Stair Gait in Older Adults Worsens With Smaller Step Treads and When Transitioning Between Level and Stair Walking Article Swipe
Irene Di Giulio
,
Neil D. Reeves
,
Mike Roys
,
John G. Buckley
,
David A. Jones
,
James P. Gavin
,
Vasilios Baltzopoulos
,
Constantinos N. Maganaris
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3389/fspor.2020.00063
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3389/fspor.2020.00063
Older people have an increased risk of falling during locomotion, with falls on stairs being particularly common and dangerous. Step going (i.e., the horizontal distance between two consecutive step edges) defines the base of support available for foot placement on stairs, as with smaller going, the user's ability to balance on the steps may become problematic. Here we quantified how stair negotiation in older participants changes between four goings (175, 225, 275, and 325 mm) and compared stair negotiation with and without a walking approach. Twenty-one younger (29 ± 6 years) and 20 older (74 ± 4 years) participants negotiated a 7-step experimental stair. Motion capture and step-embedded force platform data were collected. Handrail use was also monitored. From the motion capture data, body velocity, trunk orientation, foot clearance and foot overhang were quantified. For all participants, as stair going decreased, gait velocity (ascent pA = 0.033, descent pD = 0.003) and horizontal step clearance decreased (pA = 0.001), while trunk rotation (pD = 0.002) and foot overhang increased (pA,D < 0.001). Compared to the younger group, older participants used the handrail more, were slower across all conditions (pA < 0.001, pD = 0.001) and their foot clearance tended to be smaller. With a walking approach, the older group (Group x Start interaction) showed a larger trunk rotation (pA = 0.011, pD = 0.015), and smaller lead foot horizontal (pA = 0.046) and vertical clearances (pD = 0.039) compared to the younger group. A regression analysis to determine the predictors of foot clearance and amount of overhang showed that physical activity was a common predictor for both age groups. In addition, for the older group, medications and fear of falling were found to predict stair performance for most goings, while sway during single-legged standing was the most common predictor for the younger group. Older participants adapted to smaller goings by using the handrails and reducing gait velocity. The predictors of performance suggest that motor and fall risk assessment is complex and multifactorial. The results shown here are consistent with the recommendation that larger going and pausing before negotiating stairs may improve stair safety, especially for older users.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fspor.2020.00063
- https://www.frontiersin.org/articles/10.3389/fspor.2020.00063/pdf
- OA Status
- gold
- Cited By
- 13
- References
- 24
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3037305360
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3037305360Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3389/fspor.2020.00063Digital Object Identifier
- Title
-
Stair Gait in Older Adults Worsens With Smaller Step Treads and When Transitioning Between Level and Stair WalkingWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-06-25Full publication date if available
- Authors
-
Irene Di Giulio, Neil D. Reeves, Mike Roys, John G. Buckley, David A. Jones, James P. Gavin, Vasilios Baltzopoulos, Constantinos N. MaganarisList of authors in order
- Landing page
-
https://doi.org/10.3389/fspor.2020.00063Publisher landing page
- PDF URL
-
https://www.frontiersin.org/articles/10.3389/fspor.2020.00063/pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.frontiersin.org/articles/10.3389/fspor.2020.00063/pdfDirect OA link when available
- Concepts
-
Stairs, Trunk, Physical medicine and rehabilitation, Gait, Foot (prosody), Falling (accident), Force platform, Balance (ability), Medicine, Physical therapy, Psychology, Engineering, Philosophy, Civil engineering, Ecology, Biology, Linguistics, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
13Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 4, 2023: 4, 2022: 3, 2021: 1, 2020: 1Per-year citation counts (last 5 years)
- References (count)
-
24Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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