Kinematic gait parameters for older adults with Parkinson's disease during street crossing simulation

Detalhes bibliográficos
Autor(a) principal: Amaral-Felipe, Késia Maísa do [UNESP]
Data de Publicação: 2020
Outros Autores: Yamada, Patrícia de Aguiar [UNESP], Abreu, Daniela Cristina Carvalho de, Freire Júnior, Renato Campos, Stroppa-Marques, Ana Elisa Zuliani [UNESP], Faganello-Navega, Flávia Roberta [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.humov.2020.102599
http://hdl.handle.net/11449/200119
Resumo: Safe street crossing is important for older adults' social inclusion. We assessed gait kinematic adaptation under different simulated street crossing conditions in older adults with Parkinson's disease (PD) and made comparisons with older adults without PD to understand how PD interferes in outdoor task performance, helping in the development of strategies to reduce road traffic accident risk. In 20 older adults without PD (control group – CG) and 20 with PD (GPD), we assessed usual gait (C1), gait during street crossing simulation (C2), and gait during reduced-time street crossing simulation (C3). Velocity, step length, and step, swing, stance, and double support time were analyzed. Spatiotemporal differences in gait between groups and conditions were analyzed. The GPD walked 16% slower in C1 and 12% slower in C2 and C3 than the CG. GPD also took 11% shorter steps in C1 and 9.5% shorter steps in C2. The double support time was 8.5% greater in C1. In intragroup comparisons, there were significant differences in all gait conditions. The CG showed increased velocity (C2 15% > C1; C3 13% > C2; C3 26% > C1), step length (C2 8% > C1; C3 5% > C2; C3 13% > C1), and swing time (C2 2% > C1; C3 3.7% > C2; C3 6% > C1), and decreased step time (C2 7.5% < C1; C3 8% < C2; C3 15% < C1), stance time (C2 1.3% < C1; C3 2.5% < C2; C3 3.6% < C1), and double support time (C2 6.3% < C1; C3 10.5% < C2; C3 16% < C1). GPD showed increased velocity (C2 19% > C1; C3 13.5% > C2; C3 29.7% > C1), step length, (C2 6% > C1; C3 7% > C2; C3 16% > C1), and swing time (C2 3% > C1; C3 3% > C2; C3 5.5% > C1) and decreased step time (C2 10.3% < C1; C3 7.7% < C2; C3 17% < C1), stance time (C2 1.7% < C1; C3 1.7% < C2; C3 3.4% < C1), and double support time (C2 7% < C1; C3 9.5% < C2; C3 16% < C1). Kinematic changes observed in the intergroup comparison show that participants with PD had lower velocity in all conditions. However, per the intragroup results, both participants with and without PD managed to significantly modify gait variables to attempt to cross the street in the given time. It is necessary to assess whether this increases fall risk by exposing them to road traffic accidents.
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spelling Kinematic gait parameters for older adults with Parkinson's disease during street crossing simulationGaitKinematicsOlder adultsParkinson's diseaseStreet crossingSafe street crossing is important for older adults' social inclusion. We assessed gait kinematic adaptation under different simulated street crossing conditions in older adults with Parkinson's disease (PD) and made comparisons with older adults without PD to understand how PD interferes in outdoor task performance, helping in the development of strategies to reduce road traffic accident risk. In 20 older adults without PD (control group – CG) and 20 with PD (GPD), we assessed usual gait (C1), gait during street crossing simulation (C2), and gait during reduced-time street crossing simulation (C3). Velocity, step length, and step, swing, stance, and double support time were analyzed. Spatiotemporal differences in gait between groups and conditions were analyzed. The GPD walked 16% slower in C1 and 12% slower in C2 and C3 than the CG. GPD also took 11% shorter steps in C1 and 9.5% shorter steps in C2. The double support time was 8.5% greater in C1. In intragroup comparisons, there were significant differences in all gait conditions. The CG showed increased velocity (C2 15% > C1; C3 13% > C2; C3 26% > C1), step length (C2 8% > C1; C3 5% > C2; C3 13% > C1), and swing time (C2 2% > C1; C3 3.7% > C2; C3 6% > C1), and decreased step time (C2 7.5% < C1; C3 8% < C2; C3 15% < C1), stance time (C2 1.3% < C1; C3 2.5% < C2; C3 3.6% < C1), and double support time (C2 6.3% < C1; C3 10.5% < C2; C3 16% < C1). GPD showed increased velocity (C2 19% > C1; C3 13.5% > C2; C3 29.7% > C1), step length, (C2 6% > C1; C3 7% > C2; C3 16% > C1), and swing time (C2 3% > C1; C3 3% > C2; C3 5.5% > C1) and decreased step time (C2 10.3% < C1; C3 7.7% < C2; C3 17% < C1), stance time (C2 1.7% < C1; C3 1.7% < C2; C3 3.4% < C1), and double support time (C2 7% < C1; C3 9.5% < C2; C3 16% < C1). Kinematic changes observed in the intergroup comparison show that participants with PD had lower velocity in all conditions. However, per the intragroup results, both participants with and without PD managed to significantly modify gait variables to attempt to cross the street in the given time. It is necessary to assess whether this increases fall risk by exposing them to road traffic accidents.ASCRS Research FoundationInstitute of Biosciences São Paulo State University (UNESP), Avenida vinte e quatro A, 1515Faculty Anhanguera of Jundiaí Rua do Retiro 3000Faculty of Higher Education of Interior São Paulo (FAIP), Avenida Antonieta Altenfelder, 65Laboratory of Assessment and Rehabilitation of Equilibrium Department of Biomechanics Medicine and Rehabilitation of the Locomotor System School of Medicine of Ribeirão Preto University of São Paulo, Avenida Bandeirantes, 3900Faculty of Physical Education and Physiotherapy Federal University of Amazonas, Avenida General Rodrigo Octavio Jordão Ramos, 1200Department of Physical Therapy and Occupational Therapy School of Philosophy and Science São Paulo State University (UNESP), Avenida Hygino Muzzi FIlho, 737Institute of Biosciences São Paulo State University (UNESP), Avenida vinte e quatro A, 1515Department of Physical Therapy and Occupational Therapy School of Philosophy and Science São Paulo State University (UNESP), Avenida Hygino Muzzi FIlho, 737ASCRS Research Foundation: 2012/01770-1Universidade Estadual Paulista (Unesp)3000Faculty of Higher Education of Interior São Paulo (FAIP)Universidade de São Paulo (USP)Federal University of AmazonasAmaral-Felipe, Késia Maísa do [UNESP]Yamada, Patrícia de Aguiar [UNESP]Abreu, Daniela Cristina Carvalho deFreire Júnior, Renato CamposStroppa-Marques, Ana Elisa Zuliani [UNESP]Faganello-Navega, Flávia Roberta [UNESP]2020-12-12T01:58:15Z2020-12-12T01:58:15Z2020-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.humov.2020.102599Human Movement Science, v. 70.1872-76460167-9457http://hdl.handle.net/11449/20011910.1016/j.humov.2020.1025992-s2.0-85080939301Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengHuman Movement Scienceinfo:eu-repo/semantics/openAccess2024-08-09T15:17:25Zoai:repositorio.unesp.br:11449/200119Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-09T15:17:25Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Kinematic gait parameters for older adults with Parkinson's disease during street crossing simulation
title Kinematic gait parameters for older adults with Parkinson's disease during street crossing simulation
spellingShingle Kinematic gait parameters for older adults with Parkinson's disease during street crossing simulation
Amaral-Felipe, Késia Maísa do [UNESP]
Gait
Kinematics
Older adults
Parkinson's disease
Street crossing
title_short Kinematic gait parameters for older adults with Parkinson's disease during street crossing simulation
title_full Kinematic gait parameters for older adults with Parkinson's disease during street crossing simulation
title_fullStr Kinematic gait parameters for older adults with Parkinson's disease during street crossing simulation
title_full_unstemmed Kinematic gait parameters for older adults with Parkinson's disease during street crossing simulation
title_sort Kinematic gait parameters for older adults with Parkinson's disease during street crossing simulation
author Amaral-Felipe, Késia Maísa do [UNESP]
author_facet Amaral-Felipe, Késia Maísa do [UNESP]
Yamada, Patrícia de Aguiar [UNESP]
Abreu, Daniela Cristina Carvalho de
Freire Júnior, Renato Campos
Stroppa-Marques, Ana Elisa Zuliani [UNESP]
Faganello-Navega, Flávia Roberta [UNESP]
author_role author
author2 Yamada, Patrícia de Aguiar [UNESP]
Abreu, Daniela Cristina Carvalho de
Freire Júnior, Renato Campos
Stroppa-Marques, Ana Elisa Zuliani [UNESP]
Faganello-Navega, Flávia Roberta [UNESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
3000
Faculty of Higher Education of Interior São Paulo (FAIP)
Universidade de São Paulo (USP)
Federal University of Amazonas
dc.contributor.author.fl_str_mv Amaral-Felipe, Késia Maísa do [UNESP]
Yamada, Patrícia de Aguiar [UNESP]
Abreu, Daniela Cristina Carvalho de
Freire Júnior, Renato Campos
Stroppa-Marques, Ana Elisa Zuliani [UNESP]
Faganello-Navega, Flávia Roberta [UNESP]
dc.subject.por.fl_str_mv Gait
Kinematics
Older adults
Parkinson's disease
Street crossing
topic Gait
Kinematics
Older adults
Parkinson's disease
Street crossing
description Safe street crossing is important for older adults' social inclusion. We assessed gait kinematic adaptation under different simulated street crossing conditions in older adults with Parkinson's disease (PD) and made comparisons with older adults without PD to understand how PD interferes in outdoor task performance, helping in the development of strategies to reduce road traffic accident risk. In 20 older adults without PD (control group – CG) and 20 with PD (GPD), we assessed usual gait (C1), gait during street crossing simulation (C2), and gait during reduced-time street crossing simulation (C3). Velocity, step length, and step, swing, stance, and double support time were analyzed. Spatiotemporal differences in gait between groups and conditions were analyzed. The GPD walked 16% slower in C1 and 12% slower in C2 and C3 than the CG. GPD also took 11% shorter steps in C1 and 9.5% shorter steps in C2. The double support time was 8.5% greater in C1. In intragroup comparisons, there were significant differences in all gait conditions. The CG showed increased velocity (C2 15% > C1; C3 13% > C2; C3 26% > C1), step length (C2 8% > C1; C3 5% > C2; C3 13% > C1), and swing time (C2 2% > C1; C3 3.7% > C2; C3 6% > C1), and decreased step time (C2 7.5% < C1; C3 8% < C2; C3 15% < C1), stance time (C2 1.3% < C1; C3 2.5% < C2; C3 3.6% < C1), and double support time (C2 6.3% < C1; C3 10.5% < C2; C3 16% < C1). GPD showed increased velocity (C2 19% > C1; C3 13.5% > C2; C3 29.7% > C1), step length, (C2 6% > C1; C3 7% > C2; C3 16% > C1), and swing time (C2 3% > C1; C3 3% > C2; C3 5.5% > C1) and decreased step time (C2 10.3% < C1; C3 7.7% < C2; C3 17% < C1), stance time (C2 1.7% < C1; C3 1.7% < C2; C3 3.4% < C1), and double support time (C2 7% < C1; C3 9.5% < C2; C3 16% < C1). Kinematic changes observed in the intergroup comparison show that participants with PD had lower velocity in all conditions. However, per the intragroup results, both participants with and without PD managed to significantly modify gait variables to attempt to cross the street in the given time. It is necessary to assess whether this increases fall risk by exposing them to road traffic accidents.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-12T01:58:15Z
2020-12-12T01:58:15Z
2020-04-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.humov.2020.102599
Human Movement Science, v. 70.
1872-7646
0167-9457
http://hdl.handle.net/11449/200119
10.1016/j.humov.2020.102599
2-s2.0-85080939301
url http://dx.doi.org/10.1016/j.humov.2020.102599
http://hdl.handle.net/11449/200119
identifier_str_mv Human Movement Science, v. 70.
1872-7646
0167-9457
10.1016/j.humov.2020.102599
2-s2.0-85080939301
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Human Movement Science
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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