Gait Variability: Epidemiology, Assessment & Management

步态变异性：流行病学、评估

• 批准号: 7643220
• 负责人: JENNIFER S BRACH
• 金额: $ 17.64万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-15 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7643220
• 关键词: Address; Affect; Age; Aging; Ancillary Study; Attention; Biomedical Engineering; Cardiovascular system; Cessation of life; Characteristics; Clinical; Clinical Trials; Cohort Studies; Data; Data Analyses; Data Set; Development; Development Plans; Elderly; Epidemiologist; Epidemiology; Exercise; Foundations; Future; Gait; Gait abnormality; Goals; Health; Impairment; Intervention; K-Series Research Career Programs; Link; Measures; Mentors; Methodology; Musculoskeletal; Nursing Homes; Outcome Measure; Performance; Play; Research; Research Methodology; Research Personnel; Research Project Grants; Research Proposals; Research Training; Resources; Risk; Role; Sampling; Series; Site; Specialist; Speed; Techniques; Testing; Time Series Analysis; TimeLine; Training; Translating; Universities; Walking; career development; design; disability; falls; gait examination; improved; improved mobility; insight; interdisciplinary approach; neuromuscular; novel; programs; prospective; research to practice; response; skills; therapy design; therapy development

DESCRIPTION (provided by applicant): Dr. Brach is a physical therapist and a board certified geriatric clinical specialist who aims to become a nationally-recognized leader in the field of mobility and aging research. Physical therapists are experts in the examination and treatment of musculoskeletal and neuromuscular problems that affect mobility. Therefore, physical therapists should play an important role in the multidisciplinary approach to treating mobility problems and should be key players in research aimed at improving mobility. As a physical therapist Dr. Brach has developed strong skills in the assessment and treatment of mobility problems, and her training in epidemiology has given her a strong foundation in research methods and basic statistical techniques. She now seeks additional focused training in longitudinal data analysis, advanced gait analysis (including time series analysis), and clinical trial methodology. As her primary mentor on the proposed Paul B. Beeson Career Development Award in Aging, Dr. Stephanie Studenski, herself a national leader in mobility and aging research, will supervise Dr. Brach's research training and career development towards becoming an independent investigator and leader in the field of aging. Her research program and career development will be overseen by a multi-disciplinary team including an Epidemiologist/Geriatrician, a Statistician, a Bioengineer, and a Physical Therapist. The rich resources of the University of Pittsburgh Claude D. Pepper OAIC will also be utilized for her support and development. In line with her goal of becoming a nationally recognized leader in the field of aging and mobility, Dr. Brach designed a series of three research projects that will allow her to examine in detail gait variability and adaptability, a component of mobility. In project 1, Dr. Brach will use an established dataset from the Cardiovascular Health Study to examine the contributors and consequences of gait variability in a biracial sample of over 500 older adults. Since many older adults with mobility problems are not identified when tested under low demand situations, in project 2 Dr. Brach will develop a measure of gait adaptability to test older persons walking under high demand conditions. The final project (project 3) will be a small RCT to examine exercise interventions to improve gait variability and adaptability in older persons.

Brach博士是一名物理治疗师和董事会认证的老年临床专家，他的目标是成为全国公认的移动和老龄化研究领域的领导者。物理治疗师是检查和治疗影响活动能力的肌肉骨骼和神经肌肉问题的专家。因此，物理治疗师应该在多学科方法中发挥重要作用，以治疗流动性问题，并应在旨在改善流动性的研究中发挥关键作用。作为一名物理治疗师，Brach博士在评估和治疗移动性问题方面具有很强的技能，她在流行病学方面的培训为她在研究方法和基本统计技术方面奠定了坚实的基础。她现在寻求纵向数据分析，高级步态分析（包括时间序列分析）和临床试验方法学方面的额外重点培训。作为她在保罗B计划中的主要导师。比森老龄化职业发展奖，斯蒂芬妮Studenski博士，她自己在流动性和老龄化研究的国家领导人，将监督博士布拉赫的研究培训和职业发展，成为一个独立的调查员和领导者在老龄化领域。她的研究计划和职业发展将由一个多学科的团队，包括流行病学家/老年医学家，一个Staecian，一个生物工程师和物理治疗师监督。匹兹堡大学丰富的资源Claude D.胡椒OAIC也将用于她的支持和发展。 为了实现她成为全国公认的老龄化和流动性领域领导者的目标，Brach博士设计了一系列三个研究项目，这将使她能够详细研究步态变异性和适应性，这是流动性的一个组成部分。在项目1中，Brach博士将使用来自心血管健康研究的已建立数据集来检查500多名老年人的birthweight样本中步态变异性的贡献者和后果。由于在低需求情况下进行测试时，许多有行动问题的老年人没有被识别出来，因此在项目2中，Brach博士将开发一种步态适应性措施，以测试老年人在高需求条件下行走。最后一个项目（项目3）将是一个小型随机对照试验，以检查运动干预措施，以改善老年人的步态变异性和适应性。

项目成果

Interventions to Improve Walking in Older Adults.

• DOI: 10.1007/s13670-013-0059-0
• 发表时间: 2013-12
• 期刊: Current translational geriatrics and experimental gerontology reports
• 作者: Brach, Jennifer S;Vanswearingen, Jessie M
• 通讯作者: Vanswearingen, Jessie M

Gait variability in older adults: observational rating validated by comparison with a computerized walkway gold standard.

老年人的步态变异性：通过与计算机化走道黄金标准进行比较来验证观察评级。

• DOI: 10.2522/ptj.20070243
• 发表时间: 2008
• 期刊: Physical therapy
• 影响因子: 3.2
• 作者: Huang,Wen-NiWennie;VanSwearingen,JessieM;Brach,JenniferS
• 通讯作者: Brach,JenniferS

The association between energy cost of walking and physical function in older adults.

老年人步行的能量消耗与身体机能之间的关联。

• DOI: 10.1016/j.archger.2013.04.007
• 发表时间: 2013
• 期刊: Archives of gerontology and geriatrics
• 影响因子: 4
• 作者: Wert,DavidM;Brach,JenniferS;Perera,Subashan;VanSwearingen,Jessie
• 通讯作者: VanSwearingen,Jessie

Motor learning versus standard walking exercise in older adults with subclinical gait dysfunction: a randomized clinical trial.

• DOI: 10.1111/jgs.12506
• 发表时间: 2013-11
• 期刊: Journal of the American Geriatrics Society
• 影响因子: 6.3
• 作者: Brach JS;Van Swearingen JM;Perera S;Wert DM;Studenski S
• 通讯作者: Studenski S

Impact of exercise to improve gait efficiency on activity and participation in older adults with mobility limitations: a randomized controlled trial.

运动提高步态效率对行动不便的老年人的活动和参与的影响：一项随机对照试验。

• DOI: 10.2522/ptj.20100391
• 发表时间: 2011
• 期刊: Physical therapy
• 影响因子: 3.2
• 作者: VanSwearingen,JessieM;Perera,Subashan;Brach,JenniferS;Wert,David;Studenski,StephanieA
• 通讯作者: Studenski,StephanieA