Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis

Abstract Background Gait initiation is challenging for older individuals with poor physical function, particularly for those with frailty. Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation. Methods Sixty-one individuals aged < 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals. Results Frail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance. Conclusion Older adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. This information can guide the development of specialized exercise programs to improve mobility in this challenging motion between static and dynamic balance. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Jana Maria Hommen [verfasserIn] João P. Batista [verfasserIn] L. Cornelius Bollheimer [verfasserIn] Frank Hildebrand [verfasserIn] Thea Laurentius [verfasserIn] Hannah Lena Siebers [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	Biomechanical gait analysis Gait initiation Fried frailty phenotype Fall prevention Eldercare strategies (three-dimensional) motion capture system

Übergeordnetes Werk:	In: European Review of Aging and Physical Activity - BMC, 2016, 21(2024), 1, Seite 11
Übergeordnetes Werk:	volume:21 ; year:2024 ; number:1 ; pages:11

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s11556-024-00335-w

Katalog-ID:	DOAJ097666920

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245	1	0	\|a Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis
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520			\|a Abstract Background Gait initiation is challenging for older individuals with poor physical function, particularly for those with frailty. Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation. Methods Sixty-one individuals aged < 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals. Results Frail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance. Conclusion Older adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. This information can guide the development of specialized exercise programs to improve mobility in this challenging motion between static and dynamic balance.
650		4	\|a Biomechanical gait analysis
650		4	\|a Gait initiation
650		4	\|a Fried frailty phenotype
650		4	\|a Fall prevention
650		4	\|a Eldercare strategies
650		4	\|a (three-dimensional) motion capture system
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700	0		\|a Thea Laurentius \|e verfasserin \|4 aut
700	0		\|a Hannah Lena Siebers \|e verfasserin \|4 aut
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allfields	10.1186/s11556-024-00335-w doi (DE-627)DOAJ097666920 (DE-599)DOAJ5208a63365ce4ea8b2a4c44d2466c93f DE-627 ger DE-627 rakwb eng RC952-954.6 Jana Maria Hommen verfasserin aut Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Gait initiation is challenging for older individuals with poor physical function, particularly for those with frailty. Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation. Methods Sixty-one individuals aged < 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals. Results Frail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance. Conclusion Older adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. This information can guide the development of specialized exercise programs to improve mobility in this challenging motion between static and dynamic balance. Biomechanical gait analysis Gait initiation Fried frailty phenotype Fall prevention Eldercare strategies (three-dimensional) motion capture system Geriatrics João P. Batista verfasserin aut L. Cornelius Bollheimer verfasserin aut Frank Hildebrand verfasserin aut Thea Laurentius verfasserin aut Hannah Lena Siebers verfasserin aut In European Review of Aging and Physical Activity BMC, 2016 21(2024), 1, Seite 11 (DE-627)512663971 (DE-600)2236925-9 18616909 nnns volume:21 year:2024 number:1 pages:11 https://doi.org/10.1186/s11556-024-00335-w kostenfrei https://doaj.org/article/5208a63365ce4ea8b2a4c44d2466c93f kostenfrei https://doi.org/10.1186/s11556-024-00335-w kostenfrei https://doaj.org/toc/1861-6909 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2024 1 11
spelling	10.1186/s11556-024-00335-w doi (DE-627)DOAJ097666920 (DE-599)DOAJ5208a63365ce4ea8b2a4c44d2466c93f DE-627 ger DE-627 rakwb eng RC952-954.6 Jana Maria Hommen verfasserin aut Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Gait initiation is challenging for older individuals with poor physical function, particularly for those with frailty. Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation. Methods Sixty-one individuals aged < 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals. Results Frail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance. Conclusion Older adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. This information can guide the development of specialized exercise programs to improve mobility in this challenging motion between static and dynamic balance. Biomechanical gait analysis Gait initiation Fried frailty phenotype Fall prevention Eldercare strategies (three-dimensional) motion capture system Geriatrics João P. Batista verfasserin aut L. Cornelius Bollheimer verfasserin aut Frank Hildebrand verfasserin aut Thea Laurentius verfasserin aut Hannah Lena Siebers verfasserin aut In European Review of Aging and Physical Activity BMC, 2016 21(2024), 1, Seite 11 (DE-627)512663971 (DE-600)2236925-9 18616909 nnns volume:21 year:2024 number:1 pages:11 https://doi.org/10.1186/s11556-024-00335-w kostenfrei https://doaj.org/article/5208a63365ce4ea8b2a4c44d2466c93f kostenfrei https://doi.org/10.1186/s11556-024-00335-w kostenfrei https://doaj.org/toc/1861-6909 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2024 1 11
allfields_unstemmed	10.1186/s11556-024-00335-w doi (DE-627)DOAJ097666920 (DE-599)DOAJ5208a63365ce4ea8b2a4c44d2466c93f DE-627 ger DE-627 rakwb eng RC952-954.6 Jana Maria Hommen verfasserin aut Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Gait initiation is challenging for older individuals with poor physical function, particularly for those with frailty. Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation. Methods Sixty-one individuals aged < 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals. Results Frail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance. Conclusion Older adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. This information can guide the development of specialized exercise programs to improve mobility in this challenging motion between static and dynamic balance. Biomechanical gait analysis Gait initiation Fried frailty phenotype Fall prevention Eldercare strategies (three-dimensional) motion capture system Geriatrics João P. Batista verfasserin aut L. Cornelius Bollheimer verfasserin aut Frank Hildebrand verfasserin aut Thea Laurentius verfasserin aut Hannah Lena Siebers verfasserin aut In European Review of Aging and Physical Activity BMC, 2016 21(2024), 1, Seite 11 (DE-627)512663971 (DE-600)2236925-9 18616909 nnns volume:21 year:2024 number:1 pages:11 https://doi.org/10.1186/s11556-024-00335-w kostenfrei https://doaj.org/article/5208a63365ce4ea8b2a4c44d2466c93f kostenfrei https://doi.org/10.1186/s11556-024-00335-w kostenfrei https://doaj.org/toc/1861-6909 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2024 1 11
allfieldsGer	10.1186/s11556-024-00335-w doi (DE-627)DOAJ097666920 (DE-599)DOAJ5208a63365ce4ea8b2a4c44d2466c93f DE-627 ger DE-627 rakwb eng RC952-954.6 Jana Maria Hommen verfasserin aut Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Gait initiation is challenging for older individuals with poor physical function, particularly for those with frailty. Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation. Methods Sixty-one individuals aged < 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals. Results Frail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance. Conclusion Older adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. This information can guide the development of specialized exercise programs to improve mobility in this challenging motion between static and dynamic balance. Biomechanical gait analysis Gait initiation Fried frailty phenotype Fall prevention Eldercare strategies (three-dimensional) motion capture system Geriatrics João P. Batista verfasserin aut L. Cornelius Bollheimer verfasserin aut Frank Hildebrand verfasserin aut Thea Laurentius verfasserin aut Hannah Lena Siebers verfasserin aut In European Review of Aging and Physical Activity BMC, 2016 21(2024), 1, Seite 11 (DE-627)512663971 (DE-600)2236925-9 18616909 nnns volume:21 year:2024 number:1 pages:11 https://doi.org/10.1186/s11556-024-00335-w kostenfrei https://doaj.org/article/5208a63365ce4ea8b2a4c44d2466c93f kostenfrei https://doi.org/10.1186/s11556-024-00335-w kostenfrei https://doaj.org/toc/1861-6909 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2024 1 11
allfieldsSound	10.1186/s11556-024-00335-w doi (DE-627)DOAJ097666920 (DE-599)DOAJ5208a63365ce4ea8b2a4c44d2466c93f DE-627 ger DE-627 rakwb eng RC952-954.6 Jana Maria Hommen verfasserin aut Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Gait initiation is challenging for older individuals with poor physical function, particularly for those with frailty. Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation. Methods Sixty-one individuals aged < 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals. Results Frail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance. Conclusion Older adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. This information can guide the development of specialized exercise programs to improve mobility in this challenging motion between static and dynamic balance. Biomechanical gait analysis Gait initiation Fried frailty phenotype Fall prevention Eldercare strategies (three-dimensional) motion capture system Geriatrics João P. Batista verfasserin aut L. Cornelius Bollheimer verfasserin aut Frank Hildebrand verfasserin aut Thea Laurentius verfasserin aut Hannah Lena Siebers verfasserin aut In European Review of Aging and Physical Activity BMC, 2016 21(2024), 1, Seite 11 (DE-627)512663971 (DE-600)2236925-9 18616909 nnns volume:21 year:2024 number:1 pages:11 https://doi.org/10.1186/s11556-024-00335-w kostenfrei https://doaj.org/article/5208a63365ce4ea8b2a4c44d2466c93f kostenfrei https://doi.org/10.1186/s11556-024-00335-w kostenfrei https://doaj.org/toc/1861-6909 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2024 1 11
language	English
source	In European Review of Aging and Physical Activity 21(2024), 1, Seite 11 volume:21 year:2024 number:1 pages:11
sourceStr	In European Review of Aging and Physical Activity 21(2024), 1, Seite 11 volume:21 year:2024 number:1 pages:11
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Biomechanical gait analysis Gait initiation Fried frailty phenotype Fall prevention Eldercare strategies (three-dimensional) motion capture system Geriatrics
isfreeaccess_bool	true
container_title	European Review of Aging and Physical Activity
authorswithroles_txt_mv	Jana Maria Hommen @@aut@@ João P. Batista @@aut@@ L. Cornelius Bollheimer @@aut@@ Frank Hildebrand @@aut@@ Thea Laurentius @@aut@@ Hannah Lena Siebers @@aut@@
publishDateDaySort_date	2024-01-01T00:00:00Z
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language_de	englisch
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Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation. Methods Sixty-one individuals aged < 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals. Results Frail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance. Conclusion Older adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. 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callnumber-first	R - Medicine
author	Jana Maria Hommen
spellingShingle	Jana Maria Hommen misc RC952-954.6 misc Biomechanical gait analysis misc Gait initiation misc Fried frailty phenotype misc Fall prevention misc Eldercare strategies misc (three-dimensional) motion capture system misc Geriatrics Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis
authorStr	Jana Maria Hommen
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topic_title	RC952-954.6 Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis Biomechanical gait analysis Gait initiation Fried frailty phenotype Fall prevention Eldercare strategies (three-dimensional) motion capture system
topic	misc RC952-954.6 misc Biomechanical gait analysis misc Gait initiation misc Fried frailty phenotype misc Fall prevention misc Eldercare strategies misc (three-dimensional) motion capture system misc Geriatrics
topic_unstemmed	misc RC952-954.6 misc Biomechanical gait analysis misc Gait initiation misc Fried frailty phenotype misc Fall prevention misc Eldercare strategies misc (three-dimensional) motion capture system misc Geriatrics
topic_browse	misc RC952-954.6 misc Biomechanical gait analysis misc Gait initiation misc Fried frailty phenotype misc Fall prevention misc Eldercare strategies misc (three-dimensional) motion capture system misc Geriatrics
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title	Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis
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title_full	Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis
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author_browse	Jana Maria Hommen João P. Batista L. Cornelius Bollheimer Frank Hildebrand Thea Laurentius Hannah Lena Siebers
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title_sort	movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis
callnumber	RC952-954.6
title_auth	Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis
abstract	Abstract Background Gait initiation is challenging for older individuals with poor physical function, particularly for those with frailty. Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation. Methods Sixty-one individuals aged < 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals. Results Frail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance. Conclusion Older adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. This information can guide the development of specialized exercise programs to improve mobility in this challenging motion between static and dynamic balance.
abstractGer	Abstract Background Gait initiation is challenging for older individuals with poor physical function, particularly for those with frailty. Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation. Methods Sixty-one individuals aged < 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals. Results Frail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance. Conclusion Older adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. This information can guide the development of specialized exercise programs to improve mobility in this challenging motion between static and dynamic balance.
abstract_unstemmed	Abstract Background Gait initiation is challenging for older individuals with poor physical function, particularly for those with frailty. Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation. Methods Sixty-one individuals aged < 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals. Results Frail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance. Conclusion Older adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. This information can guide the development of specialized exercise programs to improve mobility in this challenging motion between static and dynamic balance.
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title_short	Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis
url	https://doi.org/10.1186/s11556-024-00335-w https://doaj.org/article/5208a63365ce4ea8b2a4c44d2466c93f https://doaj.org/toc/1861-6909
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