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Substantiating Appropriate Motion Capture Techniques for the Assessment of Nordic Walking Gait and Posture in Older Adults
Published on: May 12, 2016
Cardiac and gait rhythms in healthy younger and older adults during treadmill walking tasks
Matthew W Wittstein1, Joseph M Starobin2, Randy J Schmitz2
1Elon University, 2525 CB, Elon, NC, 27244, USA. mwittstein@elon.edu.
Insights
This study shows that gait synchronization tasks, not fast walking, alter cardiac and gait rhythms in adults. These findings suggest that gait and cardiac rhythms can be influenced simultaneously.
Area of Science:
- Physiology
- Biomedical Engineering
- Gerontology
Background:
- Physiological subsystems change with aging and pathology, altering inter-subsystem dynamics.
- Cardiac and gait rhythms are examples of physiological patterns that change during physical activity.
- Understanding these changes is crucial for assessing health and mobility.
Purpose of the Study:
- To simultaneously monitor cardiac and gait rhythms during treadmill walking tasks.
- To investigate changes during normal speed, fast speed, and metronome-synchronized walking.
- To compare these changes in younger and older healthy adults.
Main Methods:
- Examined cardiac and gait rhythms in healthy younger and older adults during treadmill walking.
- Compared preferred speed walking with fast walking and gait synchronization tasks.
- Analyzed rhythm variability using mean, standard deviation, coefficient of variation, DFA α, and sample entropy.
Main Results:
- Gait synchronization significantly affected all gait variables.
- Fast walking did not show significant effects on gait variables.
- Cardiac rhythms showed decreased mean and increased DFA α exclusively during gait synchronization.
Conclusions:
- Adults of all ages displayed similar cardiac and gait rhythm changes during treadmill tasks.
- Cardiac rhythms were uniquely altered during gait synchronization.
- Findings suggest the potential to simultaneously influence cardiac and gait rhythm variability and structure.
Background:
Aging and pathology result in changes in the dynamics of several physiological subsystems. Often, these changes are concurrent, altering the dynamics between subsystems. Cardiac and gait rhythms are one example in which patterns change during physical activity.
Aims:
The purpose of this research is to simultaneously monitor changes in cardiac and gait rhythms when participants complete various treadmill walking tasks-normal speed, fast speed, and while synchronizing steps with a blinking metronome.
Methods:
The cardiac and gait rhythms of younger and older healthy adults were examined in this study during treadmill walking tasks. Pre-test and post-test walking at a preferred walking speed were compared to fast walking and walking with a gait synchronization test. Cardiac and gait rhythms were observed to calculate the mean, standard deviation, coefficient of variation, detrended fluctuation analysis scaling exponent alpha (DFA α), and sample entropy from each 15-min trial. Separate MANOVAs were used to examine the two experimental conditions for cardiac and gait rhythm variability.
Results:
During the gait synchronization experiment, main effects for phase were exhibited for all gait variables, but none were shown during the fast walking task. Meanwhile, the cardiac rhythms demonstrated decreased mean and increased DFA α only during the synchronization condition.
Discussion:
Participants, regardless of age, exhibited similar patterns of change in their cardiac and locomotor rhythms during the treadmill walking tasks. Cardiac rhythms were only altered during the gait synchronization task, suggesting it may be possible to simultaneously influence the variability and structure of cardiac and gait rhythms.
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