scholarly journals Reducing the energy cost of walking in older adults using a passive hip flexion device

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Fausto A. Panizzolo ◽  
Chiara Bolgiani ◽  
Laura Di Liddo ◽  
Eugenio Annese ◽  
Giuseppe Marcolin
Keyword(s):  
Older Adults ◽  
Energy Cost ◽  
Perceived Exertion ◽  
Optical Measurement ◽  
Assistive Device ◽  
Older Individuals ◽  
Metabolic Power ◽  
Temporal Parameters ◽  
Spatio Temporal ◽  
Energy Cost Of Walking

Abstract Background Elevated energy cost is a hallmark feature of gait in older adults. As such, older adults display a general avoidance of walking which contributes to declining health status and risk of morbidity. Exoskeletons offer a great potential for lowering the energy cost of walking, however their complexity and cost often limit their use. To overcome some of these issues, in the present work we propose a passive wearable assistive device, namely Exoband, that applies a torque to the hip flexors thus reducing the net metabolic power of wearers. Methods Nine participants (age: 62.1 ± 5.6 yr; height: 1.71 ± 0.05 m; weight: 76.3 ± 11.9 kg) walked on a treadmill at a speed of 1.1 m/s with and without the Exoband. Metabolic power was measured by indirect calorimetry and spatio-temporal parameters measured using an optical measurement system. Heart rate and ratings of perceived exertion were recorded during data collection to monitor relative intensity of the walking trials. Results The Exoband was able to provide a consistent torque (~ 0.03–0.05 Nm/kg of peak torque) to the wearers. When walking with the Exoband, participants displayed a lower net metabolic power with respect to free walking (− 3.3 ± 3.0%; p = 0.02). There were no differences in spatio-temporal parameters or relative intensities when walking with or without the Exoband. Conclusions This study demonstrated that it is possible to reduce metabolic power during walking in older adults with the assistance of a passive device that applies a torque to the hip joint. Wearable, lightweight and low-cost devices such as the Exoband have the potential to make walking less metabolically demanding for older individuals.

scholarly journals A Single Assistive Profile Applied by a Passive Hip Flexion Device Can Reduce the Energy Cost of Walking in Older Adults

2021 ◽  
Vol 11 (6) ◽  
pp. 2851
Author(s):  
Fausto Antonio Panizzolo ◽  
Eugenio Annese ◽  
Antonio Paoli ◽  
Giuseppe Marcolin
Keyword(s):  
Older Adults ◽  
Energy Cost ◽  
Metabolic Cost ◽  
Metabolic Energy ◽  
Assistive Device ◽  
Spatiotemporal Parameters ◽  
Negative Effect ◽  
Low Torque ◽  
Hip Flexion ◽  
Energy Cost Of Walking

Difficulty walking in older adults affects their independence and ability to execute daily tasks in an autonomous way, which can result in a negative effect to their health status and risk of morbidity. Very often, reduced walking speed in older adults is caused by an elevated metabolic energy cost. Passive exoskeletons have been shown to offer a promising solution for lowering the energy cost of walking, and their simplicity could favor their use in real world settings. The goal of this study was to assess if a constant and consistent low torque applied by means of a passive exoskeleton to the hip flexors during walking could provide higher and more consistent metabolic cost reduction than previously achieved. Eight older adults walked on a treadmill at a constant speed of 1.1 m/s with and without the hip assistive device. Metabolic power and spatiotemporal parameters were measured during walking in these two conditions of testing. The hip assistive device was able to apply a low torque which initiates its assistive effect at mid-stance. This reduced the metabolic cost of walking across all the participants with respect to free walking (−4.2 ± 1.9%; p = 0.002). There were no differences in the spatiotemporal parameters reported. This study strengthened the evidence that passive assistive devices can be a valuable tool to reduce metabolic cost of walking in older adults. These findings highlighted the importance of investigating torque profiles to improve the performance provided by a hip assistive device. The simplicity and usability of a system of this kind can make it a suitable candidate for improving older adults’ independence.

Texting While Walking Induces Gait Pattern Alterations in Healthy Older Adults

2018 ◽  
Vol 62 (1) ◽  
pp. 1908-1912 ◽  
Author(s):  
Massimiliano Pau ◽  
Micaela Porta ◽  
Giuseppina Pilloni ◽  
Federica Corona ◽  
Maria Chiara Fastame ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Complexity ◽  
Gait Pattern ◽  
Middle Aged ◽  
Similar Reduction ◽  
Gait Patterns ◽  
Healthy Older Adults ◽  
Double Support ◽  
Temporal Parameters ◽  
Spatio Temporal

The use of a mobile phone for texting purposes results in distracted walking which may lead to injuries. In particular, texting while walking has been shown to induce significant alterations in gait patterns. This study aimed to assess whether changes in the main spatio-temporal parameters of gait when simultaneously engaged in texting on a smartphone and walking are different in older adults relative to young and middle- aged individuals. A total of 57 participants divided in three groups (19 older adults aged over 65, 19 young aged 20-40 and 19 middle-aged aged 41-64) were tested in two conditions: walking, and walking while texting on a smartphone. Spatio-temporal parameters of gait were assessed using a wearable accelerometer located on the lower back. The results show that texting induced similar reduction of gait speed, stride length and cadence in all groups. Slight (although significant) alterations of stance, swing and double support phases duration were found only for middle-aged participants. Such findings suggest that modifications of gait patterns due to texting seem unaffected by age, probably due to different perceptions of the cognitive complexity of the task and differential prioritization of its motor and cognitive aspects.

The Association of Mobility Determinants and Life Space Among Older Adults

2021 ◽  
Author(s):  
Pamela M Dunlap ◽  
Andrea L Rosso ◽  
Xiaonan Zhu ◽  
Brooke N Klatt ◽  
Jennifer S Brach
Keyword(s):  
Older Adults ◽  
Lower Extremity ◽  
Energy Cost ◽  
Community Dwelling ◽  
Walk Test ◽  
Personal Factors ◽  
Linear Regression Models ◽  
Life Space ◽  
Mobility Disability ◽  
Energy Cost Of Walking

Abstract Background It is important to understand the factors associated with life space mobility so that mobility disability can be prevented/treated. The purpose of this study was to identify the association between mobility determinants and life space among older adults. Methods This study was a cross-sectional analysis of 249 community-dwelling older adults (mean age=77.4 years, 65.5% female, 88% white) who were recruited for a randomized, controlled, clinical intervention trial. Associations between cognitive, physical, psychosocial, financial, and environmental mobility determinants and the Life Space Assessment (LSA) at baseline were determined using Spearman’s correlation coefficients and one-way analysis of variance. Multivariate analysis was performed using multivariable linear regression models. Results The mean LSA score for the sample was 75.3 (SD=17.8). Personal factors (age, gender, education, comorbidities), cognitive (Trail Making Test A and B), physical (gait speed, lower extremity power, Six Minute Walk Test, Figure of 8 Walk Test, tandem stance, energy cost of walking, and Late Life Function and Disability Function Scale), psychosocial (Modified Gait Efficacy Scale), and financial (neighborhood socio-economic status) domains of mobility were significantly associated with LSA score. In the final regression model, age (β=-0.43), lower extremity power (β=0.03), gait efficacy (β=0.19), and energy cost of walking (β=-57.41) were associated with life space (R 2=0.238). Conclusions Younger age, greater lower extremity power, more confidence in walking, and lower energy cost of walking were associated with greater life space. Clinicians treating individuals with mobility disability should consider personal, physical, and psychosocial factors assessing barriers to life space mobility.

scholarly journals Cycling efficiency and energy cost of walking in young and older adults

2018 ◽  
Vol 124 (2) ◽  
pp. 414-420 ◽  
Author(s):  
Glenn A. Gaesser ◽  
Wesley J. Tucker ◽  
Brandon J. Sawyer ◽  
Dharini M. Bhammar ◽  
Siddhartha S. Angadi
Keyword(s):  
Older Adults ◽  
Individual Variation ◽  
Energy Cost ◽  
Intraclass Correlation ◽  
Age Groups ◽  
Net Energy ◽  
Age Group ◽  
Cycling Efficiency ◽  
Considerable Individual Variation ◽  
Energy Cost Of Walking

To determine whether age affects cycling efficiency and the energy cost of walking (Cw), 190 healthy adults, ages 18–81 yr, cycled on an ergometer at 50 W and walked on a treadmill at 1.34 m/s. Ventilation and gas exchange at rest and during exercise were used to calculate net Cw and net efficiency of cycling. Compared with the 18–40 yr age group (2.17 ± 0.33 J·kg−1·m−1), net Cw was not different in the 60–64 yr (2.20 ± 0.40 J·kg−1·m−1) and 65–69 yr (2.20 ± 0.28 J·kg−1·m−1) age groups, but was significantly ( P < 0.03) higher in the ≥70 yr (2.37 ± 0.33 J·kg−1·m−1) age group. For subjects >60 yr, net Cw was significantly correlated with age ( R2 = 0.123; P = 0.002). Cycling net efficiency was not different between 18–40 yr (23.5 ± 2.9%), 60–64 yr (24.5 ± 3.6%), 65–69 yr (23.3 ± 3.6%) and ≥70 yr (24.7 ± 2.7%) age groups. Repeat tests on a subset of subjects (walking, n = 43; cycling, n = 37) demonstrated high test-retest reliability [intraclass correlation coefficients (ICC), 0.74–0.86] for all energy outcome measures except cycling net energy expenditure (ICC = 0.54) and net efficiency (ICC = 0.50). Coefficients of variation for all variables ranged from 3.1 to 7.7%. Considerable individual variation in Cw and efficiency was evident, with a ~2-fold difference between the least and most economical/efficient subjects. We conclude that, between 18 and 81 yr, net Cw was only higher for ages ≥70 yr, and that cycling net efficiency was not different across age groups. NEW & NOTEWORTHY This study illustrates that the higher energy cost of walking in older adults is only evident for ages ≥70 yr. For older adults ages 60–69 yr, the energy cost of walking is similar to that of young adults. Cycling efficiency, by contrast, is not different across age groups. Considerable individual variation (∼2-fold) in cycling efficiency and energy cost of walking is observed in young and older adults.

scholarly journals Excess Body Weight and Gait Influence Energy Cost of Walking in Older Adults

2015 ◽  
Vol 47 (5) ◽  
pp. 1017-1025 ◽  
Author(s):  
DAIN P. LAROCHE ◽  
NISE R. MARQUES ◽  
HEIDI N. SHUMILA ◽  
CHRISTOPHER R. LOGAN ◽  
ROBYN ST. LAURENT ◽  
...  
Keyword(s):  
Older Adults ◽  
Body Weight ◽  
Energy Cost ◽  
Excess Body Weight ◽  
Energy Cost Of Walking

Feasibility and Impact of High-Intensity Walking Training in Frail Older Adults

2017 ◽  
Vol 25 (4) ◽  
pp. 533-538 ◽  
Author(s):  
Margaret K. Danilovich ◽  
David E. Conroy ◽  
T. George Hornby
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
High Intensity ◽  
Perceived Exertion ◽  
Berg Balance Scale ◽  
Rating Of Perceived Exertion ◽  
Assistive Device ◽  
Frail Older Adults ◽  
Test Distance ◽  
The Impact

To investigate the impact of high-intensity walking training (HIWT) on prefrail and frail older adults, five assisted living residents underwent a supervised 12-session intervention. The intervention consisted of 30 min of HIWT at 70–80% of heart rate reserve or ratings of 15 to 17 (hard to very hard) on the Borg Rating of Perceived Exertion scale. Training included walking at fast speeds, multi-directions, stairs, and outdoor surfaces with and without an assistive device. Training significantly reduced frailty using the SHARE-FI (p = .008), increased fast gait speed (p = .01), improved 6-min walk test distance (p = .03), and enhanced Berg Balance Scale scores (p = .03). There were no adverse events and all participants reached target training intensity in all 12 sessions. Participants viewed the walking intervention as highly satisfactory (9.6/10 on a Likert scale) and 100% recommended that the assisted living facility should offer HIWT as part of routine programming.

scholarly journals The association between energy cost of walking and physical function in older adults

2013 ◽  
Vol 57 (2) ◽  
pp. 198-203 ◽  
Author(s):  
David M. Wert ◽  
Jennifer S. Brach ◽  
Subashan Perera ◽  
Jessie VanSwearingen
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Energy Cost ◽  
Energy Cost Of Walking

scholarly journals Walking with rollator: a systematic review of gait parameters in older persons

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Marion Mundt ◽  
Joao Pedro Batista ◽  
Bernd Markert ◽  
Cornelius Bollheimer ◽  
Thea Laurentius
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Older Persons ◽  
Assistive Technologies ◽  
Younger Adults ◽  
Temporal Parameters ◽  
Gait Parameters ◽  
Risk Of Falls ◽  
Gait Mechanics ◽  
Spatio Temporal

Abstract Background The aging population increasingly needs assistive technologies, such as rollators, to function and live less dependently. Rollators are designed to decrease the risk of falls by improving the gait mechanics of their users. However, data on the biomechanics of rollator assisted gait of older adults are limited, or mostly derived from experiments with younger adults. Methods and results This review summarises the data from 18 independent studies on the kinematic and kinetic gait parameters of assisted gait of older persons. All of these studies evaluated spatio-temporal parameters, but not joint angles or moments. Conclusion Due to the limited research on rollator supported gait in older adults, the number of parameters that could be analysed in this systematic review was restricted. Further research in the analysis of spatio-temporal parameters and a higher standardisation in clinical research will be necessary.

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