The impact of different types of assistive devices on gait measures and safety in Huntington's disease.

<h4>Background</h4>Gait and balance impairments lead to frequent falls and injuries in individuals with Huntington's disease (HD). Assistive devices (ADs) such as canes and walkers are often prescribed to prevent falls, but their efficacy is unknown. We systematically examined the e...

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Autores principales:	Anne D Kloos, Deborah A Kegelmeyer, Susan E White, Sandra K Kostyk
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/db7e8764aff6433d92664b0ad3edcaf2
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spelling	oai:doaj.org-article:db7e8764aff6433d92664b0ad3edcaf22021-11-18T07:27:43ZThe impact of different types of assistive devices on gait measures and safety in Huntington's disease.1932-620310.1371/journal.pone.0030903https://doaj.org/article/db7e8764aff6433d92664b0ad3edcaf22012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22363511/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Gait and balance impairments lead to frequent falls and injuries in individuals with Huntington's disease (HD). Assistive devices (ADs) such as canes and walkers are often prescribed to prevent falls, but their efficacy is unknown. We systematically examined the effects of different types of ADs on quantitative gait measures during walking in a straight path and around obstacles.<h4>Methods</h4>Spatial and temporal gait parameters were measured in 21 subjects with HD as they walked across a GAITRite walkway under 7 conditions (i.e., using no AD and 6 commonly prescribed ADs: a cane, a weighted cane, a standard walker, and a 2, 3 or 4 wheeled walker). Subjects also were timed and observed for number of stumbles and falls while walking around two obstacles in a figure-of-eight pattern.<h4>Results</h4>Gait measure variability (i.e., coefficient of variation), an indicator of fall risk, was consistently better when using the 4WW compared to other ADs. Subjects also walked the fastest and had the fewest number of stumbles and falls when using the 4WW in the figure-of-eight course. Subjects walked significantly slower using ADs compared to no AD both across the GAITRite and in the figure-of-eight. Measures reflecting gait stability and safety improved with the 4WW but were made worse by some other ADs.Anne D KloosDeborah A KegelmeyerSusan E WhiteSandra K KostykPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 2, p e30903 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Anne D Kloos Deborah A Kegelmeyer Susan E White Sandra K Kostyk The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
description	<h4>Background</h4>Gait and balance impairments lead to frequent falls and injuries in individuals with Huntington's disease (HD). Assistive devices (ADs) such as canes and walkers are often prescribed to prevent falls, but their efficacy is unknown. We systematically examined the effects of different types of ADs on quantitative gait measures during walking in a straight path and around obstacles.<h4>Methods</h4>Spatial and temporal gait parameters were measured in 21 subjects with HD as they walked across a GAITRite walkway under 7 conditions (i.e., using no AD and 6 commonly prescribed ADs: a cane, a weighted cane, a standard walker, and a 2, 3 or 4 wheeled walker). Subjects also were timed and observed for number of stumbles and falls while walking around two obstacles in a figure-of-eight pattern.<h4>Results</h4>Gait measure variability (i.e., coefficient of variation), an indicator of fall risk, was consistently better when using the 4WW compared to other ADs. Subjects also walked the fastest and had the fewest number of stumbles and falls when using the 4WW in the figure-of-eight course. Subjects walked significantly slower using ADs compared to no AD both across the GAITRite and in the figure-of-eight. Measures reflecting gait stability and safety improved with the 4WW but were made worse by some other ADs.
format	article
author	Anne D Kloos Deborah A Kegelmeyer Susan E White Sandra K Kostyk
author_facet	Anne D Kloos Deborah A Kegelmeyer Susan E White Sandra K Kostyk
author_sort	Anne D Kloos
title	The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
title_short	The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
title_full	The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
title_fullStr	The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
title_full_unstemmed	The impact of different types of assistive devices on gait measures and safety in Huntington's disease.
title_sort	impact of different types of assistive devices on gait measures and safety in huntington's disease.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/db7e8764aff6433d92664b0ad3edcaf2
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The impact of different types of assistive devices on gait measures and safety in Huntington's disease.

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