A systematic review of center of pressure measures to quantify gait changes in older adults

Mehdizadeh, Sina; Ooteghem, Karen Van; Gulka, Heidi J.; Nabavi, Hoda; Faieghi, Mohammadreza; Taati, Babak; Iaboni, Andrea

doi:10.1016/j.exger.2020.111170

Cited by 16 publications

(16 citation statements)

References 56 publications

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“…Of these articles, 249 were excluded because they did not meet the inclusion criteria. This resulted in a total of 11 systematic reviews or meta-analyses which were included in this umbrella review [ 10 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ] (for more details see the flowchart in Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…The included systematic review was published between 2009 and 2022. Among these systematic reviews, 2 were meta-analyzed [ 39 , 43 ], and the remaining 9 introduced their findings through narrative synthesis [ 10 , 37 , 38 , 40 , 41 , 42 , 44 , 45 , 46 ]. The 11 systematic reviews included 419 primary studies.…”

Section: Resultsmentioning

confidence: 99%

“…Among them, except that 3 systematic reviews did not provide the number of samples included in the study [ 43 , 45 , 46 ], the remaining 8 systematic reviews adopted a total of 5168 samples. Due to the different definitions of older people in the world, except for 1 study that does not provide the age characteristics of the older people under study [ 38 ], there are 2 other studies in which the standard for the use of systematic review is older than 55 years old [ 40 , 44 ], and the standard for the use of 8 systematic reviews is older than 65 years old [ 10 , 37 , 39 , 41 , 42 , 43 , 45 , 46 ]. Most of the participants in the primary study were older people without definite physical illness.…”

Section: Resultsmentioning

confidence: 99%

“…The quality included in the review ranged from very low to medium, and none of the studies included in the review were rated as high quality. Most of the comments were rated as extremely low [ 37 , 38 , 42 , 44 , 45 , 46 ], two systematic comments were rated as low [ 40 , 41 ] and three comments were rated as medium [ 10 , 39 , 43 ]. Among the key indicators, only a few systematic review research methods have been determined before implementation [ 10 , 46 ], and most of the studies did not use reasonable tools to assess the bias risk of the included research literature [ 37 , 38 , 41 , 42 , 44 , 45 , 46 ], which significantly affected the quality of the included systematic review and meta-analysis methods.…”

Section: Resultsmentioning

confidence: 99%

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The Effect of Human Settlement Pedestrian Environment on Gait of Older People: An Umbrella Review

Xuan

Zhang

Jia

2023

IJERPH

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Older people are limited by the pedestrian environment in human settlements and are prone to travel difficulties, falls, and stumbles. Furthermore, we still lack systematic knowledge of the pedestrian environment affecting the gait of older people. The purpose of this review is to synthesize current evidence of effective human settlement pedestrian environments interfering with gait in older people. The systematic effects of the human settlement pedestrian environment on gait in older people are discussed. Databases such as Web of Science, Medline (via PubMed), Scopus, and Embase were searched for relevant studies up to June 2022. The literature was screened to extract relevant evidence from the included literature, assess the quality of the evidence, and analyze the systematic effects of the pedestrian environment on gait in older people. From the 4297 studies identified in the initial search, 11 systematic reviews or meta-analysis studies were screened, from which 18 environmental factors and 60 gait changes were extracted. After removing duplicate elements and merging synonymous features, a total of 53 relationships between environmental factors and gait change in older people were extracted: the main human settlement pedestrian environmental factors affecting gait change in older people in existing studies were indoor and outdoor stairs/steps, uneven and irregular ground, obstacles, walking path turns, vibration interventions, mechanical perturbation during gait, and auditory sound cues. Under the influence of these factors, older people may experience changes in the degree of cautiousness and conservatism of gait and stability, and their body posture performance and control, and muscle activation may also be affected. Factors such as ground texture or material, mechanical perturbations during gait, and vibration interventions stimulate older people’s understanding and perception of their environment, but there is controversy over the results of specific gait parameters. The results support that human settlements’ pedestrian environment affects the gait changes of older people in a positive or negative way. This review may likely contribute evidence-based information to aid communication among practitioners in public health, healthcare, and environmental construction. The above findings are expected to provide useful preference for associated interdisciplinary researchers to understand the interactions among pedestrian environments, human behavior, and physiological characteristics.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The Effect of Human Settlement Pedestrian Environment on Gait of Older People: An Umbrella Review

Xuan

Zhang

Jia

2023

IJERPH

View full text Add to dashboard Cite

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“…It is one of the main problems in biomechanics and motor control research to determine how this complex system, with an abundance of degrees of freedom, is coordinated and controlled ( Bernstein, 1967 ). Traditionally, researchers have taken the approach to determine measures that summarize the workings of this system by looking at single outcome variables like the Center of Mass or Center of Pressure ( Quijoux et al, 2020 ; Mehdizadeh et al, 2021 ; Richmond et al, 2021 ). However, this approach has also been criticized as such a low-dimensional variable inherently cannot contain all information available within a complex (multi-dimensional) system ( Federolf et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Whole-body movement analysis using principal component analysis: What is the internal consistency between outcomes originating from the same movement simultaneously recorded with different measurement devices?

Andel

Mohr

Schmidt

et al. 2022

Front. Bioeng. Biotechnol.

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A growing number of studies apply Principal Component Analysis (PCA) on whole-body kinematic data to facilitate an analysis of posture changes in human movement. An unanswered question is, how much the PCA outcomes depend on the chosen measurement device. This study aimed to assess the internal consistency of PCA outcomes from treadmill walking motion capture data simultaneously collected through laboratory-grade optical motion capture and field-suitable inertial-based motion tracking. Data was simultaneously collected using VICON (whole-body plug-in gait marker positions) and Xsens (body segment positions) from 20 participants during 2-min treadmill walking. Using PCA, Principal Movements (PMs) were determined using two commonly used practices: on an individual and a grouped basis. For both, correlation matrices were used to determine internal consistency between outcomes from either measurement system for each PM. Both individual and grouped approach showed excellent internal consistency between outcomes from the two systems among the lower order PMs. For the individual analysis, high correlations were only found along the diagonal of the correlation matrix while the grouped analysis also showed high off-diagonal correlations. These results have important implications for future application of PCA in terms of the independence of the resulting PM data, the way group-differences are expressed in higher-order PMs and the interpretation of movement complexity. Concluding, while PCA-outcomes from the two systems start to deviate in the higher order PMs, excellent internal consistency was found in the lower order PMs which already represent about 98% of the variance in the dataset.

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Two-dimensional dynamic walking stability of elderly females with a history of falls

Gao

Shen

Wang

et al. 2021

Med Biol Eng Comput

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A systematic review of center of pressure measures to quantify gait changes in older adults

Cited by 16 publications

References 56 publications

The Effect of Human Settlement Pedestrian Environment on Gait of Older People: An Umbrella Review

The Effect of Human Settlement Pedestrian Environment on Gait of Older People: An Umbrella Review

Whole-body movement analysis using principal component analysis: What is the internal consistency between outcomes originating from the same movement simultaneously recorded with different measurement devices?

Two-dimensional dynamic walking stability of elderly females with a history of falls

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