Abstract：
OBJECTIVE:To compare the parameters of gait kinematics of older adults with cognitive impairment who live in community dwellings or those living or spending most of the time in non-family environment settings. METHODS:The sample was composed of 33 older adults of both sexes with cognitive impairment. Participants were separated into three groups: a community-dwelling older adult group comprised of 11 subjects; a semi-institutionalized older adult group comprised of 10 older adults attended in a geriatric daycare institution; and an institutionalized older adult group comprised of 12 older adults living in long-term institutions. Gait kinematics were recorded by pressure sensors (footswitches). Fifty gait cycles at self-selected pace were analyzed to obtain: gait speed, stride length, stance, swing, and stride time. The variability of these parameters was also analyzed. RESULTS:MANCOVA identified the main effect of groups (p < 0.001). Gait speed of older adults living in long-term institutions and older adults attended in geriatric daycare institutions was slower than community-living older adults (p < 0.001 and p = 0.04, respectively). Swing and stride time variability was higher in older adults living in long-term institutions (p = 0.003 and p = 0.001) and in older adults attended in geriatric daycare institutions (p = 0.02 and p = 0.001) than in community-dwelling older adults. CONCLUSION:The most important finding was that older adults with cognitive impairment who need non-family residential setting care had higher gait kinematics abnormalities, which may increase the risk of falls, compared to those who live in the community.
journal_name
Hum Mov Scijournal_title
Human movement scienceauthors
Marques NR,Dos Santos APML,Camilo GF,Cardoso BC,Brando ND,Hoffman J,Navega MT,de Abreu DCCLdoi
10.1016/j.humov.2020.102747subject
Has Abstractpub_date
2021-02-01 00:00:00pages
102747eissn
0167-9457issn
1872-7646pii
S0167-9457(20)30611-4journal_volume
75pub_type
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