Posture Stability and Kinematics While Performing a 180° Turning Step in Elderly Individuals With and Without Vertebral Compression Fracture and in Middle-Aged Adults
Older adults with vertebral compression fracture (VCF) have spinal malalignment with large postural sway while standing. The purposes of this study identified the turning strategy of patients with VCF while walking.
The study enrolled 18 adults with VCF (VCF group) and 29 older adults (OA group) and 15 middle-aged adults (MA group) without spinal deformity. The Biodex balance system was employed to assess posture stability. An inertia motion system recorded kinematic data during walking. The 180° turning step before sitting was divided into braking, mid-stance, swing, and terminal loading phases for kinematic analysis.
Posture stability score showed that the VCF group achieved the lowest stability. The patients with VCF used slower acceleration and less mobility of the head and spine when turning. However, the VCF group had a larger hip abduction range of motion than the OA group; the OA group exhibited larger thoracic rotation than the MA and VCF groups. The VCF group exhibited less gait stability and coordination between the head and thigh on the sagittal plane than the other groups. Additionally, the VCF group had greater head/lower spine acceleration variability on the frontal plane. Kinematic joint modulations were required, depending on the phase of the turn step.
The patients with VCF depend more heavily on a hip strategy to maintain gait stability than do other adult groups. To address gait stability and prevent falls for the patients with VCF, a training program should include balance, trunk mobility, and hip abductor muscle strength training.
KeywordsBalance Turning Vertebral compression fracture Older adult Kinematics
Compliance with Ethical Standards
This experiment obtained approval from the local ethics committee (TCVGH IRB: CF15027A).
- 6.Jacobs, E., McCrum, C., Senden, R., van Rhijn, L.W., Meijer, K., Willems, P. C. Gait in patients with symptomatic osteoporotic vertebral compression fractures over 6 months of recovery. Aging Clinical and Experimental Research. 2019. https://doi.org/10.1007%2Fs40520-019-01203-9.pdf, https://www.ncbi.nlm.nih.gov/pubmed/31030421.
- 15.Donath, L., Kurz, E., Roth, R., Zahner, L., & Faude, O. (2016). Leg and trunk muscle coordination and postural sway during increasingly difficult standing balance tasks in young and older adults. Maturitas,9, 160–168.Google Scholar
- 21.Matsumoto, H., Hagino, H., Osaki, M., Tanishima, S., Tanimura, C., Matsuura, A., et al. (2016). Gait variability analysed using an accelerometer is associated with locomotive syndrome among the general elderly population: The GAINA study. The Journal of Orthopaedic Science,21, 354–360.CrossRefGoogle Scholar
- 24.World Health Organization. (2018). Global action plan on physical activity 2018–2030: More active people for a healthier world. Geneva: WHO.Google Scholar
- 32.Fujimoto, C., Egami, N., Demura, S., Yamasoba, T., & Iwasaki, S. (2015). The effect of aging on the center-of-pressure power spectrum in foam posturography. Neuroscience Letters,58, 592–597.Google Scholar
- 33.Taylor, M. E., Delbaere, K., Lord, S. R., Mikolaizak, A. S., Brodaty, H., & Close, J. C. (2014). Neuropsychological, physical, and functional mobility measures associated with falls in cognitively impaired older adults. Journals of Gerontology. Series A: Biological Sciences and Medical Sciences, 69:987–995.CrossRefGoogle Scholar
- 36.Houglum, P. A., & Bertoti, D. B. (2012). Brunnstrom's clinical kinesiology. Philadelphia: FA Davis.Google Scholar