Comparison of functional performance and kinematic gait parameters in frail and healthy elderly people

Authors

DOI:

https://doi.org/10.5585/23.2024.24765

Keywords:

Aging, Fragility, Gait

Abstract

Objective: To compare functional performance and kinematic gait abnormalities in healthy elderly people and in elderly people with manifestations of the frailty syndrome, living in the community.
Methods: A cross-sectional case-control study. Fifteen elderly people, living in the community, participated in the study. They were separated into two groups, according to the presence of manifestations of frailty (n = 10) and control (n = 5). Data on functional performance, aerobic capacity, presence of frailty syndrome, and kinematic gait assessment were collected. Tests, such as: TC400m, dynamometry, and SPPB were used. For data analysis, the statistical package PASW 18.0 (SPSS inc) was used.
Results: The time in the 400m walk test was 11 seconds higher in the group with signs of frailty (p = 0.03), and handgrip strength was 25.8% higher in the group without frailty (p = 0.01).
Conclusion: We conclude that frail elderly people have a decline in functional performance in tests that assess aerobic resistance and muscle strength.

CROSSMARK_Color_horizontal.svg

Downloads

Download data is not yet available.

Author Biographies

Fernanda Bueno Pilastri, Centro Universitário do Sagrado Coração

Fisioterapeuta

Amanda de Oliveira Navarro, Centro Universitário do Sagrado Coração

Fisioterapeuta

Giovanna Limão Massariol, Centro Universitário do Sagrado Coração

Fisioterapeuta

Marcelo Tavella Navega, Universidade Estadual Paulista

Docente

Nise Ribeiro Marques, Centro Universitário do Sagrado Coração

Docente

References

Relações entre as Alterações Históricas na Dinâmica Demográfica Brasileira e os Impactos Decorrentes do Processo de Envelhecimento da População | IBGE [Internet]. www.ibge.gov.br.

Veras R. Envelhecimento populacional contemporâneo: demandas, desafios e inovações. Revista de Saúde Pública. 2009 Jun;43(3):548–54.

Fhon JRS, Cabral LMS, Giacomini SBL, dos Reis NA, Resende MC, Rodrigues RAP. Frailty and sociodemographic and health factors, and social support network in the brazilian elderly: A longitudinal study. Revista da Escola de Enfermagem da USP. 2022;56.

Dzau VJ, Inouye SK, Rowe JW, Finkelman E, Yamada T. Enabling Healthful Aging for All - The National Academy of Medicine Grand Challenge in Healthy Longevity. The New England Journal of Medicine [Internet]. 2019 Oct 31;381(18):1699–701.

Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in Older Adults: Evidence for a Phenotype [Internet]. The journals of gerontology. Series A, Biological sciences and medical sciences. 2001

Faller JW, Pereira D do N, de Souza S, Nampo FK, Orlandi F de S, Matumoto S. Instruments for the detection of frailty syndrome in older adults: A systematic review. Bayer A, editor. PLOS ONE [Internet]. 2019 Apr 29;14(4)

Silva SLA da, Neri AL, Ferrioli E, Lourenço RA, Dias RC. Fenótipo de fragilidade: influência de cada item na determinação da fragilidade em idosos comunitários – Rede Fibra. Ciência & Saúde Coletiva. 2016 Nov;21(11):3483–92

Kitamura A, Seino S, Abe T, Nofuji Y, Yokoyama Y, Amano H, et al. Sarcopenia: prevalence, associated factors, and the risk of mortality and disability in Japanese older adults. Journal of Cachexia, Sarcopenia and Muscle. 2020 Nov 25;12(1):30–8

Santos EGS. Perfil de Fragilidade em Idosos Comunitários de Belo Horizonte: Um estudo transversal. Repositorio UFMG BR [Internet]. 2008 Aug 28.

Billot M, Calvani R, Urtamo A, Sánchez-Sánchez JL, Ciccolari-Micaldi C, Chang M, et al. Preserving mobility in older adults with physical frailty and sarcopenia: Opportunities, challenges, and recommendations for physical activity interventions. Clinical Interventions in Aging. 2020 Sep;Volume 15:1675–90

Marques NR, Dos Santos APDML, Camilo GF, Cardoso BC, Brando ND, Hoffman J, et al. Effect of Different Residential Settings on Gait Kinematic Parameters in Older adults with cognitive impairment. Human Moviment Science [Internet].2021 FEB 1;75:102747

Feasibility and measurement properties of the functional reach and the timed up and go tests in the Canadian study of health and aging. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2000 Feb 1;55(2)

Dougherty RJ, Wanigatunga AA, An Y, Tian Q, Simonsick EM, Albert M, et al. Walking energetics and white matter hyperintensities in mid‐to‐late adulthood. Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring [Internet]. 2023 Oct 1 [cited 2023 Dec 5];15(4).

Simonsick EM, Fan E, Fleg JL. Estimating Cardiorespiratory Fitness in Well-Functioning Older Adults: Treadmill Validation of the Long Distance Corridor Walk. Journal of the American Geriatrics Society. 2006 Jan;54(1):127–32.12

Marques NR, dos Santos APDML, Camilo GF, Cardoso BC, Brando ND, Hoffman J, et al. Effect of different residential settings on gait kinematic parameters in older adults with cognitive impairment. Human Movement Science [Internet]. 2021 Feb 1;75:102747.

Esteban‐Cornejo I, Ho FK, Petermann‐Rocha F, Lyall DM, Martinez‐Gomez D, Cabanas‐Sánchez V, et al. Handgrip strength and all‐cause dementia incidence and mortality: findings from the UK Biobank prospective cohort study. Journal of Cachexia, Sarcopenia and Muscle. 2022 Apr 21;13(3):1514–25

de Fátima Ribeiro Silva C, Ohara DG, Matos AP, Pinto ACPN, Pegorari MS. Short Physical Performance Battery as a Measure of Physical Performance and Mortality Predictor in Older Adults: A Comprehensive Literature Review. International Journal of Environmental Research and Public Health. 2021 Oct 10;18(20):10612.

Welch SA, Ward RE, Beauchamp MK, Leveille SG, Travison T, Bean JF. The Short Physical Performance Battery (SPPB): A Quick and Useful Tool for Fall Risk Stratification Among Older Primary Care Patients. Journal of the American Medical Directors Association. 2020 Nov.

Martínez-de-Quel Ó, Suárez-Iglesias D, López-Flores M, Pérez CA. Physical Activity, Dietary Habits and Sleep Quality Before and During COVID-19 Lockdown: A Longitudinal Study. Appetite. 2020 Nov;158:105019.

Marques NR, Kuroda MH, Moreno VC, Zámuner AR, Barbieri FA. Effects of automatic mechanical peripheral stimulation on gait biomechanics in older adults with Parkinson’s disease: a randomized crossover clinical trial. Aging Clinical and Experimental Research [Internet]. 2022 Jun 1;34(6):1323–31.

Marques NR, Spinoso DH, Cardoso BC, Moreno VC, Kuroda MH, Navega MT. Is it possible to predict falls in older adults using gait kinematics? Clinical Biomechanics (Bristol, Avon) [Internet]. 2018 Nov 1;59:15–8.

Marques NR, Camilo GF, de Martini Lopes Dos Santos AP, Cardoso BC, Navega MT, de Abreu DCC. The ability of gait kinematic parameters to predict falls in older adults with cognitive impairments living in long term institutions. Clinical Biomechanics (Bristol, Avon) [Internet]. 2019 May 1;65:123–7.

Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing. 2018 Sep 24;48(1):16–31.

Sousa RL de, Betiolli SE, Lenardt MH, Hammerschmidt KS de A, Barbiero MMA, Falcão AS. Relação entre força de preensão manual, funcionalidade e fragilidade física em pessoas idosas: Revisão integrativa. REME-Revista Mineira de Enfermagem [Internet]. 2022 Dec 21

Salmito MC de A. Associação entre equilíbrio, marcha e síndrome da fragilidade em idosos residentes em área urbana. repositorioufcbr [Internet]. 2012

McGrath R, Tomkinson GR, LaRoche DP, Vincent BM, Bond CW, Hackney KJ. Handgrip Strength Asymmetry and Weakness May Accelerate Time to Mortality in Aging Americans. Journal of the American Medical Directors Association. 2020 Dec;21(12):2003-2007.

LaRoche DP, Villa MR, Bond CW, Cook SB. Knee extensor power asymmetry is unrelated to functional mobility of older adults. Experimental Gerontology [Internet]. 2017 Nov [cited 2019 Dec 16];98:54–61.

Pilastri FB. Associação entre sintomas de fragilidade e parâmetros de desempenho funcional de idosos viventes na comunidade. Bauru. Monografia [ Bacharel em Fisioterapia] – Centro Universitário do Sagrado Coração; 2021.

Perry J. Sistemas de análise de marcha. 2005.

Montero-Odasso M, Muir SW, Hall M, Doherty TJ, Kloseck M, Beauchet O, et al. Gait Variability Is Associated with Frailty in Community-dwelling Older Adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2011 Feb 28;66A(5):568–76.

Castell MV, Sánchez M, Julián R, Queipo R, Martín S, Otero Á. Frailty prevalence and slow walking speed in persons age 65 and older: implications for primary care. BMC Family Practice. 2013 Jun 19;14(1):1-9

Seabra CAM, Xavier SPL, Sampaio YPCC, Oliveira MF de, Quirino G da S, Machado M de FAS. Health education as a strategy for the promotion of the health of the elderly: an integrative review. Revista Brasileira de Geriatria e Gerontologia [Internet]. 2019;22(4).

Published

2024-03-25

How to Cite

1.
Pilastri FB, Navarro A de O, Massariol GL, Navega MT, Marques NR. Comparison of functional performance and kinematic gait parameters in frail and healthy elderly people. Cons. Saúde [Internet]. 2024 Mar. 25 [cited 2024 Dec. 23];23(1):e24765. Available from: https://uninove.emnuvens.com.br/saude/article/view/24765

Issue

Section

Artigos