Confiabilidad de una metodología aplicable para la medición de cinemática simple del pie en adultos mayores autovalentes de la comunidad.

Abstract

Objective: To determine the test-retest inter-rater reliability of an applicable methodology for simple foot kinematic measuring (SFKM) in senior citizens in the community. Material and method: 72 self-reliant senior citizens (EFAM-Chile >42 points), 56 women (age =69±4.9 years) and 16 men (age =71±7,0 years), executed comfortable gait (CG) for three minutes on a 40 meters track. For each participant, five strides were recorded in video which subsequently were transformed into frames and analyzed through a free access program (TRACKER v4.8 for Windows). The parameters analyzed were the minimum foot clearance (MFC) and maximum foot clearance (MaxFC) per path, and in the case of distance, stride length (SL). Each analysis involved a protocol proposed by the author. Results: The MDP protocol presents an intra-class correlation coefficient (ICC) of 0,77 (CCI_95%IC=0,55-0,89) with a standard error of measurement (SEM) of 0,8 millimeters (mm), associated with nearly 50% of the result magnitude error (RME). The MaxDP has an ICC =0,99 (CCI_95%IC=0,98-0,99) with a SEM =0,3 mm and less than 5% of the RME. Meanwhile, the LZ obtained an ICC =0,98 (CCI_95%IC=0,96-0,99) with a SEM =10,5 mm and a near 10% of the RME, the differences being test-retest dependent on it. Conclusions: This protocol for CG SFKM is recommended. However, the image quality and the number of frames per second determine its execution in high speed human movement contexts.

Keywords:

adulto mayor

confiabilidad de los resultados

fenómenos de biomecánica

marcha

senior citizen

reliability of results

biomechanical phenomena

gait

References

Chackiel J. La dinámica demográfica de América Latina. Serie población y desarrollo – Comisión Económica para América Latina y el Caribe [Internet]. Disponible en: URL: http://www.eclac.cl/cgibin/getProd.asp?xml=/publicaciones/xml/0/14860/P14860.xml&xsl=/celade/tpl/p9f.xsl&base=/celade/tpl/top-bottom.xsl. Consultado Enero de 2014.

Huenchuan S. La protección de salud en el marco de la dinámica demográfica de los derechos. Serie población y desarrollo – Comisión Económica para América Latina y el Caribe [Internet]. Disponible en: URL: http://www.eclac.org/cgi-bin/getProd.asp?xml=/publicaciones/xml/3/43173/P43173.xml&xsl=/publicaciones/ficha-i.xsl&base=/publicaciones/top_publicaciones-i.xsl. Consultado Enero de 2014.

Mora T, González P. El SENAMA y las políticas públicas para el adulto mayor. SENAMA – Programa de seguridad social No. 3 [Internet]. Disponible en: URL: http://www.ciedessweb.cl/ciedess/attachments/article/193/3.%20El%20Senama%20y%20las%20Pol%C3%ADticas%20P%C3%BAblicas.pdf. Consultado Enero de 2014.

Arai H, Ouchi Y, Yokode M, Ito H, Uematsu H, Eto F. et al. Toward the realization of a better aged society: Messages from gerontology and geriatrics. Geriatr Gerontol Int. 2012; 12 (1): 16-22.

Abdullah B, Wolbring G. Analysis of Newspaper Coverage of Active Aging through the Lens of the 2002 World Health Organization Active Ageing Report: A Policy Framework and the 2010 Toronto Charter for Physical Activity: A Global Call for Action. Int J Environ Res Public Health. 2013; 10 (12): 6799-6819.

Hausdorf JM, Zemany L, Peng CK, Golderger L. Maturation of gait Dynamics: Stride to stride variability and this temporal organization in children. J Apply Physiol. 1999; 86 (3): 1040-7.

Bohannon R, Andrews W. Normal walking speed: A descriptive meta-analysis. Physiotherapy 2011; 97: 182-189.

Hislop H. The not-so-impossible dream. Tenth Mary McMillan Lecture. Phys Ther. 1975; 55 (1): 1069-1079.

University of Southern California – Division of physical therapy and biokinesiology. Fundamental principles of Biokinesiology [Internet]. Disponible en: URL: http://pt.usc.edu/Education/Programs/Biokinesiology/About_Biokinesiology/. Consultado Enero 2014.

Hollman J., McDade E., Petersen R. Normative spatiotemporal gait parameters in older adults. Gait & Posture 2011; 34: 111-8.

Fritz S, Lusardi M. White paper: “Walking speed: The sixth vital sign”. J Geriatr Phys Ther. 2009; 32 (2): 46-9.

Cappozzo A, Della Croce U, Leardini A, Chiari L. Human movement analysis using stereophotogrammetry. Part 1: Theoretical background. Gait & Posture 2005; 21 (2): 186-96.

Muro-de-la-Herran A, Garcia-Zapirain B, Mendez-Zorrilla A. Gait analysis methods: An overview of wearable and non-wearable systems, highlighting clinical applications. Sensors (Basel) 2014; 14 (2): 3362-94.

Chiari L, Della Croce U, Leardini A, Cappozzo A. Human movement analysis using stereophotogrammetry. Part 2: instrumental errors. Gait & Posture 2005; 21 (2): 197-211.

Medina P, Rebolledo I, Escobar M. Operacionalización del Modelo Función Disfunción. Un acercamiento hacia la pretensión de la autonomía profesional. Kinesiología 2011; 30 (3): 46-57.

Feinstein AR. An additional basic science for clinical medicine: IV. The development of clinimetrics. Ann Intern Med. 1983; 99 (6): 843-8.

Ministerio de Salud Chile. Programa de Salud del Adulto Mayor. División de Prevención y Control de Enfermedades. Subsecretaría de Salud Pública. Manual de Aplicación del Examen de Medicina Preventiva del Adulto Mayor (EMPAM). [Internet]. Disponible en: URL: http://www.saludohiggins.cl/attachments/314_Instructivo%20del%20Control%20de%20Salud%200107.pdf. Consultado Enero 2014.

Winter DA. Foot trajectory in human gait: A precise and multifactorial motor control task. Phys Ther. 1992; 72 (1): 45-53.

Portney LG, Watkins MP. Foundations of clinical research: Applications to practice. Second Edition. New Jersey: Prentice-Hall Inc.; 2000.

Hamacher D, Singh NB, Van Dieën JH, Heller MO, Taylor WR. Kinematic measures for assessing gait stability in elderly individuals: a systematic review. J R Soc Interface. 2011; 8 (65): 1682-98.

Saibene F., Minetti A. Biomechanical and physiological aspects of legged locomotion in humans. Eur J Appl Physiol 2003; 88: 297-316.

Karst GM, Hageman PA, Jones TF, Bunner SH. Reliability of foot trajectory measures within and between testing sessions. J Gerontol A Biol Sci Med Sci. 1999; 54 (7): M343-7.

Khandoker AH, Lynch K, Karmakar CK, Begg RK, Palaniswami M. Toe clearance and velocity profiles of young and elderly during walking on sloped surfaces. J Neuroeng Rehabil. 2010; 28: 7-18.

Villa A, Gutiérrez E, Pérez J. Consideraciones para el análisis de la marcha humana. Técnicas de videogrametría, electromiografía y dinamometría. Revista Ingeniería Biomédica 2008; 2 (3): 16-26.

Ghoussayni S, Stevens C, Durham S, Ewins D. Assessment and validation of a simple automated method for the detection of gait events and intervals. Gait Posture. 2004; 20 (3): 266-72.