Methodological tools used for tripping gait analysis of elderly and prosthetic limb users: a systematic review

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Methodological tools used for tripping gait analysis of elderly and prosthetic limb users: a systematic review Raisa Rossignaud1   · Ana C. P. Oliveira1 · Jerusa P. R. Lara1 · John J. V. Mayor1 · André L. F. Rodacki1 Received: 29 March 2019 / Accepted: 19 July 2019 © Springer Nature Switzerland AG 2019

Abstract Background  Tripping during walking is known to be the predominant cause of falls in elderly and prosthetic limb users. To standardise measurements and analysis of trips, it is critical to summarise the methods used in laboratory-controlled trials. Aim  The aim of this study was to reach a clearer standardisation measurement and analysis of trips during elderly and prosthetic gait through a systematic review. Methods  Studies that assessed elderly and prosthetic tripping gait characteristics were included in this review. The search resulted in an initial yield of 2493 unique articles after duplicates were removed (PubMed, Scopus and Science Direct). Title analysis resulted in 1697 articles excluded and 659 articles were assessed for further eligibility on the basis of the abstract. 174 articles were excluded based on a full-text appraisal. The final yield was 21 unique articles that met all the inclusion criteria. Results  The findings revealed a number of inconsistencies among the studies, namely ambiguity in relation to gait speed, differences in overground and treadmill locomotion. Subsequently, different experimental setups such as trip inducement strategies may influence the collected data, and thus have implications for study outcomes. Conclusion  A gold standard should be set to have better standardised results, thus creating a more robust and holistic approach towards the rehabilitation of prosthetic gait and in the elderly. Keywords  Tripping · Stumbling · Gait · Detection · Elderly · Prosthetic limb users

Introduction Tripping during walking is known to be the predominant cause of falls in elderly and prosthetic limb users [1]. A trip or a stumble is defined as when an external force unexpectedly interrupts the progress of the swing foot during locomotion causing forward rotation of the body [2]. Falls due to trips have been found to be a major cause of fractures in the elderly population. Hip fractures are associated with significant morbidity, mortality and loss of independence, and are also a significant financial burden [3]. The same applies to transfemoral amputees who are also challenged in the recovery of a trip. An estimated 50% of * Raisa Rossignaud [email protected] 1



Laboratory of Biomechanics, Motor Behavior Studies Center, Department of Physical Education, Federal University of Parana, Rua Coração de Maria, 92, Jardim Botanico, Curitiba, PR, Brazil

amputee fallers reported that falls negatively affected their daily activities [4]. In this view, it is unclear how prosthesis users respond to trip recovery. That being said, to ensure correct data are collected, it is crucial that adequate tripping and stumble detection methodologies are utilised. Trip inducement dur