Acceleration Patterns of the Head and Pelvis During Gait in Older People With Parkinson's Disease: A Comparison of Fallers and Nonfallers
Identifieur interne : 000F13 ( Main/Corpus ); précédent : 000F12; suivant : 000F14Acceleration Patterns of the Head and Pelvis During Gait in Older People With Parkinson's Disease: A Comparison of Fallers and Nonfallers
Auteurs : Mark D. Latt ; Hylton B. Menz ; Victor S. Fung ; Stephen R. LordSource :
- Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences [ 1079-5006 ] ; 2009-02-16.
Abstract
Background Falls are common in older people with Parkinson's disease (PD) and are likely to be related to gait disturbances associated with the condition. Although several studies have evaluated differences in basic gait parameters in people with PD, none have directly evaluated the stability of the upper body during gait. Methods Temporospatial gait parameters and acceleration patterns at the head and pelvis were measured in three groups of older people: 33 controls without PD (mean age 67 4 years), 33 older people with PD and no history of falls (mean age 63 4 years), and 33 older people with PD and a history of falls (mean age 67 2 years). Harmonic ratios of head and pelvis accelerations in each plane were calculated to provide an indicator of upper body stability. Results Compared with the control group, older people with PD exhibited significantly reduced walking speed and step length and increased step timing variability. Acceleration patterns were also significantly less rhythmic at the head and pelvis in all three planes. After adjusting for differences in walking speed and step timing variability, PD fallers exhibited significantly less rhythmic accelerations at the pelvis in the vertical and anteroposterior planes than PD nonfallers. Conclusions Acceleration patterns during gait differ between older people with and without PD and between older people with PD who do and do not fall. These findings suggest that an inability to control displacements of the torso when walking may predispose older people with PD to falls.
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DOI: 10.1093/gerona/glp009
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Lord</name><affiliation><mods:affiliation></mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: s.lord@unsw.edu.au</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:225FD5AFD907765304BCE14B4BAE62753A199EB6</idno><date when="2009" year="2009">2009</date><idno type="doi">10.1093/gerona/glp009</idno><idno type="url">https://api.istex.fr/document/225FD5AFD907765304BCE14B4BAE62753A199EB6/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000F13</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Acceleration Patterns of the Head and Pelvis During Gait in Older People With Parkinson's Disease: A Comparison of Fallers and Nonfallers</title><author><name sortKey="Latt, Mark D" sort="Latt, Mark D" uniqKey="Latt M" first="Mark D." last="Latt">Mark D. Latt</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author><author><name sortKey="Menz, Hylton B" sort="Menz, Hylton B" uniqKey="Menz H" first="Hylton B." last="Menz">Hylton B. Menz</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author><author><name sortKey="Fung, Victor S" sort="Fung, Victor S" uniqKey="Fung V" first="Victor S." last="Fung">Victor S. Fung</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author><author><name sortKey="Lord, Stephen R" sort="Lord, Stephen R" uniqKey="Lord S" first="Stephen R." last="Lord">Stephen R. Lord</name><affiliation><mods:affiliation></mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: s.lord@unsw.edu.au</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences</title><idno type="ISSN">1079-5006</idno><idno type="eISSN">1758-535X</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2009-02-16">2009-02-16</date><biblScope unit="volume">64A</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="700">700</biblScope><biblScope unit="page" to="706">706</biblScope></imprint><idno type="ISSN">1079-5006</idno></series><idno type="istex">225FD5AFD907765304BCE14B4BAE62753A199EB6</idno><idno type="DOI">10.1093/gerona/glp009</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1079-5006</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Background Falls are common in older people with Parkinson's disease (PD) and are likely to be related to gait disturbances associated with the condition. Although several studies have evaluated differences in basic gait parameters in people with PD, none have directly evaluated the stability of the upper body during gait. Methods Temporospatial gait parameters and acceleration patterns at the head and pelvis were measured in three groups of older people: 33 controls without PD (mean age 67 4 years), 33 older people with PD and no history of falls (mean age 63 4 years), and 33 older people with PD and a history of falls (mean age 67 2 years). Harmonic ratios of head and pelvis accelerations in each plane were calculated to provide an indicator of upper body stability. Results Compared with the control group, older people with PD exhibited significantly reduced walking speed and step length and increased step timing variability. Acceleration patterns were also significantly less rhythmic at the head and pelvis in all three planes. After adjusting for differences in walking speed and step timing variability, PD fallers exhibited significantly less rhythmic accelerations at the pelvis in the vertical and anteroposterior planes than PD nonfallers. Conclusions Acceleration patterns during gait differ between older people with and without PD and between older people with PD who do and do not fall. These findings suggest that an inability to control displacements of the torso when walking may predispose older people with PD to falls.</div></front></TEI><istex><corpusName>oup</corpusName><author><json:item><name>Mark D. Latt</name><affiliations><json:string>Department of General, Geriatric and Rehabilitation Medicine, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia</json:string></affiliations></json:item><json:item><name>Hylton B. Menz</name><affiliations><json:string>Musculoskeletal Research Centre, Faculty of Health Sciences, La Trobe University, Bundoora, Victoria, Australia</json:string></affiliations></json:item><json:item><name>Victor S. Fung</name><affiliations><json:string>Department of Neurology, Westmead Hospital, New South Wales, Australia</json:string></affiliations></json:item><json:item><name>Stephen R. Lord</name><affiliations><json:string>Prince of Wales Medical Research Institute, University of New South Wales, Randwick, Australia</json:string><json:string>E-mail: s.lord@unsw.edu.au</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Journal of Gerontology: Medical Sciences</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Gait</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Balance</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Accidental falls</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Background Falls are common in older people with Parkinson's disease (PD) and are likely to be related to gait disturbances associated with the condition. Although several studies have evaluated differences in basic gait parameters in people with PD, none have directly evaluated the stability of the upper body during gait. Methods Temporospatial gait parameters and acceleration patterns at the head and pelvis were measured in three groups of older people: 33 controls without PD (mean age 67 4 years), 33 older people with PD and no history of falls (mean age 63 4 years), and 33 older people with PD and a history of falls (mean age 67 2 years). Harmonic ratios of head and pelvis accelerations in each plane were calculated to provide an indicator of upper body stability. Results Compared with the control group, older people with PD exhibited significantly reduced walking speed and step length and increased step timing variability. Acceleration patterns were also significantly less rhythmic at the head and pelvis in all three planes. After adjusting for differences in walking speed and step timing variability, PD fallers exhibited significantly less rhythmic accelerations at the pelvis in the vertical and anteroposterior planes than PD nonfallers. Conclusions Acceleration patterns during gait differ between older people with and without PD and between older people with PD who do and do not fall. These findings suggest that an inability to control displacements of the torso when walking may predispose older people with PD to falls.</abstract><qualityIndicators><score>6.753</score><pdfVersion>1.3</pdfVersion><pdfPageSize>595 x 782 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>5</keywordCount><abstractCharCount>1552</abstractCharCount><pdfWordCount>3801</pdfWordCount><pdfCharCount>24672</pdfCharCount><pdfPageCount>7</pdfPageCount><abstractWordCount>246</abstractWordCount></qualityIndicators><title>Acceleration Patterns of the Head and Pelvis During Gait in Older People With Parkinson's Disease: A Comparison of Fallers and Nonfallers</title><genre><json:string>research-article</json:string></genre><host><volume>64A</volume><pages><last>706</last><first>700</first></pages><issn><json:string>1079-5006</json:string></issn><issue>6</issue><genre></genre><language><json:string>unknown</json:string></language><eissn><json:string>1758-535X</json:string></eissn><title>Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences</title></host><categories><wos><json:string>GERONTOLOGY</json:string><json:string>GERIATRICS & GERONTOLOGY</json:string></wos></categories><publicationDate>2009</publicationDate><copyrightDate>2009</copyrightDate><doi><json:string>10.1093/gerona/glp009</json:string></doi><id>225FD5AFD907765304BCE14B4BAE62753A199EB6</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/225FD5AFD907765304BCE14B4BAE62753A199EB6/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/225FD5AFD907765304BCE14B4BAE62753A199EB6/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/225FD5AFD907765304BCE14B4BAE62753A199EB6/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a">Acceleration Patterns of the Head and Pelvis During Gait in Older People With Parkinson's Disease: A Comparison of Fallers and Nonfallers</title><respStmt xml:id="ISTEX-API" resp="Références bibliographiques récupérées via GROBID" name="ISTEX-API (INIST-CNRS)"></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Oxford University Press</publisher><availability><p>OUP</p></availability><date>2009-02-16</date></publicationStmt><notesStmt><note>Decision Editor: Luigi Ferrucci, MD, PhD</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">Acceleration Patterns of the Head and Pelvis During Gait in Older People With Parkinson's Disease: A Comparison of Fallers and Nonfallers</title><author><persName><forename type="first">Mark D.</forename><surname>Latt</surname></persName><affiliation></affiliation></author><author><persName><forename type="first">Hylton B.</forename><surname>Menz</surname></persName><affiliation></affiliation></author><author><persName><forename type="first">Victor S.</forename><surname>Fung</surname></persName><affiliation></affiliation></author><author corresp="yes"><persName><forename type="first">Stephen R.</forename><surname>Lord</surname></persName><email>s.lord@unsw.edu.au</email><affiliation></affiliation></author></analytic><monogr><title level="j">Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences</title><idno type="pISSN">1079-5006</idno><idno type="eISSN">1758-535X</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2009-02-16"></date><biblScope unit="volume">64A</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="700">700</biblScope><biblScope unit="page" to="706">706</biblScope></imprint></monogr><idno type="istex">225FD5AFD907765304BCE14B4BAE62753A199EB6</idno><idno type="DOI">10.1093/gerona/glp009</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2009-02-16</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Background Falls are common in older people with Parkinson's disease (PD) and are likely to be related to gait disturbances associated with the condition. Although several studies have evaluated differences in basic gait parameters in people with PD, none have directly evaluated the stability of the upper body during gait. Methods Temporospatial gait parameters and acceleration patterns at the head and pelvis were measured in three groups of older people: 33 controls without PD (mean age 67 4 years), 33 older people with PD and no history of falls (mean age 63 4 years), and 33 older people with PD and a history of falls (mean age 67 2 years). Harmonic ratios of head and pelvis accelerations in each plane were calculated to provide an indicator of upper body stability. Results Compared with the control group, older people with PD exhibited significantly reduced walking speed and step length and increased step timing variability. Acceleration patterns were also significantly less rhythmic at the head and pelvis in all three planes. After adjusting for differences in walking speed and step timing variability, PD fallers exhibited significantly less rhythmic accelerations at the pelvis in the vertical and anteroposterior planes than PD nonfallers. Conclusions Acceleration patterns during gait differ between older people with and without PD and between older people with PD who do and do not fall. These findings suggest that an inability to control displacements of the torso when walking may predispose older people with PD to falls.</p></abstract><textClass><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>Gait</term></item><item><term>Balance</term></item><item><term>Accidental falls</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2009-02-16">Created</change><change when="2009-02-16">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2016-3-14">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/225FD5AFD907765304BCE14B4BAE62753A199EB6/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus oup" wicri:toSee="no header"><istex:docType PUBLIC="-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" URI="journalpublishing.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="research-article"><front><journal-meta><journal-id journal-id-type="hwp">gerona</journal-id><journal-id journal-id-type="publisher-id">gerona</journal-id><journal-title>Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences</journal-title><issn pub-type="epub">1758-535X</issn><issn pub-type="ppub">1079-5006</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.1093/gerona/glp009</article-id><article-categories><subj-group subj-group-type="heading"><subject>Journal of Gerontology: Medical Sciences</subject><subj-group><subject>Articles</subject></subj-group></subj-group></article-categories><title-group><article-title>Acceleration Patterns of the Head and Pelvis During Gait in Older People With Parkinson's Disease: A Comparison of Fallers and Nonfallers</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Latt</surname><given-names>Mark D.</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Menz</surname><given-names>Hylton B.</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Fung</surname><given-names>Victor S.</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Lord</surname><given-names>Stephen R.</given-names></name><xref ref-type="aff" rid="aff4">4</xref></contrib></contrib-group><aff id="aff1"><label>1</label>Department of General, Geriatric and Rehabilitation Medicine, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia</aff><aff id="aff2"><label>2</label>Musculoskeletal Research Centre, Faculty of Health Sciences, La Trobe University, Bundoora, Victoria, Australia</aff><aff id="aff3"><label>3</label>Department of Neurology, Westmead Hospital, New South Wales, Australia</aff><aff id="aff4"><label>4</label>Prince of Wales Medical Research Institute, University of New South Wales, Randwick, Australia</aff><author-notes><corresp>Address correspondence to Stephen R. Lord, PhD, Prince of Wales Medical Research Institute, University of New South Wales, Barker Street, Randwick, New South Wales 2031, Australia. Email: <email>s.lord@unsw.edu.au</email></corresp><fn><p><italic>Decision Editor: Luigi Ferrucci, MD, PhD</italic></p></fn></author-notes><pub-date pub-type="epub-ppub"><month>6</month><year>2009</year></pub-date><pub-date pub-type="epub"><day>16</day><month>2</month><year>2009</year></pub-date><volume>64A</volume><issue>6</issue><fpage>700</fpage><lpage>706</lpage><history><date date-type="received"><day>2</day><month>10</month><year>2007</year></date><date date-type="accepted"><day>25</day><month>6</month><year>2008</year></date></history><permissions><copyright-statement>© The Author 2009. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.</copyright-statement><copyright-year>2009</copyright-year></permissions><abstract><sec><title>Background</title><p>Falls are common in older people with Parkinson's disease (PD) and are likely to be related to gait disturbances associated with the condition. Although several studies have evaluated differences in basic gait parameters in people with PD, none have directly evaluated the stability of the upper body during gait.</p></sec><sec><title>Methods</title><p>Temporospatial gait parameters and acceleration patterns at the head and pelvis were measured in three groups of older people: 33 controls without PD (mean age 67 ± 4 years), 33 older people with PD and no history of falls (mean age 63 ± 4 years), and 33 older people with PD and a history of falls (mean age 67 ± 2 years). Harmonic ratios of head and pelvis accelerations in each plane were calculated to provide an indicator of upper body stability.</p></sec><sec><title>Results</title><p>Compared with the control group, older people with PD exhibited significantly reduced walking speed and step length and increased step timing variability. Acceleration patterns were also significantly less rhythmic at the head and pelvis in all three planes. After adjusting for differences in walking speed and step timing variability, PD fallers exhibited significantly less rhythmic accelerations at the pelvis in the vertical and anteroposterior planes than PD nonfallers.</p></sec><sec><title>Conclusions</title><p>Acceleration patterns during gait differ between older people with and without PD and between older people with PD who do and do not fall. These findings suggest that an inability to control displacements of the torso when walking may predispose older people with PD to falls.</p></sec></abstract><kwd-group><kwd>Parkinson's disease</kwd><kwd>Gait</kwd><kwd>Balance</kwd><kwd>Accidental falls</kwd></kwd-group></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Acceleration Patterns of the Head and Pelvis During Gait in Older People With Parkinson's Disease: A Comparison of Fallers and Nonfallers</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Acceleration Patterns of the Head and Pelvis During Gait in Older People With Parkinson's Disease: A Comparison of Fallers and Nonfallers</title></titleInfo><name type="personal"><namePart type="given">Mark D.</namePart><namePart type="family">Latt</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hylton B.</namePart><namePart type="family">Menz</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Victor S.</namePart><namePart type="family">Fung</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal" displayLabel="corresp"><namePart type="given">Stephen R.</namePart><namePart type="family">Lord</namePart><affiliation></affiliation><affiliation>E-mail: s.lord@unsw.edu.au</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article"></genre><originInfo><publisher>Oxford University Press</publisher><dateIssued encoding="w3cdtf">2009-02-16</dateIssued><dateCreated encoding="w3cdtf">2009-02-16</dateCreated><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Background Falls are common in older people with Parkinson's disease (PD) and are likely to be related to gait disturbances associated with the condition. Although several studies have evaluated differences in basic gait parameters in people with PD, none have directly evaluated the stability of the upper body during gait. Methods Temporospatial gait parameters and acceleration patterns at the head and pelvis were measured in three groups of older people: 33 controls without PD (mean age 67 4 years), 33 older people with PD and no history of falls (mean age 63 4 years), and 33 older people with PD and a history of falls (mean age 67 2 years). Harmonic ratios of head and pelvis accelerations in each plane were calculated to provide an indicator of upper body stability. Results Compared with the control group, older people with PD exhibited significantly reduced walking speed and step length and increased step timing variability. Acceleration patterns were also significantly less rhythmic at the head and pelvis in all three planes. After adjusting for differences in walking speed and step timing variability, PD fallers exhibited significantly less rhythmic accelerations at the pelvis in the vertical and anteroposterior planes than PD nonfallers. Conclusions Acceleration patterns during gait differ between older people with and without PD and between older people with PD who do and do not fall. These findings suggest that an inability to control displacements of the torso when walking may predispose older people with PD to falls.</abstract><note type="footnotes">Decision Editor: Luigi Ferrucci, MD, PhD</note><subject><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>Gait</topic><topic>Balance</topic><topic>Accidental falls</topic></subject><relatedItem type="host"><titleInfo><title>Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">1079-5006</identifier><identifier type="eISSN">1758-535X</identifier><identifier type="PublisherID">gerona</identifier><identifier type="PublisherID-hwp">gerona</identifier><part><date>2009</date><detail type="volume"><caption>vol.</caption><number>64A</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>700</start><end>706</end></extent></part></relatedItem><identifier type="istex">225FD5AFD907765304BCE14B4BAE62753A199EB6</identifier><identifier type="DOI">10.1093/gerona/glp009</identifier><accessCondition type="use and reproduction" contentType="copyright">The Author 2009. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. 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