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Updated: Jan 23, 2026

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
Published on: November 7, 2014
IS MUSCULAR AND FUNCTIONAL PERFORMANCE RELATED TO GAIT SYMMETRY IN OLDER ADULTS? A SYSTEMATIC REVIEW
Eliane C Guadagnin1, Fabio A Barbieri2, Lucas Simieli2
1Universidade Federal do Rio Grande do Sul, Exercise Research Laboratory, Porto Alegre, RS, Brazil; Federal University of Pampa, Applied Neuromechanics Research Group, Uruguaiana, RS, Brazil.
Background:
Gait asymmetries are a matter of discussion concerning gait adaptation in older adults. While most studies perform unilateral gait assessments, the hypothesis that asymmetry in gait biomechanics is influenced by muscular and functional performance in older people needs to be confirmed.
Purpose:
Here we performed a systematic review (CRD42018093189) to discuss the relationship between muscular and functional performance and gait asymmetries in older adults.
Materials And Methods:
Searches were performed using Medline via Pubmed, Scopus, PEDro, Cochrane Central, and Lilacs databases. Studies investigating leg asymmetries during overground locomotion and recording kinetics, kinematics or muscular activation parameters to determine at least one muscular or functional parameter were included.
Results:
Findings show that gait asymmetries, especially in step temporal parameters, are mainly related to functional outcomes, but the relationship with muscular performance was not possible to determine.
Conclusions:
The relationship of gait asymmetry with muscular performance is still unknown, and there is a lack of investigations. Improvements in performance of functional tasks lead to a more symmetric gait.
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