Development of a rapid stepping test to challenge rapid weight-shifting function in older adults
Background The ability to step rapidly, shift weight from side-to-side, and maintain temporal rhythmicity are important functional elements for walking independently and preventing falls in seniors. Aims The purpose of this study was to develop a clinically feasible test of rapid stepping performanc...
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| Veröffentlicht in: | Aging clinical and experimental research 2017-08, Vol.29 (4), p.701-709 |
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| creator | Ruwitch, Margaret M. Row Lazzarini, Brandi |
| description | Background
The ability to step rapidly, shift weight from side-to-side, and maintain temporal rhythmicity are important functional elements for walking independently and preventing falls in seniors.
Aims
The purpose of this study was to develop a clinically feasible test of rapid stepping performance that challenges the ability to step rapidly, shift weight from side-to-side, and maintain temporal rhythmicity.
Methods
Participants were a volunteer sample of healthy, self-ambulating older adults aged 70–98 years. A Repeated Alternating Stair Touch Test was developed, which involved rapidly shifting weight in the medial–lateral direction by tapping each foot alternately onto a step. Performance on the test was assessed using trunk acceleration signals. Associations between the number of steps completed on the Repeated Alternating Stair Touch Test in 20 s and acceleration magnitude, variability, and stepping rhythmicity were assessed using Pearson correlations and linear regression. Repeatability was assessed during a 2-week follow-up period.
Results
The acceleration magnitude, variability, and stepping rhythmicity variables related moderately with the number of steps on the Repeated Alternating Stair Touch Test (
r
= 0.534–0.572,
p
|
| doi_str_mv | 10.1007/s40520-016-0609-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1826732407</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1826732407</sourcerecordid><originalsourceid>FETCH-LOGICAL-c324t-42a9d50d19f608bc60c1453a0de8b4d0d9587300a412301a322702d3397f064b3</originalsourceid><addsrcrecordid>eNp1kMtOwzAQRS0EoqXwAWyQJTZsAuNH4mSJeEuV2MDaOLHTpkrjYDsg_h5XKQ8hsbI9PnNndBA6JnBOAMSF55BSSIBkCWRQJGwHTYmIlZyRYvfXfYIOvF8BcBIf-2hCBc8AsnSKXq7Nm2ltvzZdwLbGCjvVNxr7YPq-6RY4GB9wsLhaqrY13cJsgXfTLJYh8cumDhuuHroqNLbDTYdtq43DSg9t8Idor1atN0fbc4aeb2-eru6T-ePdw9XlPKkY5SHhVBU6BU2KOoO8rDKoCE-ZAm3ykmvQRZoLBqA4oQyIYpQKoJqxQtSQ8ZLN0NmY2zv7OsSl5brxlWlb1Rk7eElymok4CkRET_-gKzu4Lm4nKeMFIQKARIqMVOWs987UsnfNWrkPSUBu9MtRv4z65Ua_ZLHnZJs8lGujvzu-fEeAjoCPX1Gm-xn9f-on-HuOSA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2349117001</pqid></control><display><type>article</type><title>Development of a rapid stepping test to challenge rapid weight-shifting function in older adults</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Ruwitch, Margaret M. ; Row Lazzarini, Brandi</creator><creatorcontrib>Ruwitch, Margaret M. ; Row Lazzarini, Brandi</creatorcontrib><description>Background
The ability to step rapidly, shift weight from side-to-side, and maintain temporal rhythmicity are important functional elements for walking independently and preventing falls in seniors.
Aims
The purpose of this study was to develop a clinically feasible test of rapid stepping performance that challenges the ability to step rapidly, shift weight from side-to-side, and maintain temporal rhythmicity.
Methods
Participants were a volunteer sample of healthy, self-ambulating older adults aged 70–98 years. A Repeated Alternating Stair Touch Test was developed, which involved rapidly shifting weight in the medial–lateral direction by tapping each foot alternately onto a step. Performance on the test was assessed using trunk acceleration signals. Associations between the number of steps completed on the Repeated Alternating Stair Touch Test in 20 s and acceleration magnitude, variability, and stepping rhythmicity were assessed using Pearson correlations and linear regression. Repeatability was assessed during a 2-week follow-up period.
Results
The acceleration magnitude, variability, and stepping rhythmicity variables related moderately with the number of steps on the Repeated Alternating Stair Touch Test (
r
= 0.534–0.572,
p
< 0.05) and were independent predictors of the number of steps taken (
R
2
adj. = 0.624,
p
< 0.001). Repeatability was mixed, though most acceleration variables and number of steps had moderate to high correlations between sessions (intraclass correlations: 0.486–0.828), but a learning effect was evident; performance improved between sessions.
Conclusion
The Repeated Alternating Stair Touch Test has potential as a simple test of rapid, rhythmic weight-shifting function, but requires modification to improve repeatability.</description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-016-0609-3</identifier><identifier>PMID: 27460065</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Acceleration ; Accidental Falls - prevention & control ; Aged ; Aged, 80 and over ; Exercise Test - methods ; Falls ; Female ; Geriatric Assessment - methods ; Geriatrics/Gerontology ; Humans ; Injury prevention ; Male ; Medicine ; Medicine & Public Health ; Older people ; Original Article ; Postural Balance ; Reproducibility of Results ; Walking - psychology</subject><ispartof>Aging clinical and experimental research, 2017-08, Vol.29 (4), p.701-709</ispartof><rights>Springer International Publishing Switzerland 2016</rights><rights>Aging Clinical and Experimental Research is a copyright of Springer, (2016). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c324t-42a9d50d19f608bc60c1453a0de8b4d0d9587300a412301a322702d3397f064b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40520-016-0609-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40520-016-0609-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27460065$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ruwitch, Margaret M.</creatorcontrib><creatorcontrib>Row Lazzarini, Brandi</creatorcontrib><title>Development of a rapid stepping test to challenge rapid weight-shifting function in older adults</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><addtitle>Aging Clin Exp Res</addtitle><description>Background
The ability to step rapidly, shift weight from side-to-side, and maintain temporal rhythmicity are important functional elements for walking independently and preventing falls in seniors.
Aims
The purpose of this study was to develop a clinically feasible test of rapid stepping performance that challenges the ability to step rapidly, shift weight from side-to-side, and maintain temporal rhythmicity.
Methods
Participants were a volunteer sample of healthy, self-ambulating older adults aged 70–98 years. A Repeated Alternating Stair Touch Test was developed, which involved rapidly shifting weight in the medial–lateral direction by tapping each foot alternately onto a step. Performance on the test was assessed using trunk acceleration signals. Associations between the number of steps completed on the Repeated Alternating Stair Touch Test in 20 s and acceleration magnitude, variability, and stepping rhythmicity were assessed using Pearson correlations and linear regression. Repeatability was assessed during a 2-week follow-up period.
Results
The acceleration magnitude, variability, and stepping rhythmicity variables related moderately with the number of steps on the Repeated Alternating Stair Touch Test (
r
= 0.534–0.572,
p
< 0.05) and were independent predictors of the number of steps taken (
R
2
adj. = 0.624,
p
< 0.001). Repeatability was mixed, though most acceleration variables and number of steps had moderate to high correlations between sessions (intraclass correlations: 0.486–0.828), but a learning effect was evident; performance improved between sessions.
Conclusion
The Repeated Alternating Stair Touch Test has potential as a simple test of rapid, rhythmic weight-shifting function, but requires modification to improve repeatability.</description><subject>Acceleration</subject><subject>Accidental Falls - prevention & control</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Exercise Test - methods</subject><subject>Falls</subject><subject>Female</subject><subject>Geriatric Assessment - methods</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Injury prevention</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Older people</subject><subject>Original Article</subject><subject>Postural Balance</subject><subject>Reproducibility of Results</subject><subject>Walking - psychology</subject><issn>1720-8319</issn><issn>1594-0667</issn><issn>1720-8319</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kMtOwzAQRS0EoqXwAWyQJTZsAuNH4mSJeEuV2MDaOLHTpkrjYDsg_h5XKQ8hsbI9PnNndBA6JnBOAMSF55BSSIBkCWRQJGwHTYmIlZyRYvfXfYIOvF8BcBIf-2hCBc8AsnSKXq7Nm2ltvzZdwLbGCjvVNxr7YPq-6RY4GB9wsLhaqrY13cJsgXfTLJYh8cumDhuuHroqNLbDTYdtq43DSg9t8Idor1atN0fbc4aeb2-eru6T-ePdw9XlPKkY5SHhVBU6BU2KOoO8rDKoCE-ZAm3ykmvQRZoLBqA4oQyIYpQKoJqxQtSQ8ZLN0NmY2zv7OsSl5brxlWlb1Rk7eElymok4CkRET_-gKzu4Lm4nKeMFIQKARIqMVOWs987UsnfNWrkPSUBu9MtRv4z65Ua_ZLHnZJs8lGujvzu-fEeAjoCPX1Gm-xn9f-on-HuOSA</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Ruwitch, Margaret M.</creator><creator>Row Lazzarini, Brandi</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20170801</creationdate><title>Development of a rapid stepping test to challenge rapid weight-shifting function in older adults</title><author>Ruwitch, Margaret M. ; Row Lazzarini, Brandi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c324t-42a9d50d19f608bc60c1453a0de8b4d0d9587300a412301a322702d3397f064b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acceleration</topic><topic>Accidental Falls - prevention & control</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Exercise Test - methods</topic><topic>Falls</topic><topic>Female</topic><topic>Geriatric Assessment - methods</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Injury prevention</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Older people</topic><topic>Original Article</topic><topic>Postural Balance</topic><topic>Reproducibility of Results</topic><topic>Walking - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ruwitch, Margaret M.</creatorcontrib><creatorcontrib>Row Lazzarini, Brandi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Aging clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ruwitch, Margaret M.</au><au>Row Lazzarini, Brandi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of a rapid stepping test to challenge rapid weight-shifting function in older adults</atitle><jtitle>Aging clinical and experimental research</jtitle><stitle>Aging Clin Exp Res</stitle><addtitle>Aging Clin Exp Res</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>29</volume><issue>4</issue><spage>701</spage><epage>709</epage><pages>701-709</pages><issn>1720-8319</issn><issn>1594-0667</issn><eissn>1720-8319</eissn><abstract>Background
The ability to step rapidly, shift weight from side-to-side, and maintain temporal rhythmicity are important functional elements for walking independently and preventing falls in seniors.
Aims
The purpose of this study was to develop a clinically feasible test of rapid stepping performance that challenges the ability to step rapidly, shift weight from side-to-side, and maintain temporal rhythmicity.
Methods
Participants were a volunteer sample of healthy, self-ambulating older adults aged 70–98 years. A Repeated Alternating Stair Touch Test was developed, which involved rapidly shifting weight in the medial–lateral direction by tapping each foot alternately onto a step. Performance on the test was assessed using trunk acceleration signals. Associations between the number of steps completed on the Repeated Alternating Stair Touch Test in 20 s and acceleration magnitude, variability, and stepping rhythmicity were assessed using Pearson correlations and linear regression. Repeatability was assessed during a 2-week follow-up period.
Results
The acceleration magnitude, variability, and stepping rhythmicity variables related moderately with the number of steps on the Repeated Alternating Stair Touch Test (
r
= 0.534–0.572,
p
< 0.05) and were independent predictors of the number of steps taken (
R
2
adj. = 0.624,
p
< 0.001). Repeatability was mixed, though most acceleration variables and number of steps had moderate to high correlations between sessions (intraclass correlations: 0.486–0.828), but a learning effect was evident; performance improved between sessions.
Conclusion
The Repeated Alternating Stair Touch Test has potential as a simple test of rapid, rhythmic weight-shifting function, but requires modification to improve repeatability.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>27460065</pmid><doi>10.1007/s40520-016-0609-3</doi><tpages>9</tpages></addata></record> |
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| ispartof | Aging clinical and experimental research, 2017-08, Vol.29 (4), p.701-709 |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Acceleration Accidental Falls - prevention & control Aged Aged, 80 and over Exercise Test - methods Falls Female Geriatric Assessment - methods Geriatrics/Gerontology Humans Injury prevention Male Medicine Medicine & Public Health Older people Original Article Postural Balance Reproducibility of Results Walking - psychology |
| title | Development of a rapid stepping test to challenge rapid weight-shifting function in older adults |
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