Abstract:
:Inappropriate stepping in response to unexpected balance perturbations is more prevalent in older people and in those at risk of falling. This study examined responses to force-controlled waist pulls in young and older people, and sought to identify physiological and cognitive correlates of the force threshold for stepping. 242 older (79.7±4.2 years) and 15 young (29.5±5.3 years) adults underwent waist pull perturbations and assessments of physiological and neuropsychological functioning, general health and falls efficacy. Perturbation force that induced stepping, stepping strategy and number of steps were measured. The older group withstood less forceful perturbations with a feet-in-place strategy, compared to young. Likewise, older adults with high falls risk withstood less force than those with low risk. After controlling for body weight and gender, sway and lower limb strength were independent predictors of anterior stepping thresholds, reaction time was an independent predictor of posterior thresholds, and executive functioning and lower limb strength were independent predictors of the lateral thresholds. These results suggest that balance, strength and agility training, in addition to cognitive exercises may enhance the ability to withstand unexpected balance perturbations and reduce the risk of falls in older people.
journal_name
Gait Posturejournal_title
Gait & postureauthors
Sturnieks DL,Menant J,Vanrenterghem J,Delbaere K,Fitzpatrick RC,Lord SRdoi
10.1016/j.gaitpost.2012.03.007subject
Has Abstractpub_date
2012-07-01 00:00:00pages
356-60issue
3eissn
0966-6362issn
1879-2219pii
S0966-6362(12)00083-5journal_volume
36pub_type
杂志文章相关文献
GAIT & POSTURE文献大全abstract::Researchers have suggested that sensory cues can improve gait initiation in persons with Parkinson's disease (PD); however, there is little research that documents the effects of sensory cues on gait initiation. The purpose of this study was to examine the effects of auditory and cutaneous sensory cues on maximal spee...
journal_title:Gait & posture
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/S0966-6362(03)00065-1
更新日期:2004-06-01 00:00:00
abstract::Before altering the travel direction in normal gait, anticipatory activation in trunk muscles is observed, followed by a top-down sequence of rotation of body segments. Turning while pushing a cart is a more challenging task for the trunk because of its low stiffness in pushing while walking and the interaction with t...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2012.02.005
更新日期:2012-05-01 00:00:00
abstract::The aims of the present study were to investigate the relationship between the foot sensations and standing balance in patients with Multiple Sclerosis (MS) and find out the sensation, which best predicts balance. Twenty-seven patients with MS (Expanded Disability Status Scale 1-3.5) and 10 healthy volunteers were inc...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2011.05.015
更新日期:2011-06-01 00:00:00
abstract::The use of real-time biofeedback has been shown to enable individuals to make changes to their gait patterns. It remains unknown whether the short-term improvements reported in previous studies are retained in the longer term. In this study, the paradigm used to investigate the short and long-term effects of real-time...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2016.08.019
更新日期:2016-10-01 00:00:00
abstract:OBJECTIVE:To evaluate gait biomechanics after training with a virtual reality (VR) system and to elucidate underlying mechanisms that contributed to the observed functional improvement in gait speed and distance. DESIGN:A single blind randomized control study. SETTING:Gait analysis laboratory in a rehabilitation hosp...
journal_title:Gait & posture
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.gaitpost.2010.01.016
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Knee osteoarthritis (OA) is a degenerative joint disease that affects millions of individuals each year. Several biomechanical variables during walking have been identified as risk factors for developing knee OA, including the peak external knee adduction moment (KAM) and the knee flexion angle at initial co...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2020.10.030
更新日期:2021-01-01 00:00:00
abstract::The purpose of the present experiment was to investigate whether, with vision, the magnitude of the effect of calf muscles fatigue on postural control during bipedal quiet standing depends on the eye-visual target distance. Twelve young university students were asked to stand upright as immobile as possible in three v...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2005.07.011
更新日期:2006-10-01 00:00:00
abstract::The assumption that proprioceptive inputs from the lower legs are used to trigger balance and gait movements is questioned in this review (an outgrowth of discussions initiated during the Neural Control of Movement Satellite meeting held in Cozumel, Mexico, April 1997). Recent findings presented here suggest that trun...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/s0966-6362(98)00027-7
更新日期:1998-12-01 00:00:00
abstract:PURPOSE:To examine tibial acceleration and muscle activation during overground (OG), motorised treadmill (MT) and non-motorised treadmill conditions (NMT) when walking, jogging and running at matched velocities. METHODS:An accelerometer recorded acceleration at the mid-tibia and surface EMG electrodes recorded rectus ...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2016.06.037
更新日期:2016-09-01 00:00:00
abstract::An induced acceleration analysis (IAA) model was used to investigate the effect of tibial torsion on the ability of the soleus to support and propel the body during gait. The IAA approach is well suited for this study because it allows soleus action to be quantified in the presence of varying amounts of tibial torsion...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/s0966-6362(02)00058-9
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Parkinson's disease (PD) differs from atypical parkinsonism in many clinical aspects. Principally, posture and gait are distinct features in the early stages of the disease; thus, these differences can be helpful in differential diagnosis. METHODS:We analyzed videos of patients with PD or atypical parkinson...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2014.01.004
更新日期:2014-04-01 00:00:00
abstract::Humans walk bipedally, and thus, it is unclear why they swing their arms. In this paper, we will review the mechanisms and functions of arm swinging in human gait. First, we discuss the potential advantages of having swinging arms. Second, we go into the detail on the debate whether arm swing is arising actively or pa...
journal_title:Gait & posture
pub_type: 杂志文章,评审
doi:10.1016/j.gaitpost.2013.02.006
更新日期:2013-09-01 00:00:00
abstract::Falls occur frequently in the growing population of elderly. Since trunk control is critical for maintaining balance, the higher trunk stiffness in elderly people compared to the general population has been associated with their increased fall-risk. Theoretically, trunk stiffness may be beneficial for balance recovery...
journal_title:Gait & posture
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.gaitpost.2006.09.080
更新日期:2007-07-01 00:00:00
abstract::There may be concerns about the validity of kinetic models when studying locomotion in obese subjects (OS). The aim of the present study was to improve and validate a relevant representation of obese subject from four kinetic models. Fourteen teenagers with severe primary obesity (BMI = 40 +/- 5.2 kg/m(2)), were studi...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2005.01.002
更新日期:2006-02-01 00:00:00
abstract::Stair descent is a challenging task in old age. This study firstly investigated lower extremity kinematics during stair descent in young (YOU) and healthy, community dwelling older adults (OLD). Secondly, the impact of an exercise training intervention on age-related differences in stair descent was assessed. At basel...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2005.12.014
更新日期:2007-01-01 00:00:00
abstract::The relationship between trunk and lower limb kinematics in healthy females versus males is unclear since trunk kinematics in the frontal and transverse planes have not been systematically examined with lower limb kinematics. The aim of this study was to investigate the existence of different multi-joints movement str...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2012.04.006
更新日期:2012-07-01 00:00:00
abstract::Falls are an important healthcare concern in the older population and tripping is the primary cause. Greater swing foot-ground clearance is functional for tripping prevention. Trips frequently occur due to the lowest part of the shoe contacting the walking surface. Shoe design effects on swing foot-ground clearance ar...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2015.05.013
更新日期:2015-07-01 00:00:00
abstract::The variability of the centre of pressure (COP) movement is a tool that is often used for stability assessments during standing; however, this variable can provide relevant findings during dynamic conditions, which are more related to fall risks. The aim of this study was to investigate age-related differences in the ...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2014.05.065
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Wearable inertial sensors have been shown to provide valid mean gait characteristics assessments, however, assessment of variability is less convincingly established. RESEARCH QUESTION:What level of concurrent validity, and session-to-session reliability does an ankle-worn inertial measurement unit (IMU)-ba...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2019.08.006
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Whole-body movement adjustments during gait are common post-stroke, but comprehensive ways of quantifying and evaluating gait from a whole-body perspective are lacking. RESEARCH QUESTION:Can novel kinematic variables related to Center of Mass (CoM) position discriminate side asymmetries as well as coordinat...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2020.08.115
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:The proprioceptive system plays a role in the maintenance of postural control more than the visual and vestibular systems in ataxic patients with postural control disorders, but the relationship between trunk proprioception and postural control has not been sufficiently investigated yet. This relationship ca...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2018.12.007
更新日期:2019-02-01 00:00:00
abstract:AIM:To investigate lower limb biomechanical strategy during stair walking in patients with diabetes and patients with diabetic peripheral neuropathy, a population known to exhibit lower limb muscular weakness. METHODS:The peak lower limb joint moments of twenty-two patients with diabetic peripheral neuropathy and thir...
journal_title:Gait & posture
pub_type: 评论,杂志文章
doi:10.1016/j.gaitpost.2016.03.007
更新日期:2016-05-01 00:00:00
abstract::Balance-recovery reactions that involve rapid step or reach-to-grasp movements are prevalent and functionally important responses to instability. Successful use of these reactions to recover balance in daily life requires a capacity to modulate the reaction to deal with the continual variation in environmental constra...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2008.08.011
更新日期:2009-02-01 00:00:00
abstract::Gait summary measures have been developed as a convenient method to communicate overall gait pathology. These measures are primarily used in the context of paediatric cerebral palsy and their use remains largely untested in other disability groups. This study assessed the suitability of gait summary measures for use w...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2011.09.013
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:The aims of this study were to investigate if patellar tendon shortening (PTS) as a part of SEMLS (single event multilevel surgery) is effective for reduction of flexed knee gait in children with cerebral palsy (CP) and, if PTS leads to stiff knee gait. METHODS:In a randomized controlled study 22 children w...
journal_title:Gait & posture
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.gaitpost.2017.12.004
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Stair walking contributed to 26% of self-reported falls and become the leading cause of accidental death for the elderly. The risk of fall increases while performing a cognitive task, like talking and/or reasoning. RESEARCH QUESTION:Our work aimed to found out whether body stability under physical-cognitive...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2018.08.008
更新日期:2018-10-01 00:00:00
abstract::This study examined whether passive metatarsophalangeal joints (MPJ) stiffness was associated with leg stiffness (Kleg) vertical stiffness (Kvert) and running economy (RE) during sub-maximal running. Nine male experienced runners underwent passive MPJ stiffness measurements in standing and sitting positions followed b...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2016.07.004
更新日期:2016-09-01 00:00:00
abstract::Assessment of motor disorders forms an important ingredient of neurology, rehabilitation medicine and orthopaedics. Until now, however, many of the employed assessment tools are derived from empirical knowledge. Almost no relation exists with modern theoretical notions about motor control. In the present article, moto...
journal_title:Gait & posture
pub_type: 杂志文章,评审
doi:10.1016/s0966-6362(01)00157-6
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Negotiating stairs is an important activity of daily living that is also associated with large loads on the knee joint. In medial compartment knee osteoarthritis, the knee adduction moment during level walking is considered a marker for disease severity. It could be argued that the discriminative capability ...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2019.07.192
更新日期:2019-09-01 00:00:00
abstract::This paper describes a protocol for dynamometer assisted manual muscle testing of the major muscle groups of the lower extremity and its application to 11 able-bodied children who also had conventional gait analysis to obtain joint kinetics. Data from the manual muscle testing was processed in such a way that the resu...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2005.09.015
更新日期:2006-12-01 00:00:00