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Kinematic Changes during Prolonged Fast-Walking in Old and Young Adults

Walking biomechanics is known to be influenced by speed. However, most of the research examining the effects of walking speed and gait characteristics has been conducted after a fast-walking task, neglecting the changes that may occur during the task. The aim of the present study was to determine th...

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Autores principales: Oliveira, Camila Fonseca, Vieira, Edgar Ramos, Machado Sousa, Filipa Manuel, Vilas-Boas, João Paulo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703830/
https://www.ncbi.nlm.nih.gov/pubmed/29218309
http://dx.doi.org/10.3389/fmed.2017.00207
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author Oliveira, Camila Fonseca
Vieira, Edgar Ramos
Machado Sousa, Filipa Manuel
Vilas-Boas, João Paulo
author_facet Oliveira, Camila Fonseca
Vieira, Edgar Ramos
Machado Sousa, Filipa Manuel
Vilas-Boas, João Paulo
author_sort Oliveira, Camila Fonseca
collection PubMed
description Walking biomechanics is known to be influenced by speed. However, most of the research examining the effects of walking speed and gait characteristics has been conducted after a fast-walking task, neglecting the changes that may occur during the task. The aim of the present study was to determine the impact of fast-walking over time on kinematics in young and old adults. Twenty-seven young adults (26.6 ± 6.0 years) and 23 old adults (71.0 ± 5.6 years) walked at 70% of their maximum heart rate for 20 min or until exhaustion, and the effects of fast-walking on temporospatial parameters and on angular kinematics were analyzed during the activity. During the protocol, both age-groups increased step-width variability. Significant effects of time were found for the ankle and hip at toe off for the older group. For the younger group, only the ankle angle at heel strike changed over time. For both groups, fast-walking induced changes in the coordination among the lower-limb angles that were more prominent during the swing phase of the gait. In conclusion, lower-limb kinematics changes in young adults were compatible with early signs of fatigue. The increased step-width variability in older adults may indicate an augmented risk of falling. Changes in the lower-limb walking kinematics of old adults suggest that the adjustments for weight acceptance and body propulsion were restricted to the hip and ankle joints. The kinematic changes among the lower-limb joint angles during the swing phase may compromise the quality of gait. These findings provide a foundation for future studies in the assessment of the risk of falls in older adults associated with walking at a faster pace.
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spelling pubmed-57038302017-12-07 Kinematic Changes during Prolonged Fast-Walking in Old and Young Adults Oliveira, Camila Fonseca Vieira, Edgar Ramos Machado Sousa, Filipa Manuel Vilas-Boas, João Paulo Front Med (Lausanne) Medicine Walking biomechanics is known to be influenced by speed. However, most of the research examining the effects of walking speed and gait characteristics has been conducted after a fast-walking task, neglecting the changes that may occur during the task. The aim of the present study was to determine the impact of fast-walking over time on kinematics in young and old adults. Twenty-seven young adults (26.6 ± 6.0 years) and 23 old adults (71.0 ± 5.6 years) walked at 70% of their maximum heart rate for 20 min or until exhaustion, and the effects of fast-walking on temporospatial parameters and on angular kinematics were analyzed during the activity. During the protocol, both age-groups increased step-width variability. Significant effects of time were found for the ankle and hip at toe off for the older group. For the younger group, only the ankle angle at heel strike changed over time. For both groups, fast-walking induced changes in the coordination among the lower-limb angles that were more prominent during the swing phase of the gait. In conclusion, lower-limb kinematics changes in young adults were compatible with early signs of fatigue. The increased step-width variability in older adults may indicate an augmented risk of falling. Changes in the lower-limb walking kinematics of old adults suggest that the adjustments for weight acceptance and body propulsion were restricted to the hip and ankle joints. The kinematic changes among the lower-limb joint angles during the swing phase may compromise the quality of gait. These findings provide a foundation for future studies in the assessment of the risk of falls in older adults associated with walking at a faster pace. Frontiers Media S.A. 2017-11-23 /pmc/articles/PMC5703830/ /pubmed/29218309 http://dx.doi.org/10.3389/fmed.2017.00207 Text en Copyright © 2017 Oliveira, Vieira, Machado Sousa and Vilas-Boas. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Oliveira, Camila Fonseca
Vieira, Edgar Ramos
Machado Sousa, Filipa Manuel
Vilas-Boas, João Paulo
Kinematic Changes during Prolonged Fast-Walking in Old and Young Adults
title Kinematic Changes during Prolonged Fast-Walking in Old and Young Adults
title_full Kinematic Changes during Prolonged Fast-Walking in Old and Young Adults
title_fullStr Kinematic Changes during Prolonged Fast-Walking in Old and Young Adults
title_full_unstemmed Kinematic Changes during Prolonged Fast-Walking in Old and Young Adults
title_short Kinematic Changes during Prolonged Fast-Walking in Old and Young Adults
title_sort kinematic changes during prolonged fast-walking in old and young adults
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703830/
https://www.ncbi.nlm.nih.gov/pubmed/29218309
http://dx.doi.org/10.3389/fmed.2017.00207
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