Association between the gait pattern characteristics of older people and their two-step test scores

Abstract Background The Two-Step test is one of three official tests authorized by the Japanese Orthopedic Association to evaluate the risk of locomotive syndrome (a condition of reduced mobility caused by an impairment of the locomotive organs). It has been reported that the Two-Step test score has...

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Main Authors: Yoshiyuki Kobayashi, Toru Ogata
Format: Article
Language:English
Published: BMC 2018-04-01
Series:BMC Geriatrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12877-018-0784-5
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author Yoshiyuki Kobayashi
Toru Ogata
author_facet Yoshiyuki Kobayashi
Toru Ogata
author_sort Yoshiyuki Kobayashi
collection DOAJ
description Abstract Background The Two-Step test is one of three official tests authorized by the Japanese Orthopedic Association to evaluate the risk of locomotive syndrome (a condition of reduced mobility caused by an impairment of the locomotive organs). It has been reported that the Two-Step test score has a good correlation with one’s walking ability; however, its association with the gait pattern of older people during normal walking is still unknown. Therefore, this study aims to clarify the associations between the gait patterns of older people observed during normal walking and their Two-Step test scores. Methods We analyzed the whole waveforms obtained from the lower-extremity joint angles and joint moments of 26 older people in various stages of locomotive syndrome using principal component analysis (PCA). The PCA was conducted using a 260 × 2424 input matrix constructed from the participants’ time-normalized pelvic and right-lower-limb-joint angles along three axes (ten trials of 26 participants, 101 time points, 4 angles, 3 axes, and 2 variable types per trial). Results The Pearson product-moment correlation coefficient between the scores of the principal component vectors (PCVs) and the scores of the Two-Step test revealed that only one PCV (PCV 2) among the 61 obtained relevant PCVs is significantly related to the score of the Two-Step test. Conclusions We therefore concluded that the joint angles and joint moments related to PCV 2—ankle plantar-flexion, ankle plantar-flexor moments during the late stance phase, ranges of motion and moments on the hip, knee, and ankle joints in the sagittal plane during the entire stance phase—are the motions associated with the Two-Step test.
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spelling doaj.art-9ac2f364d29a46cba4e82e6d9a131aa02022-12-21T20:20:23ZengBMCBMC Geriatrics1471-23182018-04-011811810.1186/s12877-018-0784-5Association between the gait pattern characteristics of older people and their two-step test scoresYoshiyuki Kobayashi0Toru Ogata1Digital Human Research Group, Human Informatics Research Institute, National Institute of Advanced Industrial Science and TechnologyNational Rehabilitation Center for Persons with DisabilitiesAbstract Background The Two-Step test is one of three official tests authorized by the Japanese Orthopedic Association to evaluate the risk of locomotive syndrome (a condition of reduced mobility caused by an impairment of the locomotive organs). It has been reported that the Two-Step test score has a good correlation with one’s walking ability; however, its association with the gait pattern of older people during normal walking is still unknown. Therefore, this study aims to clarify the associations between the gait patterns of older people observed during normal walking and their Two-Step test scores. Methods We analyzed the whole waveforms obtained from the lower-extremity joint angles and joint moments of 26 older people in various stages of locomotive syndrome using principal component analysis (PCA). The PCA was conducted using a 260 × 2424 input matrix constructed from the participants’ time-normalized pelvic and right-lower-limb-joint angles along three axes (ten trials of 26 participants, 101 time points, 4 angles, 3 axes, and 2 variable types per trial). Results The Pearson product-moment correlation coefficient between the scores of the principal component vectors (PCVs) and the scores of the Two-Step test revealed that only one PCV (PCV 2) among the 61 obtained relevant PCVs is significantly related to the score of the Two-Step test. Conclusions We therefore concluded that the joint angles and joint moments related to PCV 2—ankle plantar-flexion, ankle plantar-flexor moments during the late stance phase, ranges of motion and moments on the hip, knee, and ankle joints in the sagittal plane during the entire stance phase—are the motions associated with the Two-Step test.http://link.springer.com/article/10.1186/s12877-018-0784-5Principal component analysisMobility of older peopleTwo-step testGait pattern
spellingShingle Yoshiyuki Kobayashi
Toru Ogata
Association between the gait pattern characteristics of older people and their two-step test scores
BMC Geriatrics
Principal component analysis
Mobility of older people
Two-step test
Gait pattern
title Association between the gait pattern characteristics of older people and their two-step test scores
title_full Association between the gait pattern characteristics of older people and their two-step test scores
title_fullStr Association between the gait pattern characteristics of older people and their two-step test scores
title_full_unstemmed Association between the gait pattern characteristics of older people and their two-step test scores
title_short Association between the gait pattern characteristics of older people and their two-step test scores
title_sort association between the gait pattern characteristics of older people and their two step test scores
topic Principal component analysis
Mobility of older people
Two-step test
Gait pattern
url http://link.springer.com/article/10.1186/s12877-018-0784-5
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