title: Older adults have unstable gait kinematics during weight transfer.
abstract: The present article investigates gait stability of healthy older persons during weight transfer. Ten healthy older persons and ten younger persons walked 10 min each on a treadmill at 3 different gait speeds. The intra-stride change in gait stability was defined by the local divergence exponent λ(t) estimated by a newly developed method. The intra-stride changes in λ(t) during weight transfer were identified by separating each stride into a single and double support phase. The intra-stride changes in λ(t) were also compared to changes in the variation of the gait kinematics, i.e., SD(t). The healthy older persons walked at the same preferred walking speed as the younger persons. However, they exhibited significantly larger λ(t) (p<0.001) during weight transfer in the double support phase. Local divergence was closely related to intra-stride changes in SD(t) of the feet in the anterior-posterior direction. Furthermore, a high correlation was found between local divergence and the variation in step length and step width for both older (R>0.67, p<0.05) and younger persons (R>0.67, p<0.05). The present results indicate that the gait kinematics of older adults are more dynamical unstable during the weight transfer compared to younger persons. Furthermore, a close relationship exists between intra-stride changes in dynamical stability and variation in step length and step width. Further work will validate the results of the present study using real-life perturbations of the gait kinematics of both younger and older adults.
authors.affiliation: Department of Neuroscience, Norwegian University of Science and Technology, N-7489 Trondheim, Norway. espen.ihlen@ntnu.no
authors.forename: Espen A F
authors.initials: EA
authors.lastname: Ihlen
authors.forename: Olav
authors.initials: O
authors.lastname: Sletvold
authors.forename: Tobias
authors.initials: T
authors.lastname: Goihl
authors.forename: Per B
authors.initials: PB
authors.lastname: Wik
authors.forename: Beatrix
authors.initials: B
authors.lastname: Vereijken
authors.forename: Jorunn
authors.initials: J
authors.lastname: Helbostad
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D001696:Biomechanical Phenomena; D001835:Body Weight; D005260:Female; D005684:Gait / Q000502:physiology*; D006801:Humans; D008297:Male; D016138:Walking / Q000502:physiology*; D055815:Young Adult