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Updated: Jul 4, 2026

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
Published on: November 7, 2014
New techniques and issues in assessing walking behavior and its contexts.
Patty S Freedson1, Keith Brendley, Barbara E Ainsworth
1University of Massachusetts Amherst, Amherst, MA 01003, USA. psf@kin.umass.edu
This study explores the metabolic cost of walking at various speeds, considering factors like gender and weight. It also reviews technological and self-report methods for assessing walking behavior and neighborhood walkability.
Area of Science:
- Exercise Physiology
- Biomechanics
- Public Health
Background:
- Understanding the metabolic cost of walking is crucial for assessing physical activity.
- Assessing community-based walking behavior requires reliable measurement tools.
- The built environment significantly influences physical activity levels.
Purpose of the Study:
- To review the metabolic responses to walking across different velocities.
- To examine technological and self-report methods for assessing walking behavior.
- To discuss methods for measuring neighborhood walkability and its impact.
Main Methods:
- Analysis of metabolic economy during walking at varying speeds.
- Review of engineering approaches and technology for motion analysis.
- Summary and critique of self-report questionnaires for walking behavior assessment.
- Exploration of walkability assessment tools for built environments.
Main Results:
- Metabolic cost of walking varies with locomotion velocity, influenced by gender, weight, and growth.
- Technological methods offer objective measures of walking patterns in community settings.
- Self-report methods provide insights into walking prevalence but have limitations.
- Neighborhood walkability is a key determinant of community-level walking behavior.
Conclusions:
- Comprehensive assessment of walking behavior requires integrating physiological, technological, and environmental factors.
- Objective and subjective measures are both valuable for understanding walking patterns.
- Environmental design plays a critical role in promoting walking for transportation and health.
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