Gait Asymmetry During Dual-Task Obstacle Crossing in the Young and Elderly

• Authors: Emmanuel S. da Rocha , Álvaro S. Machado , Pedro S. Franco , Eliane C. Guadagnin , Felipe P. Carpes
• Languages of publication: EN

Abstracts

EN

Purpose. To evaluate gait asymmetry during obstacle crossing by young and elderly adults performing normal and dual-task gait. Methods. Ten healthy young adults and ten elderly adults with mild cognitive impairment performed a gait protocol by stepping over a foam obstacle during normal gait and while performing a secondary task (Stroop task). Sagittal kinematics of the lead and trail limbs were analyzed. Statistical procedures involved analysis of variance and t tests at a significance of 0.05. Results. Many of the kinematic variables presented a main effect for group (young adults vs. elderly adults), where the elderly featured poorer gait performance. It was observed that gait velocity during obstacle crossing in normal and dual-task gait was similar between the preferred and non-preferred limbs in both the young and elderly. However, the elderly were slower during normal and dual-task gait. A main effect for the dual-task condition was observed. Kinematic asymmetries for obstacle crossing were more frequent in the elderly and especially during the dual-task condition. Conclusions. The results suggest that the elderly may require more compensatory adjustments after crossing an obstacle. The asymmetries observed among the elderly may contribute to higher risk of falling during perturbed gait.

Keywords

EN

obstacle negotiation; ageing; functional lateralization; walking; secondary task; perturbed gait

• Publisher: De Gruyter Open
• Journal: Human Movement
• Year: 2013
• Volume: 14
• Issue: 2
• Pages: 138-143

Dates

published

1 - 06 - 2013

online

11 - 07 - 2013

Contributors

author

Emmanuel S. da Rocha

• Applied Neuromechanics Group, Laboratory of Neuromechanics, Federal University of Pampa, Uruguaiana, Brazil

author

Álvaro S. Machado

• Applied Neuromechanics Group, Laboratory of Neuromechanics, Federal University of Pampa, Uruguaiana, Brazil

author

Pedro S. Franco

• Applied Neuromechanics Group, Laboratory of Neuromechanics, Federal University of Pampa, Uruguaiana, Brazil

author

Eliane C. Guadagnin

• Laboratory of Biomechanics, Federal University of Santa Maria, Santa Maria, Brazil

author

Felipe P. Carpes

• Applied Neuromechanics Group, Laboratory of Neuromechanics, Federal University of Pampa, Uruguaiana, Brazil
• Laboratory of Biomechanics, Federal University of Santa Maria, Santa Maria, Brazil

References

• 1. Hegeman J., Weerdesteyn V., van den Bemt B., Nienhuis B., van Limbeek J., Duysens J., Dual-tasking interferes with obstacle avoidance reactions in healthy seniors. Gait Posture, 2012, 36 (2), 236-240, doi: 10.1016/j.gaitpost. 2012.02.024.[Crossref][WoS]
• 2. Galna B., Peters A., Murphy A.T., Morris M.E., Obstacle crossing deficits in older adults: A systematic review. GaitPosture, 2009, 30 (3), 270-275, doi: 10.1016/j.gaitpost. 2009.05.022.[Crossref][WoS]
• 3. Chen H.L., Lu T.W., Wanga T.M., Huang S.C., Biomechanical strategies for successful obstacle crossing with the trailing limb in older adults with medial compartment knee osteoarthritis. J Biomech, 2008, 41 (4), 753-761, doi: 10.1016/j.jbiomech.2007.11.017.[WoS][Crossref]
• 4. Zhang C., Mao D., Riskowski J.L., Song Q., Strategies of stepping over obstacles: The effects of long-term exercise in older adults. Gait Posture, 2011, 34 (2), 191-196, doi: 10.1016/j.gaitpost.2011.04.008.[Crossref][WoS]
• 5. Wang T.M., Yen H.C., Lu T.W., Chen H.L., Chang C.F., Liu Y.H. et al., Bilateral knee osteoarthritis does not affect inter-joint coordination in older adults with gait deviations during obstacle-crossing. J Biomech, 2009, 42 (14), 2349-2356. doi: 10.1016/j.jbiomech.2009.06.029.[Crossref][WoS]
• 6. Beauchet O., Allali G., Berrut G., Hommet C., Dubost V., Assal F., Gait analysis in demented subjects: Interests and perspectives. Neuropsychiatr Dis Treat, 2008, 4 (1), 155-160.[Crossref]
• 7. Ijmker T., Lamoth C.J.C., Gait and cognition: The relationship between gait stability and variability with executive function in persons with and without dementia. Gait Posture, 2012, 35 (1), 126-130, doi: 10.1016/j.gaitpost.2011.08.022.[WoS][Crossref]
• 8. Beauchet O., Annweiler C., Dubost V., Allali G., Kressig R.W., Bridenbaugh S. et al., Stops walking when talking: a predictor of falls in older adults? Eur J Neurol, 2009, 16 (7), 786-795, doi: 10.1111/j.1468-1331.2009.02612.x.[WoS][Crossref]
• 9. McFadyen B.J., Hegeman J., Duysens J., Dual task effects for asymmetric stepping on a split-belt treadmill. GaitPosture, 2009, 30 (3), 340-344, doi: 10.1016/j.gaitpost. 2009.06.004.[Crossref][WoS]
• 10. Di Fabio R.P., Kurszewski W.M., Jorgenson E.E., Kunz R.C., Footlift asymmetry during obstacle avoidance in highrisk elderly. J Am Geriatr Soc, 2004, 52 (12), 2088-2093, doi: 10.1111/j.1532-5415.2004.52569.x.[Crossref]
• 11. Laroche D.P., Cook S.B., Mackala K., Strength asymmetry increases gait Asymmetry and variability in older women. Med Sci Sports Exerc, 2012, 44 (11), 2172-2181, doi: 10.1249/MSS.0b013e31825e1d31.[Crossref]
• 12. Folstein M.F., Folstein S.E., McHugh P.R., “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 1975, 12 (3), 189-198, doi: 10.1016/0022-3956(75)90026-6.[Crossref]
• 13. Yesavage J.A., Brink T.L., Rose T.L., Lum O., Huang V., Adey M. et al., Development and validation of a geriatric depression screening scale: a preliminary report. J PsychiatrRes, 1982, 17 (1), 37-49, doi: 10.1016/0022-3956 (82)90033-4.[Crossref]
• 14. Lawton M.P., Brody E.M., Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist, 1969, 9 (3 Part 1), 179-186, doi: 10. 1093/geront/9.3_Part_1.179.[Crossref]
• 15. Elias L.J., Bryden M.P., Bulman-Fleming M.B., Footedness is a better predictor than is handedness of emotional lateralization. Neuropsychologia, 1998, 36 (1), 37-43, doi: 10.1016/S0028-3932(97)00107-3.[Crossref]
• 16. Liu M.W., Hsu W.C., Lu T.W., Chen H.L., Liu H.C., Patients with type II diabetes mellitus display reduced toe-obstacle clearance with altered gait patterns during obstaclecrossing. Gait Posture, 2010, 31, 93-99, doi: 10.1016/j. gaitpost.2009.09.005.[WoS][Crossref]
• 17. Uchiyama M., Demura, S., Sugiura, H. The mobility performance of the elderly before, during and after crossing over an obstacle. Hum Mov, 2012, 13 (4), 297-302, doi: 10.2478/v10038-012-0034-1.[Crossref]
• 18. Muir S.W., Speechley M., Wells J., Borrie M., Gopaul K., Montero-Odasso M., Gait assessment in mild cognitive impairment and Alzheimer’s disease: The effect of dualtask challenges across the cognitive spectrum. Gait Posture, 2012, 35 (1), 96-100, doi: 10.1016/j.gaitpost.2011.08.014.[Crossref][WoS]
• 19. Harley C., Wilkie R.M., Wann J.P., Stepping over obstacles: Attention demands and aging. Gait Posture, 2009, 29 (3), 428-432, doi: 10.1016/j.gaitpost.2008.10.063.[WoS][Crossref]
• 20. Perry M.C., Carville S.F., Smith I.C., Rutherford O.M., Newham D.J., Strength, power output and symmetry of leg muscles: effect of age and history of falling. Eur J ApplPhysiol, 2007, 100 (5), 553-561, doi: 10.1007/s00421-006-0247-0.[Crossref]
• 21. Skelton D.A., Kennedy J., Rutherford O.M., Explosive power and asymmetry in leg muscle function in frequent fallers and non-fallers aged over 65. Age Ageing, 2002, 31 (2), 119-125, doi: 10.1093/ageing/31.2.119.[Crossref]
• 22. Chen H.C., Ashton-Miller J.A., Alexander N.B., Schultz A.B., Stepping over obstacles: gait patterns of healthy young and old adults. J Gerontol, 1991, 46 (6), M196-203, doi: 10.1093/geronj/46.6.M196.[Crossref]
• 23. Sadeghi H., Prince F., Zabjek K.F., Labelle H., Simultaneous, bilateral, and three-dimensional gait analysis of elderly people without impairments. Am J Phys Med Rehabil, 2004, 83 (2), 112-123, doi: 10.1097/01.PHM.0000107484. 41639.2C.[Crossref]
• 24. Nagano H., Begg R.K., Sparrow W.A., Taylor S., Ageing and limb dominance effects on foot-ground clearance during treadmill and overground walking. Clin Biomech (Bristol, Avon), 2011, 26 (9), 962-968, doi: 10.1016/j. clinbiomech.2011.05.013.[Crossref][WoS]
• 25. Barrett R.S., Mills P.M., Begg R.K., A systematic review of the effect of ageing and falls history on minimum foot clearance characteristics during level walking. Gait Posture, 2010, 32 (4), 429-435, doi: 10.1016/j.gaitpost.2010. 07.010. [WoS][Crossref]

Identifiers

DOI

10.2478/humo-2013-0016