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Article: Gait Stability in Older Adults during Level-ground Walking: The Attentional Focus Approach

TitleGait Stability in Older Adults during Level-ground Walking: The Attentional Focus Approach
Authors
KeywordsAttention
Falls and mobility problems
Locomotion
Rehabilitation
Issue Date2020
PublisherOxford University Press. The Journal's web site is located at http://www.gerontologyjournals.org
Citation
Journal of Gerontology Series B: Psychological Sciences & Social Sciences, 2020, v. 75 n. 2, p. 274-281 How to Cite?
AbstractObjectives The objective of this study was to investigate the effect of attentional focus instructions on gait stability during level-ground walking among older adults. Methods We recruited 140 community-dwelling older adults (mean age = 70.3 years, SD = 4.7 years) from elderly community centers in Hong Kong. The experiment included assessments on participant’s characteristics and walking trials. During walking trials, each participant was invited to walk at a self-selected pace along a 6-m walkway. Internal focus instructions (Internal condition), external focus instructions (External condition), or no instruction (Control condition) were given in a randomized order for three trials per condition, giving a total of nine walking trials. Spatial and temporal gait parameters were measured. Results Results showed significantly higher body sway and variability of swing and stance time under Internal condition relative to External and Control conditions. Moreover, reduced velocity and shorter steps were demonstrated under Internal condition relative to External and Control conditions. Discussion External focus instructions did not improve gait stability in older adults when compared to Control condition. Internal focus instructions appear to compromise gait stability. Future research should investigate if walking instructions that refer to body movements explicitly compromise gait rehabilitation for older adults in clinical settings.
Persistent Identifierhttp://hdl.handle.net/10722/261640
ISSN
2023 Impact Factor: 4.8
2023 SCImago Journal Rankings: 2.305
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorMak, CT-
dc.contributor.authorYoung, WR-
dc.contributor.authorChan, DCL-
dc.contributor.authorWong, WLT-
dc.date.accessioned2018-09-28T04:45:08Z-
dc.date.available2018-09-28T04:45:08Z-
dc.date.issued2020-
dc.identifier.citationJournal of Gerontology Series B: Psychological Sciences & Social Sciences, 2020, v. 75 n. 2, p. 274-281-
dc.identifier.issn1079-5014-
dc.identifier.urihttp://hdl.handle.net/10722/261640-
dc.description.abstractObjectives The objective of this study was to investigate the effect of attentional focus instructions on gait stability during level-ground walking among older adults. Methods We recruited 140 community-dwelling older adults (mean age = 70.3 years, SD = 4.7 years) from elderly community centers in Hong Kong. The experiment included assessments on participant’s characteristics and walking trials. During walking trials, each participant was invited to walk at a self-selected pace along a 6-m walkway. Internal focus instructions (Internal condition), external focus instructions (External condition), or no instruction (Control condition) were given in a randomized order for three trials per condition, giving a total of nine walking trials. Spatial and temporal gait parameters were measured. Results Results showed significantly higher body sway and variability of swing and stance time under Internal condition relative to External and Control conditions. Moreover, reduced velocity and shorter steps were demonstrated under Internal condition relative to External and Control conditions. Discussion External focus instructions did not improve gait stability in older adults when compared to Control condition. Internal focus instructions appear to compromise gait stability. Future research should investigate if walking instructions that refer to body movements explicitly compromise gait rehabilitation for older adults in clinical settings.-
dc.languageeng-
dc.publisherOxford University Press. The Journal's web site is located at http://www.gerontologyjournals.org-
dc.relation.ispartofJournal of Gerontology Series B: Psychological Sciences & Social Sciences-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectAttention-
dc.subjectFalls and mobility problems-
dc.subjectLocomotion-
dc.subjectRehabilitation-
dc.titleGait Stability in Older Adults during Level-ground Walking: The Attentional Focus Approach-
dc.typeArticle-
dc.identifier.emailWong, WLT: wongtwl@hku.hk-
dc.identifier.authorityWong, WLT=rp01823-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1093/geronb/gby115-
dc.identifier.pmid30299520-
dc.identifier.scopuseid_2-s2.0-85077941991-
dc.identifier.hkuros293000-
dc.identifier.volume75-
dc.identifier.issue2-
dc.identifier.spage274-
dc.identifier.epage281-
dc.identifier.isiWOS:000515126700005-
dc.publisher.placeUnited States-
dc.identifier.issnl1079-5014-

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