Daily walking kinematic characteristics of the elderly in different residential settings: experimental study on Chinese community-living elderly and long-term nursing home residents.

BACKGROUND: Long-term nursing home (NH) care helps NH residents with their daily activities and improves their quality of life, but negatively affects their independent physical activities and increases the risk of dangerous events. Dangerous events in the elderly usually occur in the conversion of walking periods when forward striding has already happened, but the body has not yet entered a completely steady walking. OBJECTIVES: Compare the gait characteristics in Chinese long-term NH residents and community-living elderly during the walking Transitional Period (TP) and Stabilization Period (SP). METHODS: 32 long-term NH residents and 33 age- and sex-matched community-living elderly were recruited. The 30-Second Chair Stand Test (30-s CST), Timed Up and Go Test (TUGT), and Modified Falls Efficacy Scale (MFES) were used to assess their body function. The Xsens MVN BIOMECH system was used to collect and analyze the gait parameters of participants. RESULTS: Compared to community-living elderly, NH residents had fewer numbers of 30-s CST, took more time to complete TUGT, and lower MEFS scores. NH residents showed slower gait speed (P < 0.001), less peak hip flexion (P = 0.022) and extension (P = 0.003), knee internal rotation (P = 0.023), and ankle plantarflexion (P = 0.001) and internal rotation (P = 0.007) angles during walking. When walking progressed from TP to SP, NH residents showed increased ankle dorsiflexion (P < 0.001), decreased hip internal rotation (P < 0.001), and community-living elderly had increased hip extension (P = 0.005) angles. CONCLUSIONS: Chinese long-term NH residents had reduced lower extremities strength and postural balance, and higher fear of falling compared to community-living elderly. Their walking performance also showed high fall risk. Besides, long-term NH residents adopted a distal strategy to propel the body forward, which may be a compensatory measure to compensate for inadequate proximal joint control from forward walking to stable walking, and long-term NH residents have reduced postural stability during this process.

Stride length mediates the correlation between movement coordination and sprint velocity.

In this study, we aimed to explore the correlation between movement coordination and sprint velocity and the mediating effects of stride length and frequency on this correlation. Thirty-two male college students (16 athletes and 16 non-athletes) participated in this study. Movement coordination was calculated using a vector coding method for intralimb (hip - knee, knee - ankle) and interlimb (hip - hip, knee - knee, ankle - ankle). There was a significant effect of group on hip - knee, hip - hip and ankle - ankle coupling angle during braking phase and knee - knee coupling angle during the propulsive phase. In all participants, the hip - hip coupling angle during the braking phase was positively correlated with sprint velocity, and the ankle - ankle coupling angle during the braking phase was negatively correlated with sprint velocity. Stride length mediated the relationship between hip - hip coupling angle and sprint velocity. In conclusion, the anti-phase of the hip - hip coupling angle and the swing phase of the ankle - ankle coupling angle may contribute to sprint velocity. Moreover, the correlation between hip - hip coupling angle and sprint velocity was related to stride length rather than stride frequency.

Gender-Specific Effects of 8-Week Multi-Modal Strength and Flexibility Training on Hamstring Flexibility and Strength.

The purpose of this study was to investigate the effects of multi-modal strength training or flexibility training on hamstring flexibility and strength in young males and females. A total of 20 male and 20 female college students (aged 18-24 years) participated in this study and were randomly assigned to either a multi-modal flexibility intervention group or strength intervention group. Passive straight leg raise and isokinetic strength test were performed before and after the intervention to determine flexibility and strength of the participants. Multivariate repeated-measure ANOVA was used to determine the effect of training group and gender on hamstring strength and flexibility. Both male and female participants in the strength intervention group significantly increased peak torque, relative peak torque, and flexibility (all p ≤ 0.029). Both male and female participants in the flexibility intervention group significantly increased flexibility (both p ≤ 0.001). Female participants in the flexibility intervention group significantly increased peak torque and relative peak torque (both p ≤ 0.023). However, no change was seen in peak torque and relative peak torque of male participants in the flexibility intervention group (p ≥ 0.676). An 8-week strength training program involving various training components can increase flexibility in both males and females, although the flexibility of male participants only increased slightly. While hamstring flexibility training protocol consisted of different types of stretching improved both flexibility and strength in female participants, male participants increased only flexibility but not strength, indicating such effects were gender-specific. For subjects with relatively low strength (e.g., older adults, sedentary women, postoperative rehabilitation population, etc.), strength training alone or flexibility training alone may increase both strength and flexibility.

Effect of frailty on kinematic characteristics of walking in community-dwelling elders.

OBJECTIVE: Frailty has a high prevalence in elders and impairs motor ability. This study aimed to investigate the influence caused by frailty in kinematic characteristics of walking and walking strategy adjustment from static standing to stable walking. METHODS: In this study, 80 community-dwelling elders performed tests. The Kihon checklist (KCL) was used to assess frailty. The timed up and go test (TUGT) and the 30-s chair stand test (30-s CST) were used to assess balance and muscle strength. The Xsens MVN BIOMECH Awinda was used to collect walking kinematic data. RESULTS: This study included 25 robust, 30 prefrail, and 25 frail elders. The TUGT completed time (P < 0.001) and the 30-s CST completed number (P = 0.002) had statistical differences among groups. The maximum peak of knee internal rotation showed an interaction between the frailty and the walking phase (P = 0.015). The peak angle of hip adduction, hip and knee flexion, and knee and ankle internal rotation were significantly lower in frail elders than others (P < 0.05). CONCLUSION: Frailty affects the kinematic characteristics of walking, resulting in the hip, knee, and ankle flexion, hip adduction, knee and ankle internal rotation reduced. Besides, frailty has a specific negative effect on the walking strategy adjustment from static standing to stable walking.

Effects of motor skill level and speed on movement variability during running.

Variability in movement is an informative biological feature. This study aimed to examine the effects of motor skill level and running speed on movement variability. Twenty-nine male college students (fourteen athletes and fifteen non-athletes) participated in this study. All participants performed three motor tasks: 3 m/s running, 5 m/s running, and sprint running. Lower-limb kinematic data were acquired using a 16-camera infrared motion capture system. Lower-limb coordination during the stance phase was quantified using a continuous relative phase (CRP) method for interlimb (hip-hip, knee-knee, ankle-ankle) and intralimb (hip-knee, knee-ankle). The variabilities of stride length, stride cadence, joint angles, intralimb CRP, and interlimb CRP were calculated as standard deviations of each measurement. The results revealed that there were significant interaction effects between motor skill level and speed on movement variability for stride length (p = 0.047), ankle angle during propulsive phase (p = 0.001), knee-ankle CRP during propulsive phase (p = 0.007) and knee-knee CRP during propulsive phase (p = 0.009). Athletes showed greater angle variability, coordination variability and lower stride length variability during sprinting (all p < 0.05). In contrast, no between groups variability difference was observed when jogging at fixed lower speeds (all p > 0.05). Movement variability was greater for sprinting compared to jogging. Skill level was found to differentially affect the role of coordination variability in sprint performance. For athletes, hip-knee deviation phase and hip-hip deviation phase during braking phase were negatively correlated with sprinting speed (r = -0.563 and -0.642, respectively; both p < 0.05). For non-athletes, hip-knee deviation phase was positively correlated with sprinting speed (r = 0.581, p = 0.023). In conclusion, stride length become more stable, joint angle and coordination become more variable with long-term training. Results of this study also suggest that the relationship between coordination variability and performance is complicated and may depend on motor skill level. More longitudinal studies are needed to definitively determine the relationship between movement variability and performance.