論文

査読有り 国際誌
2019年8月27日

The relation between limb segment coordination during walking and fall history in community-dwelling older adults.

Journal of biomechanics
  • Momoko Yamagata
  • ,
  • Hiroshige Tateuchi
  • ,
  • Itsuroh Shimizu
  • ,
  • Junya Saeki
  • ,
  • Noriaki Ichihashi

93
開始ページ
94
終了ページ
100
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jbiomech.2019.06.010

Control of the swing foot during walking is important to prevent falls. The trajectories of the swing foot are adjusted by coordination of the lower limbs, which is evaluated with uncontrolled manifold (UCM) analysis. A previous study that applied this analysis to walking revealed that older adults with fall history had compensatorily great segment coordination to stabilize the swing foot during normal walking. However, it is unknown whether the increase in segment coordination helps for preventing incident falls in the future. At baseline measurement, 30 older adults walked for 20 times at a comfortable speed. UCM analysis was performed to evaluate how the segment configuration in the lower limbs contributes to the swing foot stability. One year after the baseline visit, we asked the subjects if there were incident falls through a questionnaire. The univariate and multivariable logistic regression analyses were performed to assess the association between the index of segment coordination and incident falls with and without adjustment for gait velocity. Twenty-eight older adults who responded to the questionnaire were classified into older adults (n = 12) who had the incident fall and those (n = 16) who did not have falls. It was revealed that older adults who increased the segment coordination associated with swing foot stability tended to experience at least one fall within one year of measurement. The index of the UCM analysis can be a sensitive predictor of incident falls.

リンク情報
DOI
https://doi.org/10.1016/j.jbiomech.2019.06.010
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31272683
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000482871600013&DestApp=WOS_CPL
ID情報
  • DOI : 10.1016/j.jbiomech.2019.06.010
  • ISSN : 0021-9290
  • PubMed ID : 31272683
  • Web of Science ID : WOS:000482871600013

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