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Gait Asymmetry During Dual-Task Obstacle Crossing in the Young and Elderly

机译:年轻人和老年人双任务障碍穿越过程中的步态不对称

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Purpose. To evaluate gait asymmetry during obstacle crossing by young and elderly adults performing normal and dual-task gait. Methods. Ten healthy young adults and ten elderly adults with mild cognitive impairment performed a gait protocol by stepping over a foam obstacle during normal gait and while performing a secondary task (Stroop task). Sagittal kinematics of the lead and trail limbs were analyzed. Statistical procedures involved analysis of variance and t tests at a significance of 0.05. Results. Many of the kinematic variables presented a main effect for group (young adults vs. elderly adults), where the elderly featured poorer gait performance. It was observed that gait velocity during obstacle crossing in normal and dual-task gait was similar between the preferred and non-preferred limbs in both the young and elderly. However, the elderly were slower during normal and dual-task gait. A main effect for the dual-task condition was observed. Kinematic asymmetries for obstacle crossing were more frequent in the elderly and especially during the dual-task condition. Conclusions. The results suggest that the elderly may require more compensatory adjustments after crossing an obstacle. The asymmetries observed among the elderly may contribute to higher risk of falling during perturbed gait.
机译:目的。评估正常和双重任务步态的年轻人和老年人在障碍物穿越过程中的步态不对称性。方法。十名健康的年轻人和十名患有轻度认知障碍的老年人通过在正常步态和执行次要任务(Stroop任务)时跨过泡沫障碍物来执行步态协议。分析了前肢和后肢的矢状运动学。统计程序涉及方差分析和t检验,显着性为0.05。结果。许多运动学变量对组(年轻人与老年人)表现出主要影响,其中老年人的步态表现较差。观察到,在正常和双重任务步态中,障碍物越过时的步态速度在年轻人和老年人的首选和非首选肢体中相似。但是,老年人在正常和双重任务步态下步伐较慢。观察到双重任务条件的主要作用。在老年人中,尤其是在双工情况下,越障的运动学不对称性更为常见。结论。结果表明,老年人越过障碍物可能需要更多的补偿性调整。在老年人中观察到的不对称性可能会导致步态不稳的跌倒风险更高。

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