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• W2212240707 abstract "Research question: Canmeasures of adaptive gait add anything new to traditional functional assessments? Introduction: Adaptive gait is defined as the ability to alter gait in relation to the demands of an individuals’ environment. It is an important aspect of locomotion to consider in older adults, as adaptive gait facilitates the maintenance of functionality, independence and preventing falls [1]. However, adaptive capacity is rarely included in investigations of functional performance in older adults. Previous investigations focus on measures such as the timed-up-and-go test (TUG), the 5-times sit-to-stand (5StS) and gait speed. These tests are valid measures of physical function, but are not representative of the dynamic activities of daily life. We designed a short obstacle course to investigate whether testing adaptive locomotion could enhance standard functional assessments. Materials and methods: Twelve healthy older adults (72.40±4.83yrs, 165.7±9.2 cm, 74.5±10.9 kg) and 22 young healthy adults (21.4±1.9 yrs, 176.2±8.2 cm, 71.7±11.4 kg) were recruited. TUG scores, preferred treadmill walking speed (PWS), and 5StS were recorded for each subject, along with general self-efficacy (GSE), Falls Efficacy Scale International (FES-I), Pearlin and SchoolersMastery Scale tomeasure affective domains, and the Trail Making Test Part B (TMTb) to measure cognitive flexibility (CF). The obstacle course was 10m long and required the participants to navigate between 4 foam bollards, cross two 22.86 cm hurdles, an aerobic step and a pebble filled sheet. Time taken to complete the course was recorded (OBST). A correlation matrix was generated, reporting Pearson’s r for each pair of variables. Results: The functional tasks (OBST, TUG, 5StS, PWS) were correlated r=0.57. Age correlated with OBST (r=0.66) and TUG (r=0.81). A moderate correlation existed between OBST and the FES-I (r=0.51), with a weaker relationship between TUG and FESI (r=0.41). Conversely, TUG revealed a stronger relationship with CF (r=0.52) than was observed for OBST (r=0.38) GSE showed no correlation with any of the aforementioned domains. Discussion: This study explored adaptive gait with respect to more traditional measures of physical function, CF and affective domains. Performance on an “adaptive gait” based obstacle course demonstrated a stronger relationship to fear of falling than PWS, 5StS and TUG. Fear of falling is a significant risk factor in predicting future falls [2]. These results show that a 10mobstacle course could be an inexpensive and salient test in evaluating the efficacy of falls prevention programs for improving adaptive gait and reducing fall risk in older adults. References [1] Nankaku M, et al. Evaluation of hip fracture risk in relation to fall direction. Osteoporos Int 2005;16(11):1315–20. [2] Greenberg SA. Assessment of fear of falling in older adults: the falls efficacy scale-international (FES-I). Disabil Rehabil 2011;29(2):155–62." @default.
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• W2212240707 date "2015-09-01" @default.
• W2212240707 modified "2023-09-27" @default.
• W2212240707 title "Evaluation of adaptive gait capabilities should be included in falls risk assessment" @default.
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• W2212240707 doi "https://doi.org/10.1016/j.gaitpost.2015.06.017" @default.
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