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Related Experiment Video

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Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults

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The Walking Speed Questionnaire: Assessing Walking Speed in a Self-reported Format.

Guang-Ting Cong¹, Matthew R Cohn, Jordan C Villa

¹*Weill Cornell Medical College, New York, NY; †Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY; ‡State University of New York, Downstate Medical Center, Brooklyn, NY; and §Department of Biomedical Engineering, Cornell University, Ithaca, NY.

Journal of Orthopaedic Trauma

|November 17, 2015

Summary

The Walking Speed Questionnaire (WSQ) effectively estimates baseline gait speed (GS) in older adults, enabling frailty assessment even when direct measurement is impossible. This self-reported tool aids in healthcare settings and frailty research.

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Area of Science:

Gerontology
Biomedical Engineering
Clinical Assessment

Background:

Gait speed (GS) is crucial for assessing frailty in individuals aged 60 and older.
Conventional GS measurement can be contraindicated in immobilized patients, such as trauma cases.
A self-reported method is needed to assess pre-injury baseline GS.

Purpose of the Study:

To develop and validate a Walking Speed Questionnaire (WSQ) for self-reported gait speed assessment.
To provide a tool for estimating baseline GS when direct measurement is not feasible.
To facilitate frailty assessment and post-trauma care planning.

Main Methods:

The WSQ was developed using existing questionnaires and expert physician-researcher input.
Four ambulatory clinics participated, recruiting 101 individuals aged 60-95.
Participants completed the WSQ, and their responses were compared to measured GS.

Main Results:

All four WSQ questions significantly predicted true gait speed (P < 0.001).
The WSQ demonstrated strong correlation with measured GS (r = 0.696, ρ = 0.717).
The questionnaire proved to be a sufficiently accurate predictor of true GS.

Conclusions:

The WSQ is an effective tool for self-reported baseline gait speed assessment in adults aged 60+.
It enables gait screening in situations where conventional GS testing is contraindicated.
The WSQ can aid in frailty research and guide post-trauma care by establishing baseline targets.