Effect of different residential settings on gait kinematic parameters in older adults with cognitive impairment

Author(s)

Marques, Nise Ribeiro ^{[1, 2]} ; De Martini Lopes dos Santos, Ana Paula ^[3] ; Camilo, Giovanna Ferreira ^[3] ; Cardoso, Bruna Carvalho ^[4] ; Brando, Natalia Dias ^[1] ; Hoffman, Julia ^[1] ; Navega, Marcelo Tavella ^[3] ; Carvalho Leite de Abreu, Daniela Cristina ^[2]

Affiliation

^[1] Univ Sagrado Coracao, Sacred Heart Univ, Hlth Sci Ctr, Bauru, SP - Brazil

^[2] Univ Sao Paulo, USP, Ribeirao Preto Med Sch, Dept Hlth Sci, Ribeirao Preto - Brazil

^[3] Sao Paulo State Univ, UNESP, Dept Phys Therapy & Occupat Therapy, Marilia, SP - Brazil

^[4] FAMEMA, Marilia Med Sch, Marilia, SP - Brazil

• Document type: Journal article
• Source: HUMAN MOVEMENT SCIENCE; v. 75, FEB 2021.
• Web of Science Citations: 0

Abstract

Objective: To compare the parameters of gait kinematics of older adults with cognitive impairment who live in community dwellings or those living or spending most of the time in non-family environment settings. Methods: The sample was composed of 33 older adults of both sexes with cognitive impairment. Participants were separated into three groups: a community-dwelling older adult group comprised of 11 subjects; a semi-institutionalized older adult group comprised of 10 older adults attended in a geriatric daycare institution; and an institutionalized older adult group comprised of 12 older adults living in long-term institutions. Gait kinematics were recorded by pressure sensors (footswitches). Fifty gait cycles at self-selected pace were analyzed to obtain: gait speed, stride length, stance, swing, and stride time. The variability of these parameters was also analyzed. Results: MANCOVA identified the main effect of groups (p < 0.001). Gait speed of older adults living in long-term institutions and older adults attended in geriatric daycare institutions was slower than community-living older adults (p < 0.001 and p = 0.04, respectively). Swing and stride time variability was higher in older adults living in long-term institutions (p = 0.003 and p = 0.001) and in older adults attended in geriatric daycare institutions (p = 0.02 and p = 0.001) than in community-dwelling older adults. Conclusion: The most important finding was that older adults with cognitive impairment who need non-family residential setting care had higher gait kinematics abnormalities, which may increase the risk of falls, compared to those who live in the community. (AU)

• FAPESP's process: 16/02728-0 - Identification of discriminative capacity of falls to parameters cinematic of gait in elderly with cognitive decline
• Grantee: Giovanna Ferreira Camilo
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• FAPESP's process: 16/02727-3 - Correlation between kinematics variables and energetic cost in the March on institutionalized elderly with cognitive decline
• Grantee: Ana Paula de Martini Lopes dos Santos
• Support Opportunities: Scholarships in Brazil - Scientific Initiation