1. Effect of different residential settings on gait kinematic parameters in older adults with cognitive impairment
- Author
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Julia Hoffman, Giovanna Ferreira Camilo, Marcelo Tavella Navega, Natalia Dias Brando, Bruna Carvalho Cardoso, Daniela Cristina Carvalho de Abreu, Ana Paula De Martini Lopes dos Santos, Nise Ribeiro Marques, USC, Universidade Estadual Paulista (Unesp), FAMEMA, and Universidade de São Paulo (USP)
- Subjects
Male ,medicine.medical_specialty ,Gait kinematics ,Biophysics ,STRIDE ,Experimental and Cognitive Psychology ,Kinematics ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Residence Characteristics ,medicine ,Humans ,Orthopedics and Sports Medicine ,Cognitive Dysfunction ,Cognitive impairment ,Gait ,Aged ,Aged, 80 and over ,business.industry ,030229 sport sciences ,General Medicine ,Stride length ,Gait speed ,Biomechanical Phenomena ,Walking Speed ,Accidental Falls ,Female ,Independent Living ,business ,human activities ,030217 neurology & neurosurgery - Abstract
Made available in DSpace on 2021-06-25T10:47:24Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-02-01 Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Objective: To compare the parameters of gait kinematics of older adults with cognitive impairment who live in community dwellings or those living or spending most of the time in non-family environment settings. Methods: The sample was composed of 33 older adults of both sexes with cognitive impairment. Participants were separated into three groups: a community-dwelling older adult group comprised of 11 subjects; a semi-institutionalized older adult group comprised of 10 older adults attended in a geriatric daycare institution; and an institutionalized older adult group comprised of 12 older adults living in long-term institutions. Gait kinematics were recorded by pressure sensors (footswitches). Fifty gait cycles at self-selected pace were analyzed to obtain: gait speed, stride length, stance, swing, and stride time. The variability of these parameters was also analyzed. Results: MANCOVA identified the main effect of groups (p < 0.001). Gait speed of older adults living in long-term institutions and older adults attended in geriatric daycare institutions was slower than community-living older adults (p < 0.001 and p = 0.04, respectively). Swing and stride time variability was higher in older adults living in long-term institutions (p = 0.003 and p = 0.001) and in older adults attended in geriatric daycare institutions (p = 0.02 and p = 0.001) than in community-dwelling older adults. Conclusion: The most important finding was that older adults with cognitive impairment who need non-family residential setting care had higher gait kinematics abnormalities, which may increase the risk of falls, compared to those who live in the community. Health Science Center Sacred Heart University USC Department of Physical Therapy and Occupational Therapy São Paulo State University UNESP Marilia Medical School FAMEMA Department of Health Science Ribeirão Preto Medical School University of São Paulo USP Department of Physical Therapy and Occupational Therapy São Paulo State University UNESP FAPESP: 2014/07722-3 FAPESP: 2016/02727-3 FAPESP: 2016/02728-0
- Published
- 2021