Document Detail


Age- and gender-related changes in the temporal-spatial characteristics of forwards and backwards gaits.
MedLine Citation:
PMID:  14533369     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Backward walking is used increasingly as a rehabilitation technique for individuals with neurological and orthopaedic impairments. The purpose of the present study was to examine changes in the temporal-spatial characteristics of gain resulting from walking backwards as opposed to forwards, and to determine age and gender effects on these changes. METHODS: Thirty young and 40 aged, independently functioning, subjects were asked to walk forwards and backwards across a computer-based walkway system, providing data on gait velocity, stride length, cadence, swing phase and double support phase. Subjects were divided into groups based on age (young and old) and gender, and each subject was tested under two walking conditions (forwards and backwards). Five temporal-spatial gait parameters were evaluated separately as a function of the three independent variables, with the walking condition repeated for each subject. RESULTS: Backwards ambulation is characterized by a slower velocity, shorter stride length and an increased double support phase in both young and older adults. These changes were significantly greater in the older subjects, among whom the swing phase was also decreased. Cadence, however, was not affected by direction of ambulation in either group. The female subjects had a shorter stride length in both movement directions, associated with reduced speed only in backwards ambulation. CONCLUSIONS: Older individuals are capable of walking backwards for short distances. However, changes in gait characteristics typical to the reversal of movement direction are accentuated with age. These effects must be considered when planning to use backwards ambulation as a rehabilitation technique for older individuals.
Authors:
Yocheved Laufer
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Physiotherapy research international : the journal for researchers and clinicians in physical therapy     Volume:  8     ISSN:  1358-2267     ISO Abbreviation:  Physiother Res Int     Publication Date:  2003  
Date Detail:
Created Date:  2003-10-09     Completed Date:  2004-01-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9612022     Medline TA:  Physiother Res Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  131-42     Citation Subset:  IM    
Affiliation:
Department of Physical Therapy, Faculty of Social Welfare and Health Studies, University of Haifa, Israel. yocheved@research.hafia.ac.il
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Aged, 80 and over
Female
Gait / physiology*
Gait Disorders, Neurologic / rehabilitation
Humans
Male
Physical Therapy Modalities
Sex Factors
Walking / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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