ArticleEuropean review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity2024
Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis.
Article in European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06510933 (Stability Effects After Heel Cups Orthopedics Treatment in Different BMI Index and Its Correlation to Physical Activity in Children. A Longitudinal Intervention Study), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Stability Effects After Heel Cups Orthopedics Treatment in Different BMI Index and Its Correlation to Physical Activity in Children. A Longitudinal Intervention Study
Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- The effectiveness of nudge-based physical activity interventions in frail older adults: a systematic review.The international journal of behavioral nutrition and physical activity · 2026Pooled it
- Comparison and validation of machine learning models to predict 5-year fall risk among community-dwelling older adults in China.BMC geriatrics · 2026Article
- Wearable AI for on-device frailty assessment.Nature communications · 2025Article
- Stepping through fear: analysing postural control in elderly women during transitional locomotor tasks.BMC geriatrics · 2025Article
- Gait kinematic and kinetic characteristics among older adults with varying degrees of frailty: a cross-sectional study.Scientific reports · 2025Article
- Application of machine learning for detecting high fall risk in middle-aged workers using video-based analysis of the first 3 steps.Journal of occupational health · 2025Article
- Inertial sensor-based gait classification for frailty status in older adults: A cross-sectional study.Computational and structural biotechnology journal · 2025Article
- Effects of cognitive dual-tasking on biomechanics and muscle activity during gait initiation and sit-to-walk in young adults.PloS one · 2025Article
- Age-Specific Differences in Laryngotracheal Trauma Characteristics: A Retrospective Study of Clinical Profiles, Outcomes, and Mortality Risk.Journal of clinical medicine · 2024Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGait initiation is challenging for older individuals with poor physical function, particularly for those with frailty. Frailty is a geriatric syndrome associated with increased risk of illness, falls, and functional decline. This study examines whether spatial and temporal parameters of gait initiation differ between groups of older adults with different levels of frailty, and whether fear of falling, and balance ability are correlated with the height of lifting the food during gait initiation.
methodsSixty-one individuals aged > 65 years, classified by Fried frailty phenotype, performed five self-paced gait initiation trials. Data was collected using a three-dimensional passive optical motion capture system, consisting of 10 cameras with the ability to perceive reflective markers, and two force plates. The total duration of gait initiation and the duration of its four sub-phases, the first step length, and the maximum foot clearance during the first step were derived, and compared statistically between groups. Additionally, an association analysis was conducted between foot clearance and fear of falling, and confidence in balance in older individuals.
resultsFrail individuals had significantly longer unloading durations, and total durations of gait initiation compared to non-frail older adults. Additionally, they had shorter first step lengths compared to non-frail older adults. Pre-frail older adults also showed shorter steps compared to the non-frail group. However, there were no significant differences between groups for the maximum foot clearance during the first step. Nevertheless, the maximum foot clearance of older individuals correlated significantly with their fear of falling and confidence in balance.
conclusionOlder adults with reduced physical function and signs of frailty mainly display longer duration of gait initiation and decreased first step length compared to non-frail older adults. The release phase is decreased as the double support phase is prolonged in frail patients. This information can guide the development of specialized exercise programs to improve mobility in this challenging motion between static and dynamic balance.
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