Ankle Proprioception-Associated Gait Patterns in Older Adults: Results from the Baltimore Longitudinal Study of Aging.

Abstract:

INTRODUCTION:Ankle proprioception training has been found to improve balance-related gait disorders; however, the relationship between ankle proprioception and specific gait patterns in older adults with and without impaired balance has not been systematically examined. METHODS:This study characterizes gait patterns of 230 older adults age 60-95 yr evaluated in the Baltimore Longitudinal Study of Aging gait laboratory with (n = 82) and without impaired balance (inability to successfully complete a narrow walk) and examines ankle proprioception performance. RESULTS:Participants with impaired balance had a higher angle threshold for perceiving ankle movement than those without impaired balance even after controlling for the substantial age difference between groups (P = 0.017). Gait speed, stride length, hip and ankle range of motion, and mechanical work expenditure from the knee and ankle were associated with ankle proprioception performance (P < 0.050 for all) in the full sample, but these associations were evident only in participants with impaired balance in stratified analysis. CONCLUSION:Ankle proprioception in older persons with balance impairment may play a role in balance-related gait disorders and should be targeted for intervention.

journal_name

Med Sci Sports Exerc

authors

Ko SU,Simonsick EM,Deshpande N,Studenski S,Ferrucci L

doi

10.1249/MSS.0000000000001017

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

2190-2194

issue

11

eissn

0195-9131

issn

1530-0315

journal_volume

48

pub_type

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