title: A comparison of straight- and curved-path walking tests among mobility-limited older adults.
abstract: BACKGROUND
  Habitual gait speed (HGS) and the figure-of-8 walking test (F8WT) are measures of walking ability that have been associated with mobility outcomes and disability among older adults. Our objective was to contrast the physiologic, health, and behavioral attributes underlying performance of these two walking tests among older adults with mobility limitations.
  
  
  METHODS
  HGS and F8WT were the primary outcomes. HGS was measured as time needed to walk a 4-m straight course at usual pace from standstill position. F8WT was measured as time to walk in a figure-of-8 pattern at self-selected usual pace from standstill position. Separate multivariable linear regression models were constructed that predicted walking performance. Independent variables included physiologic, cognitive-behavioral health attributes, and demographic information.
  
  
  RESULTS
  Of 430 participants, 414 completed both walking tests. Participants were 67.7% female, had a mean age of 76.5 ± 7.0 years and a mean of 4.1 ± 2.0 chronic conditions. Mean HGS was 0.94 ± 0.23 m/s and mean F8WT was 8.80 ± 2.90 seconds. Within separate multivariable linear regression models (HGS: R (2) = .46, p model < .001; F8WT: R (2) = .47, p model < .001), attributes statistically significant within both models included: trunk extension endurance, ankle range of motion, leg press velocity at peak power, executive function, and sensory loss. Cognitive and physiologic attributes uniquely associated with F8WT were cognitive processing speed and self-efficacy, and reaction time and heel-to-floor time. Pain and peak leg press strength were associated with only HGS.
  
  
  CONCLUSIONS
  Both HGS and F8WT are useful tests of walking performance. Factors uniquely associated with F8WT suggest that it may be well suited for use among older adult patients with balance problems or at risk for falls.
authors: Yale University School of Medicine, 367 Cedar Street, New Haven, CT 06511. charles.odonkor@yale.edu.
authors: Charles A
authors: CA
authors: Odonkor
authors: Julia C
authors: JC
authors: Thomas
authors: Nicole
authors: N
authors: Holt
authors: Nancy
authors: N
authors: Latham
authors: Jessie
authors: J
authors: Vanswearingen
authors: Jennifer Sokol
authors: JS
authors: Brach
authors: Suzanne G
authors: SG
authors: Leveille
authors: Alan
authors: A
authors: Jette
authors: Jonathan
authors: J
authors: Bean
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D056344:Executive Function; D005080:Exercise Test / Q000379:methods; D005260:Female; D005684:Gait / Q000502:physiology; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D051346:Mobility Limitation; D011597:Psychomotor Performance; D011930:Reaction Time; D015203:Reproducibility of Results; D020377:Self Efficacy; D016138:Walking / Q000502:physiology / Q000523:psychology
keywords: Mobility; Performance; Physiological attributes.; Rehabilitation; Walking
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