The effects of hip and ankle stretching on gait function of older people

被引:41
作者
Christiansen, Cory L. [1 ]
机构
[1] Univ Colorado Denver, Phys Therapy Program, Dept Phys Med & Rehabil, Aurora, CO 80045 USA
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2008年 / 89卷 / 08期
关键词
aged; biomechanics; exercise; gait; rehabilitation;
D O I
10.1016/j.apmr.2007.12.043
中图分类号
R49 [康复医学];
学科分类号
100215 [康复医学与理疗学];
摘要
Objective: To examine effects of hip and ankle Stretching Oil (gait function of older people. Design: Randomized controlled trial. Setting: Flexibility training was performed in participants homes. Assessments were performed in a biomechanics laboratory. Participants: Forty healthy volunteers (mean age +/- SD, 72.1 +/- 4.7y) randomized to 2 groups: intervention (n = 20) and control (n = 20). Intervention: Intervention participants performed all 8-week stretching program and control group participants maintained activity level for 8 weeks. One investigator made weekly visits to instruct and monitor participants. Main Outcome Measures: Primary outcome measures were passive Joint motion for hip extension and ankle dorsiflexion and freely chosen gait speed. Secondary outcome measures were gait parameters during freely chosen gait speed and set gait speed walking (stride length, Joint displacement). Results: Compared with the control group, the intervention group had increased combined hip and knee motion (P = .023), ankle motion (P = .020), and freely chosen gait speed (P = .016). The intervention Group showed statistically nonsignificant trends of increased stride length at freely chosen gait speed and set gait speed. Conclusions: Findings suggest joint motion is a modifiable impairment that is effectively targeted with flexibility training for older people. Participants in the intervention group had improvements in joint motion as well as increased freely chosen gait speed. Mechanisms responsible for changes in freely chosen gait speed warrant further investigation.
引用
收藏
页码:1421 / 1428
页数:8
相关论文
共 39 条
[1]
ALKAJAER T, 2001, GAIT POSTURE, V13, P73
[2]
VARIABILITY AND RELIABILITY OF JOINT MEASUREMENTS [J].
BOVENS, AMPM ;
VANBAAK, MA ;
VRENCKEN, JGPM ;
WIJNEN, JAG ;
VERSTAPPEN, FTJ .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1990, 18 (01) :58-63
[3]
The influence of lower extremity joint torque on gait characteristics in elderly men [J].
Burnfield, JM ;
Josephson, KR ;
Powers, CM ;
Rubenstein, LZ .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2000, 81 (09) :1153-1157
[4]
CLARKSON H, 2005, JOINT MOTION FUNCTIO, P158
[5]
Cohen J, 1988, STAT POWER ANAL BEHA, P14
[6]
Age causes a redistribution of joint torques and powers during gait [J].
DeVita, P ;
Hortobagyi, T .
JOURNAL OF APPLIED PHYSIOLOGY, 2000, 88 (05) :1804-1811
[7]
Effect of a gentle Iyengar yoga program on gait in the elderly: An exploratory study [J].
DiBenedetto, M ;
Innes, KE ;
Taylor, AG ;
Rodeheaver, PF ;
Boxer, JA ;
Wright, HJ ;
Kerrigan, DC .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2005, 86 (09) :1830-1837
[8]
GONIOMETRIC RELIABILITY IN A CLINICAL SETTING - SUBTALAR AND ANKLE JOINT MEASUREMENTS [J].
ELVERU, RA ;
ROTHSTEIN, JM ;
LAMB, RL .
PHYSICAL THERAPY, 1988, 68 (05) :672-677
[9]
The effect of duration of stretching of the hamstring muscle group for increasing range of motion in people aged 65 years or older [J].
Feland, JB ;
Myrer, JW ;
Schulthies, SS ;
Fellingham, GW ;
Measom, GW .
PHYSICAL THERAPY, 2001, 81 (05) :1110-1117
[10]
Effects of an eight-week stretching program on the passive-elastic properties and function of the calf muscles of older women [J].
Gajdosik, RL ;
Vander Linden, DW ;
McNair, PJ ;
Williams, AK ;
Riggin, TJ .
CLINICAL BIOMECHANICS, 2005, 20 (09) :973-983