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Guidelines for Assessment of Gait and Reference Values for Spatiotemporal Gait Parameters in Older Adults: The Biomathics and Canadian Gait Consortiums Initiative

Identifieur interne : 000B20 ( Main/Exploration ); précédent : 000B19; suivant : 000B21

Guidelines for Assessment of Gait and Reference Values for Spatiotemporal Gait Parameters in Older Adults: The Biomathics and Canadian Gait Consortiums Initiative

Auteurs : Olivier Beauchet [Canada] ; Gilles Allali [Suisse, États-Unis] ; Harmehr Sekhon [Canada] ; Joe Verghese [États-Unis] ; Sylvie Guilain [Belgique] ; Jean-Paul Steinmetz [Luxembourg (pays)] ; Reto W. Kressig [Suisse] ; John M. Barden [Canada] ; Tony Szturm [Canada] ; Cyrille P. Launay [France] ; Sébastien Grenier [Canada] ; Louis Bherer [Canada] ; Teresa Liu-Ambrose [Canada] ; Vicky L. Chester [Canada] ; Michele L. Callisaya [Australie] ; Velandai Srikanth [Australie] ; Guillaume Léonard [Canada] ; Anne-Marie De Cock [Belgique] ; Ryuichi Sawa [Japon] ; Gustavo Duque [Australie] ; Richard Camicioli [Canada] ; Jorunn L. Helbostad [Norvège]

Source :

RBID : PMC:5540886

Abstract

Background: Gait disorders, a highly prevalent condition in older adults, are associated with several adverse health consequences. Gait analysis allows qualitative and quantitative assessments of gait that improves the understanding of mechanisms of gait disorders and the choice of interventions. This manuscript aims (1) to give consensus guidance for clinical and spatiotemporal gait analysis based on the recorded footfalls in older adults aged 65 years and over, and (2) to provide reference values for spatiotemporal gait parameters based on the recorded footfalls in healthy older adults free of cognitive impairment and multi-morbidities.

Methods: International experts working in a network of two different consortiums (i.e., Biomathics and Canadian Gait Consortium) participated in this initiative. First, they identified items of standardized information following the usual procedure of formulation of consensus findings. Second, they merged databases including spatiotemporal gait assessments with GAITRite® system and clinical information from the “Gait, cOgnitiOn & Decline” (GOOD) initiative and the Generation 100 (Gen 100) study. Only healthy—free of cognitive impairment and multi-morbidities (i.e., ≤ 3 therapeutics taken daily)—participants aged 65 and older were selected. Age, sex, body mass index, mean values, and coefficients of variation (CoV) of gait parameters were used for the analyses.

Results: Standardized systematic assessment of three categories of items, which were demographics and clinical information, and gait characteristics (clinical and spatiotemporal gait analysis based on the recorded footfalls), were selected for the proposed guidelines. Two complementary sets of items were distinguished: a minimal data set and a full data set. In addition, a total of 954 participants (mean age 72.8 ± 4.8 years, 45.8% women) were recruited to establish the reference values. Performance of spatiotemporal gait parameters based on the recorded footfalls declined with increasing age (mean values and CoV) and demonstrated sex differences (mean values).

Conclusions: Based on an international multicenter collaboration, we propose consensus guidelines for gait assessment and spatiotemporal gait analysis based on the recorded footfalls, and reference values for healthy older adults.


Url:
DOI: 10.3389/fnhum.2017.00353
PubMed: 28824393
PubMed Central: 5540886


Affiliations:


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<nlm:aff id="aff5">
<institution>Division of Cognitive & Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University</institution>
<country>Bronx, NY, United States</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Sekhon, Harmehr" sort="Sekhon, Harmehr" uniqKey="Sekhon H" first="Harmehr" last="Sekhon">Harmehr Sekhon</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Department of Medicine, Division of Geriatric Medicine, Sir Mortimer B. Davis—Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University</institution>
<country>Montreal, QC, Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Verghese, Joe" sort="Verghese, Joe" uniqKey="Verghese J" first="Joe" last="Verghese">Joe Verghese</name>
<affiliation wicri:level="1">
<nlm:aff id="aff5">
<institution>Division of Cognitive & Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University</institution>
<country>Bronx, NY, United States</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Guilain, Sylvie" sort="Guilain, Sylvie" uniqKey="Guilain S" first="Sylvie" last="Guilain">Sylvie Guilain</name>
<affiliation wicri:level="1">
<nlm:aff id="aff6">
<institution>Geriatric Department, Liège University Hospital</institution>
<country>Liege, Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff7">
<institution>Laboratory of Human Motion Analysis, Liège University</institution>
<country>Liege, Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Steinmetz, Jean Paul" sort="Steinmetz, Jean Paul" uniqKey="Steinmetz J" first="Jean-Paul" last="Steinmetz">Jean-Paul Steinmetz</name>
<affiliation wicri:level="1">
<nlm:aff id="aff8">
<institution>Centre for Memory and Mobility</institution>
<country>Luxembourg City, Luxembourg</country>
</nlm:aff>
<country xml:lang="fr">Luxembourg (pays)</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kressig, Reto W" sort="Kressig, Reto W" uniqKey="Kressig R" first="Reto W." last="Kressig">Reto W. Kressig</name>
<affiliation wicri:level="1">
<nlm:aff id="aff9">
<institution>Basel University Center for Medicine of Aging, Felix Platter Hospital and University of Basel</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Barden, John M" sort="Barden, John M" uniqKey="Barden J" first="John M." last="Barden">John M. Barden</name>
<affiliation wicri:level="1">
<nlm:aff id="aff10">
<institution>Faculty of Kinesiology and Health Studies, Neuromechanical Research Centre, University of Regina</institution>
<country>Regina, SK, Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Szturm, Tony" sort="Szturm, Tony" uniqKey="Szturm T" first="Tony" last="Szturm">Tony Szturm</name>
<affiliation wicri:level="1">
<nlm:aff id="aff11">
<institution>Department of Physical Therapy, College of Rehabilitation Sciences, University of Manitoba</institution>
<country>Winnipeg, MB, Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Launay, Cyrille P" sort="Launay, Cyrille P" uniqKey="Launay C" first="Cyrille P." last="Launay">Cyrille P. Launay</name>
<affiliation wicri:level="1">
<nlm:aff id="aff12">
<institution>Division of Geriatrics, Angers University Hospital</institution>
<country>Angers, France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Grenier, Sebastien" sort="Grenier, Sebastien" uniqKey="Grenier S" first="Sébastien" last="Grenier">Sébastien Grenier</name>
<affiliation wicri:level="1">
<nlm:aff id="aff13">
<institution>Centre de Recherche, Institut Universitaire de Gériatrie de Montréal</institution>
<country>Montreal, QC, Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bherer, Louis" sort="Bherer, Louis" uniqKey="Bherer L" first="Louis" last="Bherer">Louis Bherer</name>
<affiliation wicri:level="1">
<nlm:aff id="aff13">
<institution>Centre de Recherche, Institut Universitaire de Gériatrie de Montréal</institution>
<country>Montreal, QC, Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff14">
<institution>Department of Medicine and Montreal Heart Institute, University of Montreal</institution>
<country>Montreal, Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Liu Ambrose, Teresa" sort="Liu Ambrose, Teresa" uniqKey="Liu Ambrose T" first="Teresa" last="Liu-Ambrose">Teresa Liu-Ambrose</name>
<affiliation wicri:level="1">
<nlm:aff id="aff15">
<institution>Aging, Mobility and Cognitive Neuroscience Laboratory, University of British Columbia</institution>
<country>Vancouver, BC, Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Chester, Vicky L" sort="Chester, Vicky L" uniqKey="Chester V" first="Vicky L." last="Chester">Vicky L. Chester</name>
<affiliation wicri:level="1">
<nlm:aff id="aff16">
<institution>Andrew and Marjorie McCain Human Performance Laboratory, Richard J. Currie Center, Faculty of Kinesiology, University of New Brunswick</institution>
<country>Fredericton, NB, Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Callisaya, Michele L" sort="Callisaya, Michele L" uniqKey="Callisaya M" first="Michele L." last="Callisaya">Michele L. Callisaya</name>
<affiliation wicri:level="1">
<nlm:aff id="aff17">
<institution>Menzies Institute of Medical Research, University of Tasmania</institution>
<country>Hobart, TAS, Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff18">
<institution>Stroke and Ageing Research Group, Department of Medicine, Southern Clinical School, Monash University</institution>
<country>Melbourne, VIC, Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Srikanth, Velandai" sort="Srikanth, Velandai" uniqKey="Srikanth V" first="Velandai" last="Srikanth">Velandai Srikanth</name>
<affiliation wicri:level="1">
<nlm:aff id="aff18">
<institution>Stroke and Ageing Research Group, Department of Medicine, Southern Clinical School, Monash University</institution>
<country>Melbourne, VIC, Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Leonard, Guillaume" sort="Leonard, Guillaume" uniqKey="Leonard G" first="Guillaume" last="Léonard">Guillaume Léonard</name>
<affiliation wicri:level="1">
<nlm:aff id="aff19">
<institution>Research Center on Aging, CIUSSS de l'Estrie-CHUS</institution>
<country>Sherbrooke, QC, Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="De Cock, Anne Marie" sort="De Cock, Anne Marie" uniqKey="De Cock A" first="Anne-Marie" last="De Cock">Anne-Marie De Cock</name>
<affiliation wicri:level="1">
<nlm:aff id="aff20">
<institution>Department of Geriatrics and Department of Primary and Interdisciplinary Care (ELIZA), University of Antwerp and AZ St. Maarten Mechelen</institution>
<country>Antwerp, Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Sawa, Ryuichi" sort="Sawa, Ryuichi" uniqKey="Sawa R" first="Ryuichi" last="Sawa">Ryuichi Sawa</name>
<affiliation wicri:level="1">
<nlm:aff id="aff21">
<institution>Department of Physical Therapy, School of Health Sciences at Narita, International University of Health and Welfare</institution>
<country>Narita, Japan</country>
</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Duque, Gustavo" sort="Duque, Gustavo" uniqKey="Duque G" first="Gustavo" last="Duque">Gustavo Duque</name>
<affiliation wicri:level="1">
<nlm:aff id="aff22">
<institution>Australian Institute for Musculoskeletal Science, University of Melbourne and Western Health</institution>
<country>St. Albans, VIC, Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Camicioli, Richard" sort="Camicioli, Richard" uniqKey="Camicioli R" first="Richard" last="Camicioli">Richard Camicioli</name>
<affiliation wicri:level="1">
<nlm:aff id="aff23">
<institution>Division of Neurology, Department of Medicine, University of Alberta</institution>
<country>Edmonton, AB, Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Helbostad, Jorunn L" sort="Helbostad, Jorunn L" uniqKey="Helbostad J" first="Jorunn L." last="Helbostad">Jorunn L. Helbostad</name>
<affiliation wicri:level="1">
<nlm:aff id="aff24">
<institution>Department of Neuro-Medicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology</institution>
<country>Trondheim, Norway</country>
</nlm:aff>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff25">
<institution>Clinic for Clinical Services, St. Olav University Hospital</institution>
<country>Trondheim, Norway</country>
</nlm:aff>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Department of Microbiology and Cell Science, University of Florida, Gainesville</wicri:regionArea>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Frontiers in Human Neuroscience</title>
<idno type="eISSN">1662-5161</idno>
<imprint>
<date when="2017">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<bold>Background:</bold>
Gait disorders, a highly prevalent condition in older adults, are associated with several adverse health consequences. Gait analysis allows qualitative and quantitative assessments of gait that improves the understanding of mechanisms of gait disorders and the choice of interventions. This manuscript aims (1) to give consensus guidance for clinical and spatiotemporal gait analysis based on the recorded footfalls in older adults aged 65 years and over, and (2) to provide reference values for spatiotemporal gait parameters based on the recorded footfalls in healthy older adults free of cognitive impairment and multi-morbidities.</p>
<p>
<bold>Methods:</bold>
International experts working in a network of two different consortiums (i.e., Biomathics and Canadian Gait Consortium) participated in this initiative. First, they identified items of standardized information following the usual procedure of formulation of consensus findings. Second, they merged databases including spatiotemporal gait assessments with GAITRite® system and clinical information from the “Gait, cOgnitiOn & Decline” (GOOD) initiative and the Generation 100 (Gen 100) study. Only healthy—free of cognitive impairment and multi-morbidities (i.e., ≤ 3 therapeutics taken daily)—participants aged 65 and older were selected. Age, sex, body mass index, mean values, and coefficients of variation (CoV) of gait parameters were used for the analyses.</p>
<p>
<bold>Results:</bold>
Standardized systematic assessment of three categories of items, which were demographics and clinical information, and gait characteristics (clinical and spatiotemporal gait analysis based on the recorded footfalls), were selected for the proposed guidelines. Two complementary sets of items were distinguished: a minimal data set and a full data set. In addition, a total of 954 participants (mean age 72.8 ± 4.8 years, 45.8% women) were recruited to establish the reference values. Performance of spatiotemporal gait parameters based on the recorded footfalls declined with increasing age (mean values and CoV) and demonstrated sex differences (mean values).</p>
<p>
<bold>Conclusions:</bold>
Based on an international multicenter collaboration, we propose consensus guidelines for gait assessment and spatiotemporal gait analysis based on the recorded footfalls, and reference values for healthy older adults.</p>
</div>
</front>
<back>
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