Evaluation of gait speed over time in adults with arthritis: Data from the osteoarthritis initiative

Vennu, Vishal; Misra, Harsh

doi:10.4103/injr.injr_34_18

Cited by 4 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Gait speed reduction has been documented as a risk factor for falls in patients with KOA ( Purser et al, 2012 ; Taş et al, 2014 ; Gill et al, 2017 ). In the current study, the gait speed of patients with KOA in Normal was significantly smaller than that of older adults, which is consistent with previous studies ( Debi et al, 2012 ; Queen et al, 2016 ; Wiik et al, 2017 ; Vennu and Misra, 2018 ; Alenazi et al, 2021 ). The difference between the groups was still present in slip_Rec1, whereas the gait speed of slip_Rec1 did not differ from the Normal gait speed within the groups.…”

Section: Discussionsupporting

confidence: 93%

“…This means that both patients with KOA and older adults are within their capabilities for speed control after a backward slip perturbation, and gait speed does not serve as an indicative indicator of their response to the perturbation but may be considered a predictor of increased fall risk in KOA patients compared to healthy older adults. Patients with KOA not only showed lower gait speed, but this also declined over time, even after controlling for BMI and other covariates ( Vennu and Misra, 2018 ; Alenazi et al, 2021 ). However, in the present study, the difference in BMI between the two groups was significant ( p = 0.001), which may have contributed to the decrease in gait speed, although no correlation analysis between the two was performed.…”

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Compensatory Responses During Slip-Induced Perturbation in Patients With Knee Osteoarthritis Compared With Healthy Older Adults: An Increased Risk of Falls?

Ren

Lutter

Kebbach

et al. 2022

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

Background: Functional impairment of the knee joint affected by osteoarthritis and loss of muscle strength leads to a significant increase in the number of falls. Nevertheless, little is known about strategies for coping with gait perturbations in patients with knee osteoarthritis (KOA). Thus, this study aimed to examine the compensatory strategies of patients with KOA in response to a backward slip perturbation compared with healthy older adults.Methods: An automated perturbation program was developed by using D-Flow software based on the Gait Real-time Analysis Interactive Lab, and an induced backward slip perturbation was implemented on nine patients with severe KOA (68.89 ± 3.59 years) and 15 age-matched healthy older adults (68.33 ± 3.29 years). Step length, gait speed, range of motion, vertical ground reaction forces, lower extremity joint angles, and joint moments were computed and analyzed.Results: Compared with older adults, patients with KOA had significantly lower step length, gait speed, and vertical ground reaction forces in both normal walking and the first recovery step following backward slip perturbations. Inadequate flexion and extension of joint angles and insufficient generation of joint moments predispose patients with KOA to fall. Hip extension angle and flexion moment, knee range of motion, and vertical ground reaction forces are key monitoring variables.Conclusion: The risk of falls for patients with KOA in response to backward slip perturbations is higher. Patients with KOA should focus not only on quadriceps muscle strength related to knee range of motion but also on improving hip extensor strength and activation through specific exercises. Targeted resistance training and perturbation-based gait training could be better options.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 95%

Compensatory Responses During Slip-Induced Perturbation in Patients With Knee Osteoarthritis Compared With Healthy Older Adults: An Increased Risk of Falls?

Ren

Lutter

Kebbach

et al. 2022

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

show abstract

“…Individuals with diabetes walk slower (1.3 m/s) than healthy adults (1.4 m/s) [ 16 ]. In addition, people with arthritis have a slower gait speed (1.27 m/s) when compared to those without arthritis (1.35 m/s) [ 17 ]. However, it is unclear if there is a differential effect of gait speed in the presence of both DM and arthritis.…”

Section: Introductionmentioning

confidence: 99%

Gait Speed as a Predictor for Diabetes Incidence in People with or at Risk of Knee Osteoarthritis: A Longitudinal Analysis from the Osteoarthritis Initiative

Alenazi

Alqahtani

Vennu

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

Background: This study examined the association between baseline gait speed with incident diabetes mellitus (DM) among people with or at elevated risk for knee OA. Materials and Methods: Participants from the Osteoarthritis Initiative, aged 45 to 79 years, where included. Participants with or at risk of knee OA from baseline to the 96-month visit were included. Participants with self-reported DM at baseline were excluded. DM incidence was followed over the 4-time points. Gait speed was measured at baseline using a 20-m walk test. Generalized estimating equations with logistic regression were utilized for analyses. Receiver operator characteristic curves and area under the curve were used to determine the cutoff score for baseline speed. Results: Of the 4313 participants included in the analyses (58.7% females), 301 participants had a cumulative incidence of DM of 7.0% during follow-up. Decreased gait speed was a significant predictor of incident DM (RR 0.44, p = 0.018). The threshold for baseline gait speed that predicted incident DM was 1.32 m/s with an area under the curve of 0.59 (p < 0.001). Conclusions: Baseline gait speed could be an important screening tool for identifying people at risk of incident diabetes, and the determined cutoff value for gait speed should be examined in future research.

show abstract

Combined diabetes and arthritis are associated with declined gait speed

et al. 2020

View full text Add to dashboard Cite

Evaluation of gait speed over time in adults with arthritis: Data from the osteoarthritis initiative

Cited by 4 publications

References 0 publications

Compensatory Responses During Slip-Induced Perturbation in Patients With Knee Osteoarthritis Compared With Healthy Older Adults: An Increased Risk of Falls?

Compensatory Responses During Slip-Induced Perturbation in Patients With Knee Osteoarthritis Compared With Healthy Older Adults: An Increased Risk of Falls?

Gait Speed as a Predictor for Diabetes Incidence in People with or at Risk of Knee Osteoarthritis: A Longitudinal Analysis from the Osteoarthritis Initiative

Combined diabetes and arthritis are associated with declined gait speed

Contact Info

Product

Resources

About