A Comparison of Turning Kinematics at Different Amplitudes during Standing Turns between Older and Younger Adults
It is well-established that processes involving changing direction or turning in which either or both standing and walking turns are utilized involve coordination of the whole-body and stepping characteristics. However, the turn context and whole-body coordination have not been fully explored during...
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th-mahidol.736222022-08-04T11:50:08Z A Comparison of Turning Kinematics at Different Amplitudes during Standing Turns between Older and Younger Adults Fuengfa Khobkhun Mark Hollands Jim Richards University of Central Lancashire Liverpool John Moores University Mahidol University Chemical Engineering Computer Science Engineering Materials Science Physics and Astronomy It is well-established that processes involving changing direction or turning in which either or both standing and walking turns are utilized involve coordination of the whole-body and stepping characteristics. However, the turn context and whole-body coordination have not been fully explored during different turning amplitudes. For these reasons, this present study aimed to determine the effects of turning amplitude on whole-body coordination. The findings from this study can be utilized to inform the rationale behind fall prevention factors and to help design an exercise strategy to address issues related to amplitude of turning in older adults. Twenty healthy older and twenty healthy younger adults were asked to complete standing turns on level ground using three randomly selected amplitudes, 90°, 135° and 180°, at their self-selected turn speed. Turning kinematics and stepping variables were recorded using Inertial Measurement Units. Analysis of the data was carried out using Mixed Model Analysis of Variance with two factors (2 groups × 3 turning amplitudes) and further post hoc pairwise analysis to examine differences between factors. There were significant interaction effects (p < 0.05) between the groups and turning amplitudes for step duration and turn speed. Further analysis using Repeated Measure Analysis of Variance tests determined a main effect of amplitude on step duration and turn speed within each group. Furthermore, post hoc pairwise comparisons revealed that the step duration and turn speed increased significantly (p < 0.001) with all increases in turning amplitude in both groups. In addition, significant main effects for group and amplitudes were seen for onset latency of movement for the head, thorax, pelvis, and feet, and for peak head–thorax and peak head–pelvis angular separations and stepping characteristics, which all increased with turn amplitude and showed differences between groups. These results suggest that large amplitude turns result in a change in turning and stepping kinematics. Therefore, when assessing the turning characteristics of older adults or those in frail populations, the turning amplitude should be taken into account during turning, and could be gradually increased to challenge motor control as part of exercise falls prevention strategies. 2022-08-04T03:47:54Z 2022-08-04T03:47:54Z 2022-06-01 Article Applied Sciences (Switzerland). Vol.12, No.11 (2022) 10.3390/app12115474 20763417 2-s2.0-85131523103 https://repository.li.mahidol.ac.th/handle/123456789/73622 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85131523103&origin=inward |
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Chemical Engineering Computer Science Engineering Materials Science Physics and Astronomy Fuengfa Khobkhun Mark Hollands Jim Richards A Comparison of Turning Kinematics at Different Amplitudes during Standing Turns between Older and Younger Adults |
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It is well-established that processes involving changing direction or turning in which either or both standing and walking turns are utilized involve coordination of the whole-body and stepping characteristics. However, the turn context and whole-body coordination have not been fully explored during different turning amplitudes. For these reasons, this present study aimed to determine the effects of turning amplitude on whole-body coordination. The findings from this study can be utilized to inform the rationale behind fall prevention factors and to help design an exercise strategy to address issues related to amplitude of turning in older adults. Twenty healthy older and twenty healthy younger adults were asked to complete standing turns on level ground using three randomly selected amplitudes, 90°, 135° and 180°, at their self-selected turn speed. Turning kinematics and stepping variables were recorded using Inertial Measurement Units. Analysis of the data was carried out using Mixed Model Analysis of Variance with two factors (2 groups × 3 turning amplitudes) and further post hoc pairwise analysis to examine differences between factors. There were significant interaction effects (p < 0.05) between the groups and turning amplitudes for step duration and turn speed. Further analysis using Repeated Measure Analysis of Variance tests determined a main effect of amplitude on step duration and turn speed within each group. Furthermore, post hoc pairwise comparisons revealed that the step duration and turn speed increased significantly (p < 0.001) with all increases in turning amplitude in both groups. In addition, significant main effects for group and amplitudes were seen for onset latency of movement for the head, thorax, pelvis, and feet, and for peak head–thorax and peak head–pelvis angular separations and stepping characteristics, which all increased with turn amplitude and showed differences between groups. These results suggest that large amplitude turns result in a change in turning and stepping kinematics. Therefore, when assessing the turning characteristics of older adults or those in frail populations, the turning amplitude should be taken into account during turning, and could be gradually increased to challenge motor control as part of exercise falls prevention strategies. |
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University of Central Lancashire |
author_facet |
University of Central Lancashire Fuengfa Khobkhun Mark Hollands Jim Richards |
format |
Article |
author |
Fuengfa Khobkhun Mark Hollands Jim Richards |
author_sort |
Fuengfa Khobkhun |
title |
A Comparison of Turning Kinematics at Different Amplitudes during Standing Turns between Older and Younger Adults |
title_short |
A Comparison of Turning Kinematics at Different Amplitudes during Standing Turns between Older and Younger Adults |
title_full |
A Comparison of Turning Kinematics at Different Amplitudes during Standing Turns between Older and Younger Adults |
title_fullStr |
A Comparison of Turning Kinematics at Different Amplitudes during Standing Turns between Older and Younger Adults |
title_full_unstemmed |
A Comparison of Turning Kinematics at Different Amplitudes during Standing Turns between Older and Younger Adults |
title_sort |
comparison of turning kinematics at different amplitudes during standing turns between older and younger adults |
publishDate |
2022 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/73622 |
_version_ |
1763495690114170880 |