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Evaluation of gait characteristics in subjects with locomotive syndrome using wearable gait sensors

BACKGROUND: Individuals with locomotive syndrome (LS) require nursing care services owing to problems with locomotion and the musculoskeletal system. Individuals with LS generally have a reduced walking speed compared with those without LS. However, differences in lower-limb kinematics and gait betw...

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Autores principales: Saito, Yuki, Ishida, Tomoya, Kataoka, Yoshiaki, Takeda, Ryo, Tadano, Shigeru, Suzuki, Teppei, Nakamura, Kentaro, Nakata, Akimi, Osuka, Satoshi, Yamada, Satoshi, Samukawa, Mina, Tohyama, Harukazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107686/
https://www.ncbi.nlm.nih.gov/pubmed/35568855
http://dx.doi.org/10.1186/s12891-022-05411-9
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author Saito, Yuki
Ishida, Tomoya
Kataoka, Yoshiaki
Takeda, Ryo
Tadano, Shigeru
Suzuki, Teppei
Nakamura, Kentaro
Nakata, Akimi
Osuka, Satoshi
Yamada, Satoshi
Samukawa, Mina
Tohyama, Harukazu
author_facet Saito, Yuki
Ishida, Tomoya
Kataoka, Yoshiaki
Takeda, Ryo
Tadano, Shigeru
Suzuki, Teppei
Nakamura, Kentaro
Nakata, Akimi
Osuka, Satoshi
Yamada, Satoshi
Samukawa, Mina
Tohyama, Harukazu
author_sort Saito, Yuki
collection PubMed
description BACKGROUND: Individuals with locomotive syndrome (LS) require nursing care services owing to problems with locomotion and the musculoskeletal system. Individuals with LS generally have a reduced walking speed compared with those without LS. However, differences in lower-limb kinematics and gait between individuals with and without LS are not fully understood. This study aimed to clarify the characteristics of the gait kinematics of individuals with LS using wearable sensors. METHODS: We assessed 125 participants (mean age 73.0 ± 6.7 years) who used a public health promotion facility. Based on the 25-question Geriatric Locomotive Function Scale (GLFS-25), these participants were grouped into the non-LS (GLFS-25 < 7), LS-stage 1 (GLFS-25 7–16), and LS-stage 2 (GLFS-25 ≥ 16) groups (larger GLFS-25 scores indicate worse locomotive ability). Spatiotemporal parameters and lower-limb kinematics during the 10-m walk test were analyzed by the “H-Gait system”, which is a motion analysis system that was developed by the authors and is based on seven inertial sensors. The peak joint angles during the stance and swing phases, as well as the gait speed, cadence, and step length were compared among all groups. RESULTS: There were 69 participants in the non-LS group, 33 in the LS-stage 1 group, and 23 in the LS-stage 2 group. Compared with the non-LS group, the LS-stage 2 group showed significantly smaller peak angles of hip extension (9.5 ± 5.3° vs 4.2 ± 8.2°, P = 0.002), hip flexion (34.2 ± 8.8° vs 28.5 ± 9.5°, P = 0.026), and knee flexion (65.2 ± 18.7° vs 50.6 ± 18.5°, P = 0.005). The LS-stage 1 and LS-stage 2 groups had a significantly slower mean gait speed than the non-LS group (non-LS: 1.3 ± 0.2 m/s, LS-stage 1: 1.2 ± 0.2 m/s, LS-stage 2: 1.1 ± 0.2 m/s, P < 0.001). CONCLUSIONS: The LS-stage 2 group showed significantly different lower-limb kinematics compared with the non-LS group, including smaller peak angles of hip extension, hip flexion, and knee flexion. It would be useful to assess and improve these small peak joint angles during gait for individuals classified as LS-stage 2.
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spelling pubmed-91076862022-05-16 Evaluation of gait characteristics in subjects with locomotive syndrome using wearable gait sensors Saito, Yuki Ishida, Tomoya Kataoka, Yoshiaki Takeda, Ryo Tadano, Shigeru Suzuki, Teppei Nakamura, Kentaro Nakata, Akimi Osuka, Satoshi Yamada, Satoshi Samukawa, Mina Tohyama, Harukazu BMC Musculoskelet Disord Research BACKGROUND: Individuals with locomotive syndrome (LS) require nursing care services owing to problems with locomotion and the musculoskeletal system. Individuals with LS generally have a reduced walking speed compared with those without LS. However, differences in lower-limb kinematics and gait between individuals with and without LS are not fully understood. This study aimed to clarify the characteristics of the gait kinematics of individuals with LS using wearable sensors. METHODS: We assessed 125 participants (mean age 73.0 ± 6.7 years) who used a public health promotion facility. Based on the 25-question Geriatric Locomotive Function Scale (GLFS-25), these participants were grouped into the non-LS (GLFS-25 < 7), LS-stage 1 (GLFS-25 7–16), and LS-stage 2 (GLFS-25 ≥ 16) groups (larger GLFS-25 scores indicate worse locomotive ability). Spatiotemporal parameters and lower-limb kinematics during the 10-m walk test were analyzed by the “H-Gait system”, which is a motion analysis system that was developed by the authors and is based on seven inertial sensors. The peak joint angles during the stance and swing phases, as well as the gait speed, cadence, and step length were compared among all groups. RESULTS: There were 69 participants in the non-LS group, 33 in the LS-stage 1 group, and 23 in the LS-stage 2 group. Compared with the non-LS group, the LS-stage 2 group showed significantly smaller peak angles of hip extension (9.5 ± 5.3° vs 4.2 ± 8.2°, P = 0.002), hip flexion (34.2 ± 8.8° vs 28.5 ± 9.5°, P = 0.026), and knee flexion (65.2 ± 18.7° vs 50.6 ± 18.5°, P = 0.005). The LS-stage 1 and LS-stage 2 groups had a significantly slower mean gait speed than the non-LS group (non-LS: 1.3 ± 0.2 m/s, LS-stage 1: 1.2 ± 0.2 m/s, LS-stage 2: 1.1 ± 0.2 m/s, P < 0.001). CONCLUSIONS: The LS-stage 2 group showed significantly different lower-limb kinematics compared with the non-LS group, including smaller peak angles of hip extension, hip flexion, and knee flexion. It would be useful to assess and improve these small peak joint angles during gait for individuals classified as LS-stage 2. BioMed Central 2022-05-14 /pmc/articles/PMC9107686/ /pubmed/35568855 http://dx.doi.org/10.1186/s12891-022-05411-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Saito, Yuki
Ishida, Tomoya
Kataoka, Yoshiaki
Takeda, Ryo
Tadano, Shigeru
Suzuki, Teppei
Nakamura, Kentaro
Nakata, Akimi
Osuka, Satoshi
Yamada, Satoshi
Samukawa, Mina
Tohyama, Harukazu
Evaluation of gait characteristics in subjects with locomotive syndrome using wearable gait sensors
title Evaluation of gait characteristics in subjects with locomotive syndrome using wearable gait sensors
title_full Evaluation of gait characteristics in subjects with locomotive syndrome using wearable gait sensors
title_fullStr Evaluation of gait characteristics in subjects with locomotive syndrome using wearable gait sensors
title_full_unstemmed Evaluation of gait characteristics in subjects with locomotive syndrome using wearable gait sensors
title_short Evaluation of gait characteristics in subjects with locomotive syndrome using wearable gait sensors
title_sort evaluation of gait characteristics in subjects with locomotive syndrome using wearable gait sensors
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107686/
https://www.ncbi.nlm.nih.gov/pubmed/35568855
http://dx.doi.org/10.1186/s12891-022-05411-9
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