Evidence map›Paper›PMID 37656410›Full record

ArticleAging clinical and experimental research2023

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

Xinrui Zhu, Fan Jia, Lingyu Kong, Hongqian Zhang, Shuyun Zhang, Yueqi Zhang, Liduan Wang

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Article in Aging clinical and experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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  3. Implications for fall efficacy strategies on center of pressure and center of gravity sway distances in adults with chronic low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
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5 · Who and what money

Authors and funding

7 authors.

Xinrui ZhuSchool of Rehabilitation Medicine, Weifang Medical University, Weifang, 261053, China.
Fan JiaSchool of Rehabilitation Medicine, Weifang Medical University, Weifang, 261053, China.
Lingyu KongPhysical Education and Sports School, Soochow University, Soochow, 215021, China.
Hongqian ZhangRehabilitation Medicine Department, Xingyi People's Hospital Affiliated to Guizhou Medical University, Xingyi, 562400, China.
Shuyun ZhangRehabilitation Medicine Department, Weifang People's Hospital, Weifang, 261000, China.
Yueqi ZhangRehabilitation Medicine Department, Weifang People's Hospital, Weifang, 261000, China.
Liduan WangSchool of Rehabilitation Medicine, Weifang Medical University, Weifang, 261053, China. wangliduan@wfmc.edu.cn.

Funding

the Ministry of Education of the People's Republic of China (202110438216S)Weifang Medical University (X2022076)
6 · The paper itself

Abstract

backgroundLong-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.

objectivesCompare the gait characteristics in Chinese long-term NH residents and community-living elderly during the walking Transitional Period (TP) and Stabilization Period (SP).

methods32 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.

resultsCompared 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.

conclusionsChinese 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.

Indexed as

Quality of LifeWalkingAgedBiomechanical PhenomenaEast Asian PeopleFearHumansIndependent LivingNursing HomesPostural BalanceResidence CharacteristicsTime and Motion StudiesAgingCommunity-livingElderlyKinematic characteristicsNursing homeWalking

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.