The impact of different types of assistive devices on gait measures and safety in Huntington's disease.

<h4>Background</h4>Gait and balance impairments lead to frequent falls and injuries in individuals with Huntington's disease (HD). Assistive devices (ADs) such as canes and walkers are often prescribed to prevent falls, but their efficacy is unknown. We systematically examined the e...

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Main Authors: Anne D Kloos, Deborah A Kegelmeyer, Susan E White, Sandra K Kostyk
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22363511/pdf/?tool=EBI
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author Anne D Kloos
Deborah A Kegelmeyer
Susan E White
Sandra K Kostyk
author_facet Anne D Kloos
Deborah A Kegelmeyer
Susan E White
Sandra K Kostyk
author_sort Anne D Kloos
collection DOAJ
description <h4>Background</h4>Gait and balance impairments lead to frequent falls and injuries in individuals with Huntington's disease (HD). Assistive devices (ADs) such as canes and walkers are often prescribed to prevent falls, but their efficacy is unknown. We systematically examined the effects of different types of ADs on quantitative gait measures during walking in a straight path and around obstacles.<h4>Methods</h4>Spatial and temporal gait parameters were measured in 21 subjects with HD as they walked across a GAITRite walkway under 7 conditions (i.e., using no AD and 6 commonly prescribed ADs: a cane, a weighted cane, a standard walker, and a 2, 3 or 4 wheeled walker). Subjects also were timed and observed for number of stumbles and falls while walking around two obstacles in a figure-of-eight pattern.<h4>Results</h4>Gait measure variability (i.e., coefficient of variation), an indicator of fall risk, was consistently better when using the 4WW compared to other ADs. Subjects also walked the fastest and had the fewest number of stumbles and falls when using the 4WW in the figure-of-eight course. Subjects walked significantly slower using ADs compared to no AD both across the GAITRite and in the figure-of-eight. Measures reflecting gait stability and safety improved with the 4WW but were made worse by some other ADs.
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spelling doaj.art-db7e8764aff6433d92664b0ad3edcaf22022-12-21T18:33:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0172e3090310.1371/journal.pone.0030903The impact of different types of assistive devices on gait measures and safety in Huntington's disease.Anne D KloosDeborah A KegelmeyerSusan E WhiteSandra K Kostyk<h4>Background</h4>Gait and balance impairments lead to frequent falls and injuries in individuals with Huntington's disease (HD). Assistive devices (ADs) such as canes and walkers are often prescribed to prevent falls, but their efficacy is unknown. We systematically examined the effects of different types of ADs on quantitative gait measures during walking in a straight path and around obstacles.<h4>Methods</h4>Spatial and temporal gait parameters were measured in 21 subjects with HD as they walked across a GAITRite walkway under 7 conditions (i.e., using no AD and 6 commonly prescribed ADs: a cane, a weighted cane, a standard walker, and a 2, 3 or 4 wheeled walker). Subjects also were timed and observed for number of stumbles and falls while walking around two obstacles in a figure-of-eight pattern.<h4>Results</h4>Gait measure variability (i.e., coefficient of variation), an indicator of fall risk, was consistently better when using the 4WW compared to other ADs. Subjects also walked the fastest and had the fewest number of stumbles and falls when using the 4WW in the figure-of-eight course. Subjects walked significantly slower using ADs compared to no AD both across the GAITRite and in the figure-of-eight. Measures reflecting gait stability and safety improved with the 4WW but were made worse by some other ADs.https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22363511/pdf/?tool=EBI
spellingShingle Anne D Kloos
Deborah A Kegelmeyer
Susan E White
Sandra K Kostyk
The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
PLoS ONE
title The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
title_full The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
title_fullStr The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
title_full_unstemmed The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
title_short The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
title_sort impact of different types of assistive devices on gait measures and safety in huntington s disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22363511/pdf/?tool=EBI
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