دورية أكاديمية
The Effects of a Walking Intervention on Gait Parameters in Older Adults Residing in Long-Term Care: A Randomized Controlled Trial.
| العنوان: | The Effects of a Walking Intervention on Gait Parameters in Older Adults Residing in Long-Term Care: A Randomized Controlled Trial. |
|---|---|
| المؤلفون: | Kalu ME; Vanina Dal Bello-Haas, School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, Ontario, Canada, L8S 1C7, vdalbel@mcmaster.ca., Dal Bello-Haas V, Hadjistavropoulos T, Thorpe L, Griffin M, Ploeg J, Richardson J |
| المصدر: | The journal of nutrition, health & aging [J Nutr Health Aging] 2021; Vol. 25 (9), pp. 1099-1105. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Masson SAS on behalf of SERDI Publisher Country of Publication: France NLM ID: 100893366 Publication Model: Print Cited Medium: Internet ISSN: 1760-4788 (Electronic) Linking ISSN: 12797707 NLM ISO Abbreviation: J Nutr Health Aging Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2024- : [Paris, France] : Elsevier Masson SAS on behalf of SERDI Publisher Original Publication: Paris, France : New York, NY : Serdi Publisher ; Springer Pub. Co., |
| مواضيع طبية MeSH: | Exercise Therapy* , Gait* , Long-Term Care* , Walking*, Aged ; Aged, 80 and over ; Humans ; Prospective Studies ; Walking Speed |
| مستخلص: | Objectives: We examined the effects of a walking intervention in older adults residing in long-term care (LTC) homes on gait velocity (primary outcome), and stride length, cadence and heel-to-heel base of support (secondary outcomes) compared to those in an interpersonal interaction control group and a care-as-usual control group at 16-weeks post-intervention. Methods: These previously unpublished gait data were collected as part of a larger prospective, randomized, three group study. One hundred and sixty-eight participants residing in 12 LTC homes were randomized into: a) a walking group (n=57) - 1:1 supervised, individualized, progressive, 30 minutes, five times a week walking program for 16 weeks; b) an interpersonal interaction group (n=55) - stationary 1:1 conversation time with research personnel; and, c) a care-as-usual control group (n=56). Gait was assessed at baseline and 16-weeks post-intervention using the GAITRite® computerized system. One-way Analysis of Covariance (ANCOVA), controlling for age, sex, cognitive status and baseline gait parameter (velocity, stride length, cadence, heel-to-heel base of support) was used to examine differences among groups for velocity, stride length, cadence, and heel-to-heel base of support at 16-weeks post-intervention. Results: Ninety-one participants with available data were included in this analysis: walking group (n=31/57, mean age=82.77±6.75 years); interpersonal interaction group (n=31/55, mean age=82.74±9.27 years); care-as-usual control group (n=29/56, mean age=85.40±8.78 years). ANCOVA showed a significant difference in the mean gait velocity at 16-weeks post-intervention [F(2, 84) =6.99, p=0.0006); η2 (95%CI)=0.16 (0.02, 0.27)]. Post hoc comparisons using Sidak test showed that the estimated marginal mean (EMM) for velocity for the walking group [EMM (SE), 0.51m/s (0.03)] was significantly higher compared to the interpersonal interaction group [EMM (SE), 0.38m/s (0.03); t(83)=3.15, p=0.007] and the care-as-usual control group [EMM (SE), 0.38m/s (0.03)]; t(83)=3.32, p=0.004]. No significant difference was observed between groups for stride length, cadence or heel-to-heel base of support. Conclusion: LTC residents with limited physical functioning showed significant improvement in gait velocity but not in stride length, cadence or heel-to-heel base of support after a 16-week walking intervention. Competing Interests: No potential conflict of interest was reported by the authors. |
| فهرسة مساهمة: | Keywords: Gait; long-term care; older adults; walking |
| سلسلة جزيئية: | ClinicalTrials.gov NCT01277809 |
| تواريخ الأحداث: | Date Created: 20211102 Date Completed: 20220317 Latest Revision: 20240317 |
| رمز التحديث: | 20240317 |
| DOI: | 10.1007/s12603-021-1683-6 |
| PMID: | 34725668 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1760-4788 |
|---|---|
| DOI: | 10.1007/s12603-021-1683-6 |