitat Hilfiker R, Vaney C, Gattlen B, Meichtry A, Deriaz O, Lugon-Moulin V, Anchisi-Bellwald AM, Palaci C, Foinant D, Terrier P (2013) Local dynamic stability as a responsive index for the evaluation of rehabilitation effect on fall risk in patients with multiple sclerosis: a longitudinal study. BMC Res Notes 6:260. doi:10.1186/1756-0500-6-260 CrossRefPubMedPubMedCentral Hilfiker R, Vaney C, Gattlen B, Meichtry A, Deriaz O, Lugon-Moulin V, Anchisi-Bellwald AM, Palaci C, Foinant D, Terrier P (2013) Local dynamic stability as a responsive index for the evaluation of rehabilitation effect on fall risk in patients with multiple sclerosis: a longitudinal study. BMC Res Notes 6:260. doi:10.​1186/​1756-0500-6-260 CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat van Schooten KS, Rispens SM, Pijnappels M, Daffertshofer A, van Dieen JH (2013) Assessing gait stability: the influence of state space reconstruction on inter- and intra-day reliability of local dynamic stability during over-ground walking. J Biomech 46(1):137–141. doi:10.1016/j.jbiomech.2012.10.032 CrossRefPubMed van Schooten KS, Rispens SM, Pijnappels M, Daffertshofer A, van Dieen JH (2013) Assessing gait stability: the influence of state space reconstruction on inter- and intra-day reliability of local dynamic stability during over-ground walking. J Biomech 46(1):137–141. doi:10.​1016/​j.​jbiomech.​2012.​10.​032 CrossRefPubMed
16.
Zurück zum Zitat Riva F, Bisi MC, Stagni R (2014) Gait variability and stability measures: Minimum number of strides and within-session reliability. Comput Biol Med 50:9–13CrossRefPubMed Riva F, Bisi MC, Stagni R (2014) Gait variability and stability measures: Minimum number of strides and within-session reliability. Comput Biol Med 50:9–13CrossRefPubMed
17.
Zurück zum Zitat Kressig R, Beauchet O (2004) Die Rolle der Ganganalyse in therapeutischen Trainingsprogrammen von Betagten. Z Gerontol Geriatr 37(1):15–19CrossRefPubMed Kressig R, Beauchet O (2004) Die Rolle der Ganganalyse in therapeutischen Trainingsprogrammen von Betagten. Z Gerontol Geriatr 37(1):15–19CrossRefPubMed
18.
Zurück zum Zitat Jansenberger H (2011) Sturzprävention in Therapie und Training. Thieme, Stuttgart Jansenberger H (2011) Sturzprävention in Therapie und Training. Thieme, Stuttgart
19.
Zurück zum Zitat Runge M (2000) Gehen, Gehstörungen und Stürze im Alter. Ost Sonderh Mobil Alter 15–20 Runge M (2000) Gehen, Gehstörungen und Stürze im Alter. Ost Sonderh Mobil Alter 15–20
20.
Zurück zum Zitat Hagner-Derengowska M, Kałużny K, Hagner W, Kałużna A, Kochański B, Borkowska A, Budzyński J (2016) The effect of two different cognitive tests on gait parameters during dual tasks in healthy postmenopausal women. Biomed Res Int 2016:1–7CrossRef Hagner-Derengowska M, Kałużny K, Hagner W, Kałużna A, Kochański B, Borkowska A, Budzyński J (2016) The effect of two different cognitive tests on gait parameters during dual tasks in healthy postmenopausal women. Biomed Res Int 2016:1–7CrossRef
21.
Zurück zum Zitat Howcroft J, Kofman J, Lemaire ED, McIlroy WE (2016) Analysis of dual-task elderly gait in fallers and non-fallers using wearable sensors. J Biomech 49(7):992–1001CrossRefPubMed Howcroft J, Kofman J, Lemaire ED, McIlroy WE (2016) Analysis of dual-task elderly gait in fallers and non-fallers using wearable sensors. J Biomech 49(7):992–1001CrossRefPubMed
22.
Zurück zum Zitat Grillo T, Spirgi-Gantert I, Suppe B (2014) FBL Klein-Vogelbach Functional Kinetics. Die Grundlagen: Bewegungsanalyse, Untersuchung, Behandlung. Springer, Berlin Heidelberg Grillo T, Spirgi-Gantert I, Suppe B (2014) FBL Klein-Vogelbach Functional Kinetics. Die Grundlagen: Bewegungsanalyse, Untersuchung, Behandlung. Springer, Berlin Heidelberg
23.
Zurück zum Zitat Li KZ, Lindenberger U, Freund AM, Baltes PB (2001) Walking while memorizing: age-related differences in compensatory behavior. Psychol Sci 12(3):230–237CrossRefPubMed Li KZ, Lindenberger U, Freund AM, Baltes PB (2001) Walking while memorizing: age-related differences in compensatory behavior. Psychol Sci 12(3):230–237CrossRefPubMed
24.
Zurück zum Zitat England SA, Granata KP (2007) The influence of gait speed on local dynamic stability of walking. Gait Posture 25(2):172–178CrossRefPubMed England SA, Granata KP (2007) The influence of gait speed on local dynamic stability of walking. Gait Posture 25(2):172–178CrossRefPubMed
Metadaten
Titel
Influence of single and dual tasks on gait stability and gait speed in the elderly
An explorative study
verfasst von
Dr. Slavko Rogan, MSc PT, MSc Osteo, M.A. ad e
Dr. Jan Taeymans, MPH, MSc, MSc
Christian Bangerter, BSc PT
Sven Simon, BSc PT
Dr. Philippe Terrier
Roger Hilfiker, MSc
Publikationsdatum
28.06.2017
Verlag
Springer Medizin
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 1/2019
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-017-1279-2

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