Related Experiment Video
Updated: May 23, 2025

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
Published on: November 7, 2014
Gait changes with aging: an early warning sign for underlying pathology.
Jorik Nonnekes1,2, Erik Post3, Gabriele Imbalzano4,5
1Radboud University Medical Centre; Donders Institute for Brain, Cognition and Behaviour; Department of Rehabilitation; Centre of Expertise for Parkinson & Movement Disorders, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. jorik.nonnekes@radboudumc.nl.
Subtle changes in walking patterns, or gait, are not just signs of aging but can indicate underlying neurological diseases. Early detection of these gait disturbances can lead to timely interventions, improving patient outcomes and potentially increasing survival rates.
Area of Science:
- Neuroscience
- Gerontology
- Biomarkers
Background:
- Walking is a complex motor task involving the entire nervous system.
- Age-related gait changes are often misattributed to aging but may signal disease.
- Gait disturbances are linked to increased mortality in the general population.
Purpose of the Study:
- To highlight gait as a potential early warning system for underlying neurological pathology.
- To emphasize the clinical significance of gait changes as biomarkers.
- To discuss the benefits of early diagnosis and intervention for age-related gait disturbances.
Main Methods:
- Review of existing literature on gait changes and neurological disorders.
- Analysis of gait as a clinical biomarker for prodromal disease phases.
- Discussion of the implications of gait disturbances in aging populations.
Main Results:
- Gait changes can precede the clinical manifestation of many progressive neurological disorders by years.
- Gait disturbances are associated with dysfunction in neurological structures controlling gait.
- Age-related gait changes are predictive of increased mortality.
Conclusions:
- Gait analysis offers a non-invasive method for early disease detection.
- Identifying gait changes can facilitate proactive management and treatment strategies.
- Exploiting gait as an early warning system can reduce disability and improve survival.
Related Concept Videos
Changes in the Appendicular Skeleton with Age
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
The Effect of Aging on Tissues

