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Effect of uphill and downhill walking on walking performance in geriatric patients using a wheeled walker

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2017

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Lindemann, Ulrich
Schmitt, Syn
Weyrich, Michael
Schlicht, Wolfgang
Becker, Clemens

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https://doi.org/10.1007/s00391-016-1156-4
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Titel in einer weiteren Sprache

Effekt von Bergauf- und Bergabgehen auf die Gehfähigkeit geriatrischer Patienten mit Rollator
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Published

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Zeitschrift für Gerontologie und Geriatrie. Steinkopff bei Springer LINK. 2017, 50(6), pp. 483-487. ISSN 0948-6704. eISSN 1435-1269. Available under: doi: 10.1007/s00391-016-1156-4

Zusammenfassung

Background:
Wheeled walkers are recommended to improve walking performance in older persons and to encourage and assist participation in daily life. Nevertheless, using a wheeled walker can cause serious problems in the natural environment. This study aimed to compare uphill and downhill walking with walking level in geriatric patients using a wheeled walker. Furthermore, we investigated the effect of using a wheeled walker with respect to dual tasking when walking level.

Methods:
A total of 20 geriatric patients (median age 84.5 years) walked 10 m at their habitual pace along a level surface, uphill and downhill, with and without a standard wheeled walker. Gait speed, stride length and cadence were assessed by wearable sensors and the walk ratio was calculated.

Results:
When using a wheeled walker while walking level the walk ratio improved (0.58 m/[steps/min] versus 0.57 m/[steps/min], p = 0.023) but gait speed decreased (1.07 m/s versus 1.12 m/s, p = 0.020) when compared to not using a wheeled walker. With respect to the walk ratio, uphill and downhill walking with a wheeled walker decreased walking performance when compared to level walking (0.54 m/[steps/min] versus 0.58 m/[steps/min], p = 0.023 and 0.55 m/[steps/min] versus 0.58 m/[steps/min], p = 0.001, respectively). At the same time, gait speed decreased (0.079 m/s versus 1.07 m/s, p < 0.0001) or was unaffected.

Conclusion:
The use of a wheeled walker improved the quality of level walking but the performance of uphill and downhill walking was worse compared to walking level when using a wheeled walker.

Zusammenfassung in einer weiteren Sprache

Fachgebiet (DDC)
796 Sport

Schlagwörter

Downhill walking, Uphill walking, Geriatric patients, Wheeled walkerWa, lk ratio

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ISO 690LINDEMANN, Ulrich, Michael SCHWENK, Syn SCHMITT, Michael WEYRICH, Wolfgang SCHLICHT, Clemens BECKER, 2017. Effect of uphill and downhill walking on walking performance in geriatric patients using a wheeled walker. In: Zeitschrift für Gerontologie und Geriatrie. Steinkopff bei Springer LINK. 2017, 50(6), pp. 483-487. ISSN 0948-6704. eISSN 1435-1269. Available under: doi: 10.1007/s00391-016-1156-4
BibTex
@article{Lindemann2017-08Effec-55158,
  year={2017},
  doi={10.1007/s00391-016-1156-4},
  title={Effect of uphill and downhill walking on walking performance in geriatric patients using a wheeled walker},
  number={6},
  volume={50},
  issn={0948-6704},
  journal={Zeitschrift für Gerontologie und Geriatrie},
  pages={483--487},
  author={Lindemann, Ulrich and Schwenk, Michael and Schmitt, Syn and Weyrich, Michael and Schlicht, Wolfgang and Becker, Clemens}
}
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