Thoracopelvic assisted movement training to improve gait and balance in elderly at risk of falling: a case series

Shmuel Springer,1 Itamar Friedman,2 Avi Ohry3,4 1Department of Physical Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel; 2ProMedoss, Charlotte, NC, USA; 3Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; 4Reuth Rehabilitation and Medical Center, Tel Aviv, Israel Back...

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Autores principales:	Springer S, Friedman I, Ohry A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Gait Balance Older adults Training Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/f5324889723c4686a23212b344cb97d8
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spelling	oai:doaj.org-article:f5324889723c4686a23212b344cb97d82021-12-02T07:54:22ZThoracopelvic assisted movement training to improve gait and balance in elderly at risk of falling: a case series1178-1998https://doaj.org/article/f5324889723c4686a23212b344cb97d82018-06-01T00:00:00Zhttps://www.dovepress.com/thoracopelvic-assisted-movement-training-to-improve-gait-and-balance-i-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Shmuel Springer,1 Itamar Friedman,2 Avi Ohry3,4 1Department of Physical Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel; 2ProMedoss, Charlotte, NC, USA; 3Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; 4Reuth Rehabilitation and Medical Center, Tel Aviv, Israel Background: Age-related changes in coordinated movement pattern of the thorax and pelvis may be one of the factors contributing to fall risk. This report describes the feasibility of using a new thoracopelvic assisted movement device to improve gait and balance in an elderly population with increased risk for falls. Methods: In this case series, 19 older adults were recruited from an assisted living facility. All had gait difficulties (gait speed <1.0 m/s) and history of falls. Participants received 12 training sessions with the thoracopelvic assisted movement device. Functional performance was measured before, during (after 6 sessions), and after the 12 sessions. Outcomes measures were Timed Up and Go, Functional Reach Test, and the 10-meter Walk Test. Changes in outcomes were calculated for each participant in the context of minimal detectable change (MDC) values. Results: More than 25% of participants showed changes >MDC in their clinical measures after 6 treatment sessions, and more than half improved >MDC after 12 sessions. Six subjects (32%) improved their Timed Up and Go time by >4 seconds after 6 sessions, and 10 (53%) after 12 sessions. After the intervention, 4 subjects (21%) improved their 10-meter Walk Test velocity from limited community ambulation (0.4–0.8 m/s) to functional community ambulation (>0.8 m/s). Conclusion: Thoracopelvic assisted movement training that mimics normal walking pattern may have clinical implications, by improving skills that enhance balance and gait function. Additional randomized, controlled studies are required to examine the effects of this intervention on larger cohorts with a variety of subjects. Keywords: gait, balance, older adults, trainingSpringer SFriedman IOhry ADove Medical PressarticleGaitBalanceOlder adultsTrainingGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1143-1149 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Gait Balance Older adults Training Geriatrics RC952-954.6
spellingShingle	Gait Balance Older adults Training Geriatrics RC952-954.6 Springer S Friedman I Ohry A Thoracopelvic assisted movement training to improve gait and balance in elderly at risk of falling: a case series
description	Shmuel Springer,1 Itamar Friedman,2 Avi Ohry3,4 1Department of Physical Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel; 2ProMedoss, Charlotte, NC, USA; 3Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; 4Reuth Rehabilitation and Medical Center, Tel Aviv, Israel Background: Age-related changes in coordinated movement pattern of the thorax and pelvis may be one of the factors contributing to fall risk. This report describes the feasibility of using a new thoracopelvic assisted movement device to improve gait and balance in an elderly population with increased risk for falls. Methods: In this case series, 19 older adults were recruited from an assisted living facility. All had gait difficulties (gait speed <1.0 m/s) and history of falls. Participants received 12 training sessions with the thoracopelvic assisted movement device. Functional performance was measured before, during (after 6 sessions), and after the 12 sessions. Outcomes measures were Timed Up and Go, Functional Reach Test, and the 10-meter Walk Test. Changes in outcomes were calculated for each participant in the context of minimal detectable change (MDC) values. Results: More than 25% of participants showed changes >MDC in their clinical measures after 6 treatment sessions, and more than half improved >MDC after 12 sessions. Six subjects (32%) improved their Timed Up and Go time by >4 seconds after 6 sessions, and 10 (53%) after 12 sessions. After the intervention, 4 subjects (21%) improved their 10-meter Walk Test velocity from limited community ambulation (0.4–0.8 m/s) to functional community ambulation (>0.8 m/s). Conclusion: Thoracopelvic assisted movement training that mimics normal walking pattern may have clinical implications, by improving skills that enhance balance and gait function. Additional randomized, controlled studies are required to examine the effects of this intervention on larger cohorts with a variety of subjects. Keywords: gait, balance, older adults, training
format	article
author	Springer S Friedman I Ohry A
author_facet	Springer S Friedman I Ohry A
author_sort	Springer S
title	Thoracopelvic assisted movement training to improve gait and balance in elderly at risk of falling: a case series
title_short	Thoracopelvic assisted movement training to improve gait and balance in elderly at risk of falling: a case series
title_full	Thoracopelvic assisted movement training to improve gait and balance in elderly at risk of falling: a case series
title_fullStr	Thoracopelvic assisted movement training to improve gait and balance in elderly at risk of falling: a case series
title_full_unstemmed	Thoracopelvic assisted movement training to improve gait and balance in elderly at risk of falling: a case series
title_sort	thoracopelvic assisted movement training to improve gait and balance in elderly at risk of falling: a case series
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/f5324889723c4686a23212b344cb97d8
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_version_	1718399138505162752

Thoracopelvic assisted movement training to improve gait and balance in elderly at risk of falling: a case series

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