Herssens Nolan, Verbecque Evi, Hallemans Ann, Vereeck Luc, Van Rompaey Vincent, Saeys Wim
Department of Rehabilitation Sciences and Physiotherapy/ Movant, Faculty of Medicine and Health Science, University of Antwerp, Belgium; Multidisciplinary Motor Centre Antwerp (M²OCEAN), University of Antwerp, Belgium.
Department of Rehabilitation Sciences and Physiotherapy/ Movant, Faculty of Medicine and Health Science, University of Antwerp, Belgium.
Gait Posture. 2018 Jul;64:181-190. doi: 10.1016/j.gaitpost.2018.06.012. Epub 2018 Jun 12.
Aging is often associated with changes in the musculoskeletal system, peripheral and central nervous system. These age-related changes often result in mobility problems influencing gait performance. Compensatory strategies are used as a way to adapt to these physiological changes.
The aim of this review is to investigate the differences in spatiotemporal and gait variability measures throughout the healthy adult life.
This systematic review was conducted according to the PRISMA guidelines and registered in the PROSPERO database (no. CRD42017057720). Databases MEDLINE (Pubmed), Web of Science (Web of Knowledge), Cochrane Library and ScienceDirect were systematically searched until March 2018.
Eighteen of the 3195 original studies met the eligibility criteria and were included in this review. The majority of studies reported spatiotemporal and gait variability measures in adults above the age of 65, followed by the young adult population, information of middle-aged adults is lacking. Spatiotemporal parameters and gait variability measures were extracted from 2112 healthy adults between 18 and 98 years old and, in general, tend to deteriorate with increasing age. Variability measures were only reported in an elderly population and show great variety between studies.
The findings of this review suggest that most spatiotemporal parameters significantly differ across different age groups. Elderly populations show a reduction of preferred walking speed, cadence, step and stride length, all related to a more cautious gait, while gait variability measures remain stable over time. A preliminary framework of normative reference data is provided, enabling insights into the influence of aging on spatiotemporal parameters, however spatiotemporal parameters of middle-aged adults should be investigated more thoroughly.
衰老常与肌肉骨骼系统、外周和中枢神经系统的变化相关。这些与年龄相关的变化常常导致影响步态表现的行动能力问题。补偿策略被用作适应这些生理变化的一种方式。
本综述的目的是研究健康成年人一生中时空参数和步态变异性指标的差异。
本系统综述按照PRISMA指南进行，并在PROSPERO数据库（编号CRD42017057720）中注册。对MEDLINE（PubMed）、科学网（Web of Knowledge）、考克兰图书馆和ScienceDirect数据库进行系统检索，直至2018年3月。
3195项原始研究中的18项符合纳入标准并被纳入本综述。大多数研究报告了65岁以上成年人的时空参数和步态变异性指标，其次是年轻成年人，中年成年人的信息缺乏。从2112名18至98岁的健康成年人中提取了时空参数和步态变异性指标，总体而言，这些指标往往随着年龄增长而恶化。变异性指标仅在老年人群中有所报告，且研究之间差异很大。
本综述的结果表明，大多数时空参数在不同年龄组之间存在显著差异。老年人群表现出偏好步行速度、步频、步幅和步长的降低，所有这些都与更谨慎的步态有关，而步态变异性指标随时间保持稳定。提供了一个规范性参考数据的初步框架，有助于深入了解衰老对时空参数的影响，然而中年成年人的时空参数应进行更深入的研究。
