The Effects of Systematic Environmental Manipulation on Gait of Older Adults.

cognitive load dual task falls gait kinematic older adults physical environment

Journal

Healthcare (Basel, Switzerland)
ISSN: 2227-9032
Titre abrégé: Healthcare (Basel)
Pays: Switzerland
ID NLM: 101666525

Informations de publication

Date de publication:
06 Oct 2020
Historique:
received: 24 08 2020
revised: 02 10 2020
accepted: 04 10 2020
entrez: 10 10 2020
pubmed: 11 10 2020
medline: 11 10 2020
Statut: epublish

Résumé

Quantification of gait changes in response to altered environmental stimuli may allow for improved understanding of the mechanisms that influence gait changes and fall occurrence in older adults. This study explored how systematic manipulation of a single dimension of one's environment affects spatiotemporal gait parameters. A total of 20 older adult participants walked at a self-selected pace in a constructed research hallway featuring a mobile wall, which allowed manipulation of the hallway width between three conditions: 1.14 m, 1.31 m, and 1.48 m. Spatiotemporal data from participants' walks were captured using an instrumented GAITRite mat. A repeated measures ANOVA revealed older adults spent significantly more time in double support in the narrowest hallway width compared to the widest, but did not significantly alter other spatiotemporal measures. Small-scale manipulations of a single dimension of the environment led to subtle, yet in some cases significant changes in gait, suggesting that small or even imperceptible environmental changes may contribute to altered gait patterns for older adults.

Identifiants

pubmed: 33036233
pii: healthcare8040386
doi: 10.3390/healthcare8040386
pmc: PMC7712942
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR002373
Pays : United States
Organisme : National Science Foundation
ID : NSF17-572-1815506
Organisme : NIH HHS
ID : UL1TR002373, KL2TR002374
Pays : United States

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Max Toepfer (M)

Program in Occupational Therapy, University of Wisconsin-Madison, Madison, WI 53750, USA.
Department of Kinesiology, University of Wisconsin-Madison, Madison, WI 53750, USA.

Alejandra Padilla (A)

Department of Kinesiology, University of Wisconsin-Madison, Madison, WI 53750, USA.

Kevin Ponto (K)

Department of Design Studies, School of Human Ecology, University of Wisconsin-Madison, Madison, WI 53750, USA.
Wisconsin Institute for Discovery, University of Wisconsin-Madison, Madison, WI 53750, USA.

Andrea H Mason (AH)

Department of Kinesiology, University of Wisconsin-Madison, Madison, WI 53750, USA.

Kristen A Pickett (KA)

Program in Occupational Therapy, University of Wisconsin-Madison, Madison, WI 53750, USA.
Department of Kinesiology, University of Wisconsin-Madison, Madison, WI 53750, USA.

Classifications MeSH