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Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
Published on: November 7, 2014
Kinematic Changes during Prolonged Fast-Walking in Old and Young Adults
Camila Fonseca Oliveira1,2, Edgar Ramos Vieira3, Filipa Manuel Machado Sousa1,2
1Center of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, Porto, Portugal.
Fast walking over time alters gait in young and old adults. Young adults show early fatigue signs, while older adults exhibit increased fall risk due to altered walking biomechanics.
Area of Science:
- Biomechanics
- Gerontology
- Human Movement Science
Background:
- Walking speed significantly impacts gait biomechanics.
- Previous research primarily examined post-exercise gait, overlooking in-task changes.
- Understanding dynamic gait adjustments during sustained fast walking is crucial for all age groups.
Purpose of the Study:
- To investigate the effects of prolonged fast walking on lower-limb kinematics in young and older adults.
- To analyze changes in temporospatial parameters and angular kinematics during a continuous fast-walking task.
- To compare age-related kinematic adaptations during sustained high-intensity walking.
Main Methods:
- Twenty-seven young and 23 older adults walked at 70% max heart rate for 20 minutes or until exhaustion.
- Analysis focused on temporospatial parameters and angular kinematics during the walking protocol.
- Gait analysis captured changes over time within the fast-walking task.
Main Results:
- Both age groups demonstrated increased step-width variability during fast walking.
- Older adults showed significant time-dependent changes in ankle and hip angles at toe-off.
- Younger adults exhibited changes in ankle angle at heel strike; both groups displayed altered lower-limb coordination during the swing phase.
Conclusions:
- Sustained fast walking induces kinematic changes indicative of fatigue in young adults.
- Increased step-width variability in older adults suggests a heightened risk of falls.
- Kinematic adaptations in older adults were concentrated in the hip and ankle, potentially impacting gait quality and propulsion.
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