Guidelines for assessment of gait and reference values for spatiotemporal gait parameters in older adults: The biomathics and canadian gait consortiums initiative

Olivier Beauchet, Gilles Allali, Harmehr Sekhon, Joe Verghese, Sylvie Guilain, Jean Paul Steinmetz, Reto W. Kressig, John M. Barden, Tony Szturm, Cyrille P. Launay, Sébastien Grenier, Louis Bherer, Teresa Liu-Ambrose, Vicky L. Chester, Michele L. Callisaya, Velandai Srikanth, Guillaume Léonard, Anne Marie De Cock, Ryuichi Sawa, Gustavo DuqueRichard Camicioli, Jorunn L. Helbostad

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Gait disorders, a highly prevalent condition in older adults, are associated with several adverse health consequences. Gait analysis allows qualitative and quantitative assessments of gait that improves the understanding of mechanisms of gait disorders and the choice of interventions. This manuscript aims (1) to give consensus guidance for clinical and spatiotemporal gait analysis based on the recorded footfalls in older adults aged 65 years and over, and (2) to provide reference values for spatiotemporal gait parameters based on the recorded footfalls in healthy older adults free of cognitive impairment and multi-morbidities. Methods: International experts working in a network of two different consortiums (i.e., Biomathics and Canadian Gait Consortium) participated in this initiative. First, they identified items of standardized information following the usual procedure of formulation of consensus findings. Second, they merged databases including spatiotemporal gait assessments with GAITRite® system and clinical information from the “Gait, cOgnitiOn & Decline” (GOOD) initiative and the Generation 100 (Gen 100) study. Only healthy—free of cognitive impairment and multi-morbidities (i.e., ≤ 3 therapeutics taken daily)—participants aged 65 and older were selected. Age, sex, body mass index, mean values, and coefficients of variation (CoV) of gait parameters were used for the analyses. Results: Standardized systematic assessment of three categories of items, which were demographics and clinical information, and gait characteristics (clinical and spatiotemporal gait analysis based on the recorded footfalls), were selected for the proposed guidelines. Two complementary sets of items were distinguished: a minimal data set and a full data set. In addition, a total of 954 participants (mean age 72.8 ± 4.8 years, 45.8% women) were recruited to establish the reference values. Performance of spatiotemporal gait parameters based on the recorded footfalls declined with increasing age (mean values and CoV) and demonstrated sex differences (mean values). Conclusions: Based on an international multicenter collaboration, we propose consensus guidelines for gait assessment and spatiotemporal gait analysis based on the recorded footfalls, and reference values for healthy older adults.

Original languageEnglish (US)
Article number353
JournalFrontiers in Human Neuroscience
Volume11
DOIs
StatePublished - Aug 3 2017

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Gait
Reference Values
Guidelines
Spatio-Temporal Analysis
Consensus
Morbidity
Information Systems
Sex Characteristics
Cognition
Body Mass Index

Keywords

  • Aged
  • Gait
  • Guidelines
  • Reference values

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Neurology
  • Psychiatry and Mental health
  • Biological Psychiatry
  • Behavioral Neuroscience

Cite this

Guidelines for assessment of gait and reference values for spatiotemporal gait parameters in older adults : The biomathics and canadian gait consortiums initiative. / Beauchet, Olivier; Allali, Gilles; Sekhon, Harmehr; Verghese, Joe; Guilain, Sylvie; Steinmetz, Jean Paul; Kressig, Reto W.; Barden, John M.; Szturm, Tony; Launay, Cyrille P.; Grenier, Sébastien; Bherer, Louis; Liu-Ambrose, Teresa; Chester, Vicky L.; Callisaya, Michele L.; Srikanth, Velandai; Léonard, Guillaume; Cock, Anne Marie De; Sawa, Ryuichi; Duque, Gustavo; Camicioli, Richard; Helbostad, Jorunn L.

In: Frontiers in Human Neuroscience, Vol. 11, 353, 03.08.2017.

Research output: Contribution to journalArticle

Beauchet, O, Allali, G, Sekhon, H, Verghese, J, Guilain, S, Steinmetz, JP, Kressig, RW, Barden, JM, Szturm, T, Launay, CP, Grenier, S, Bherer, L, Liu-Ambrose, T, Chester, VL, Callisaya, ML, Srikanth, V, Léonard, G, Cock, AMD, Sawa, R, Duque, G, Camicioli, R & Helbostad, JL 2017, 'Guidelines for assessment of gait and reference values for spatiotemporal gait parameters in older adults: The biomathics and canadian gait consortiums initiative', Frontiers in Human Neuroscience, vol. 11, 353. https://doi.org/10.3389/fnhum.2017.00353
Beauchet, Olivier ; Allali, Gilles ; Sekhon, Harmehr ; Verghese, Joe ; Guilain, Sylvie ; Steinmetz, Jean Paul ; Kressig, Reto W. ; Barden, John M. ; Szturm, Tony ; Launay, Cyrille P. ; Grenier, Sébastien ; Bherer, Louis ; Liu-Ambrose, Teresa ; Chester, Vicky L. ; Callisaya, Michele L. ; Srikanth, Velandai ; Léonard, Guillaume ; Cock, Anne Marie De ; Sawa, Ryuichi ; Duque, Gustavo ; Camicioli, Richard ; Helbostad, Jorunn L. / Guidelines for assessment of gait and reference values for spatiotemporal gait parameters in older adults : The biomathics and canadian gait consortiums initiative. In: Frontiers in Human Neuroscience. 2017 ; Vol. 11.
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T1 - Guidelines for assessment of gait and reference values for spatiotemporal gait parameters in older adults

T2 - The biomathics and canadian gait consortiums initiative

AU - Beauchet, Olivier

AU - Allali, Gilles

AU - Sekhon, Harmehr

AU - Verghese, Joe

AU - Guilain, Sylvie

AU - Steinmetz, Jean Paul

AU - Kressig, Reto W.

AU - Barden, John M.

AU - Szturm, Tony

AU - Launay, Cyrille P.

AU - Grenier, Sébastien

AU - Bherer, Louis

AU - Liu-Ambrose, Teresa

AU - Chester, Vicky L.

AU - Callisaya, Michele L.

AU - Srikanth, Velandai

AU - Léonard, Guillaume

AU - Cock, Anne Marie De

AU - Sawa, Ryuichi

AU - Duque, Gustavo

AU - Camicioli, Richard

AU - Helbostad, Jorunn L.

PY - 2017/8/3

Y1 - 2017/8/3

N2 - Background: Gait disorders, a highly prevalent condition in older adults, are associated with several adverse health consequences. Gait analysis allows qualitative and quantitative assessments of gait that improves the understanding of mechanisms of gait disorders and the choice of interventions. This manuscript aims (1) to give consensus guidance for clinical and spatiotemporal gait analysis based on the recorded footfalls in older adults aged 65 years and over, and (2) to provide reference values for spatiotemporal gait parameters based on the recorded footfalls in healthy older adults free of cognitive impairment and multi-morbidities. Methods: International experts working in a network of two different consortiums (i.e., Biomathics and Canadian Gait Consortium) participated in this initiative. First, they identified items of standardized information following the usual procedure of formulation of consensus findings. Second, they merged databases including spatiotemporal gait assessments with GAITRite® system and clinical information from the “Gait, cOgnitiOn & Decline” (GOOD) initiative and the Generation 100 (Gen 100) study. Only healthy—free of cognitive impairment and multi-morbidities (i.e., ≤ 3 therapeutics taken daily)—participants aged 65 and older were selected. Age, sex, body mass index, mean values, and coefficients of variation (CoV) of gait parameters were used for the analyses. Results: Standardized systematic assessment of three categories of items, which were demographics and clinical information, and gait characteristics (clinical and spatiotemporal gait analysis based on the recorded footfalls), were selected for the proposed guidelines. Two complementary sets of items were distinguished: a minimal data set and a full data set. In addition, a total of 954 participants (mean age 72.8 ± 4.8 years, 45.8% women) were recruited to establish the reference values. Performance of spatiotemporal gait parameters based on the recorded footfalls declined with increasing age (mean values and CoV) and demonstrated sex differences (mean values). Conclusions: Based on an international multicenter collaboration, we propose consensus guidelines for gait assessment and spatiotemporal gait analysis based on the recorded footfalls, and reference values for healthy older adults.

AB - Background: Gait disorders, a highly prevalent condition in older adults, are associated with several adverse health consequences. Gait analysis allows qualitative and quantitative assessments of gait that improves the understanding of mechanisms of gait disorders and the choice of interventions. This manuscript aims (1) to give consensus guidance for clinical and spatiotemporal gait analysis based on the recorded footfalls in older adults aged 65 years and over, and (2) to provide reference values for spatiotemporal gait parameters based on the recorded footfalls in healthy older adults free of cognitive impairment and multi-morbidities. Methods: International experts working in a network of two different consortiums (i.e., Biomathics and Canadian Gait Consortium) participated in this initiative. First, they identified items of standardized information following the usual procedure of formulation of consensus findings. Second, they merged databases including spatiotemporal gait assessments with GAITRite® system and clinical information from the “Gait, cOgnitiOn & Decline” (GOOD) initiative and the Generation 100 (Gen 100) study. Only healthy—free of cognitive impairment and multi-morbidities (i.e., ≤ 3 therapeutics taken daily)—participants aged 65 and older were selected. Age, sex, body mass index, mean values, and coefficients of variation (CoV) of gait parameters were used for the analyses. Results: Standardized systematic assessment of three categories of items, which were demographics and clinical information, and gait characteristics (clinical and spatiotemporal gait analysis based on the recorded footfalls), were selected for the proposed guidelines. Two complementary sets of items were distinguished: a minimal data set and a full data set. In addition, a total of 954 participants (mean age 72.8 ± 4.8 years, 45.8% women) were recruited to establish the reference values. Performance of spatiotemporal gait parameters based on the recorded footfalls declined with increasing age (mean values and CoV) and demonstrated sex differences (mean values). Conclusions: Based on an international multicenter collaboration, we propose consensus guidelines for gait assessment and spatiotemporal gait analysis based on the recorded footfalls, and reference values for healthy older adults.

KW - Aged

KW - Gait

KW - Guidelines

KW - Reference values

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