Gait Clinical Trial
Official title:
Age-Related Gait Changes and Hip Flexibility
Based on their preliminary quantitative gait findings suggesting that limited passive hip extension range is a key functionally limiting impairment affecting gait, the investigators propose a supervised, specific stretching exercise with the aim to improve both peak hip extension and overall gait performance. While one goal is to demonstrate that reduced peak passive hip extension is a key, functionally significant, but reversible, impairment another is to improve our understanding of the relationship between impairment, functional limitation and gait ability.
1. Test the hypothesis that both passive and dynamic hip extension during comfortable and
fast walking speeds are reduced in the elderly groups compared to passive and dynamic
peak hip extension in healthy young adults.
2. Test the hypothesis, separately for each elderly group, controlling for co-factors,
that there is greater change in step length in the treatment group compared to the
control group, after controlling for co-variates. We also expect greater changes in
dynamic hip peak extension, a reduction in anterior pelvic tilt, improvement in
age-related reductions in peak ankle plantar flexion and ankle power generation, and in
dynamic CoM-CoP moment arm during both comfortable and fast walking, and an increase in
comfortable walking speed.
3. Test the hypothesis separately for the frail elderly group who cannot independently
perform IADL only, controlling for co-factors, that there is a greater change in
secondary, non quantitative gait-parameters of the Timed Get Up and Go Test, Activities
of Daily Living, Instrumental ADL function, fear of falling and number of falls during
6 months following intervention.
4. Test the hypothesis that the created forward dynamic model can accurately predict in
individual subjects, the actual effect of an increase in passive peak hip extension on
dynamic peak hip extension, anterior pelvic tilt, peak ankle plantar flexion and step
length.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor)
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