Chapter 13: Mobility in Older Adults Flashcards
many of the ____ in older adults occur during ___
falls, walking
falls are the ____ leading cause of death in people over ___ years old
7th, 75
____ and _____ components are responsible for changes in gait function
genetic and experiential
changes in gait parameters for elderly
decreased walking speed shorter stride length longer double support phase decrease swing phase wider base of support
kinematic changes
decreased arm swing
decrease hip, knee and ankle flexion
flatter foot on heel strike
decreased ability to co-vary hip/knee movement
decreased dynamic stability during stance
decreased vertical movement of the COG and COM
kinetic changes
decrease power generation at push off
decreased power absorption at heel strike
muscle activation pattern
increase muscle activity level at specific points in the step cycle (increased effort to improve stability)
increased coactivation of agonist and antagonist muscles (increased stiffness)
proactive locomotory abilities change with age, taking longer time to adapt an upcoming step in order to avoid an obstacle
proactive adaptation
do trips or slips account for more injuries
trips - 35- 47%
slips - 27 - 32%
what is another important requirement for gait function?
attention
older adults showed _____ obstacle contacts compared to young adults while walking and stepping over a virtual object.
increased