Comparison of gait characteristics between young and elderly people under dual tasks using three-dimensional gait analysis

doi:10.3969/j.issn.2095-4344.2967

Chinese Journal of Tissue Engineering Research ›› 2021, Vol. 25 ›› Issue (3): 344-349.doi: 10.3969/j.issn.2095-4344.2967

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Comparison of gait characteristics between young and elderly people under dual tasks using three-dimensional gait analysis

Yang Fengjiao1, 2, Wang Xiangbin1, 2, 3, Hou Meijin1, 2, Yu Jiao4, Li Zhenhui1, 2, Fu Shengxing1, 2, Lin Ziling1, 2, Liu Benke1, 2

1Fujian University of Traditional Chinese Medicine, Fujian Province, China; 2Key Laboratory of the Ministry of Education of Bone Injury and Sports Rehabilitation of Traditional Chinese Medicine, Fujian Province, China; 3Third People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fujian Province, China; 4Department of Rehabilitation Medicine, Longyan First Hospital, Fujian Medical University, Fujian Province, China

Received:2020-03-11 Revised:2020-03-16 Accepted:2020-05-13 Online:2021-01-28 Published:2020-11-16
Contact: Wang Xiangbin, Professor, Doctoral supervisor, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, Fujian Province, China; Key Laboratory of the Ministry of Education of Bone Injury and Sports Rehabilitation of Traditional Chinese Medicine, Fuzhou 350122, Fujian Province, China; Third People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350122, Fujian Province, China
About author:Yang Fengjiao, Master candidate, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, Fujian Province, China; Key Laboratory of the Ministry of Education of Bone Injury and Sports Rehabilitation of Traditional Chinese Medicine, Fuzhou 350122, Fujian Province, China
Supported by:
the National Natural Science Foundation of China, No. 81774384; the Open Project of Fujian Rehabilitation Industry Research Institute, No. 2015Y2001-55; the Leading Project of Science and Technology Department of Fujian Province, No. 2017Y0046; the Management Project of Fujian University of Traditional Chinese Medicine, No. X2017020

Abstract

Abstract: BACKGROUND: Dual-task walking is more common in daily life, and more challenging than single-task walking. It is more conducive to find potential gait abnormalities in daily life activities. It is widely used to evaluate the changes in motor performance and gait control when attention is distracted.
OBJECTIVE: The three-dimensional gait analysis system was applied to compare the difference of gait characteristics under dual-task walking between healthy young people and elderly people so as to provide reference for preventing the elderly people from falling.
METHODS: In the youth group, there were 21 cases aged (24.57±2.27) years old and with the height of (1.64±0.08) m. In the elderly group, there were 25 cases aged (62.72±2.39) years old and with the height of (1.60±0.07) m. The two groups of subjects performed the calculation task of “minus 1 (reciprocal) starting from any number within 100” during level walking. Motion Analysis system and Visual 3D software were applied to collect and analyze the gait data. The differences of gait spatiotemporal and kinetic parameters between the two groups were compared when performing dual-task walking.
RESULTS AND CONCLUSION: (1) Spatiotemporal parameters: Compared with youth group, both stride length [(1.14±0.09) m vs. (1.20±0.07) m, P < 0.05] and right step length [(0.57±0.04) m vs. (0.60±0.04) m, P < 0.01] were smaller in the elderly group. (2) Kinetic parameters: Compared with the youth group, the left second peak hip abduction moment was higher [(0.94±0.1) Nm/kg vs. (0.86±0.16) Nm/kg, P < 0.01]; the left ankle plantar flexor moment was lower [(1.27±0.11) Nm/kg vs. (1.35±0.15) Nm/kg, P < 0.05]; and bilateral ankle valgus muscle moments were lower [(0.31±0.14) Nm/kg vs. (0.45±0.16) Nm/kg, P < 0.01; (0.38±0.15) Nm/kg vs. (0.51±0.14) Nm/kg, P < 0.01] in the elderly group. (3) These results suggest that the walking automation ability of the elderly group was lower than youth group during dual-task walking. Dual-task walking mainly affects the hip and ankle joints of the elderly, which may be related to the challenge of dual-task walking to the elderly so that they could adapt the corresponding compensatory mode to maintain stability. The characteristics of gait changes in the elderly under dual tasks can be considered as a reference for the prevention of falls.

Key words: dual task, gait analysis, spatiotemporal parameters, kinetic parameter, youth, elderly

CLC Number:

Yang Fengjiao, Wang Xiangbin, Hou Meijin, Yu Jiao, Li Zhenhui, Fu Shengxing, Lin Ziling, Liu Benke. Comparison of gait characteristics between young and elderly people under dual tasks using three-dimensional gait analysis[J]. Chinese Journal of Tissue Engineering Research, 2021, 25(3): 344-349.

Figures/Tables 3

References

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Comparison of gait characteristics between young and elderly people under dual tasks using three-dimensional gait analysis

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