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Meta-Analysis
. 2015 Dec;45(12):1627-43.
doi: 10.1007/s40279-015-0371-2.

Effects of Three Types of Exercise Interventions on Healthy Old Adults' Gait Speed: A Systematic Review and Meta-Analysis

Tibor Hortobágyi  1   2 , Melanie Lesinski  3 , Martijn Gäbler  4 , Jessie M VanSwearingen  5 , Davide Malatesta  6   7 , Urs Granacher  3
Affiliations
Meta-Analysis

Effects of Three Types of Exercise Interventions on Healthy Old Adults' Gait Speed: A Systematic Review and Meta-Analysis

Tibor Hortobágyi et al. Sports Med. 2015 Dec.

Erratum in

Abstract

Background: Habitual walking speed predicts many clinical conditions later in life, but it declines with age. However, which particular exercise intervention can minimize the age-related gait speed loss is unclear.

Purpose: Our objective was to determine the effects of strength, power, coordination, and multimodal exercise training on healthy old adults' habitual and fast gait speed.

Methods: We performed a computerized systematic literature search in PubMed and Web of Knowledge from January 1984 up to December 2014. Search terms included 'Resistance training', 'power training', 'coordination training', 'multimodal training', and 'gait speed (outcome term). Inclusion criteria were articles available in full text, publication period over past 30 years, human species, journal articles, clinical trials, randomized controlled trials, English as publication language, and subject age ≥65 years. The methodological quality of all eligible intervention studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. We computed weighted average standardized mean differences of the intervention-induced adaptations in gait speed using a random-effects model and tested for overall and individual intervention effects relative to no-exercise controls.

Results: A total of 42 studies (mean PEDro score of 5.0 ± 1.2) were included in the analyses (2495 healthy old adults; age 74.2 years [64.4-82.7]; body mass 69.9 ± 4.9 kg, height 1.64 ± 0.05 m, body mass index 26.4 ± 1.9 kg/m2, and gait speed 1.22 ± 0.18 m/s). The search identified only one power training study, therefore the subsequent analyses focused only on the effects of resistance, coordination, and multimodal training on gait speed. The three types of intervention improved gait speed in the three experimental groups combined (n = 1297) by 0.10 m/s (±0.12) or 8.4% (±9.7), with a large effect size (ES) of 0.84. Resistance (24 studies; n = 613; 0.11 m/s; 9.3%; ES: 0.84), coordination (eight studies, n = 198; 0.09 m/s; 7.6%; ES: 0.76), and multimodal training (19 studies; n = 486; 0.09 m/s; 8.4%, ES: 0.86) increased gait speed statistically and similarly.

Conclusions: Commonly used exercise interventions can functionally and clinically increase habitual and fast gait speed and help slow the loss of gait speed or delay its onset.

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Figures

Fig. 1
Fig. 1
Flowchart illustrating the different phases of the search and study selection
Fig. 2
Fig. 2
Meta-analysis of the overall effects of resistance, coordination, and multimodal training on the gait speed of healthy old adults. CI confidence interval, IV inverse variance, SE standard error
Fig. 3
Fig. 3
Meta-analysis of the effects of resistance training on the gait speed of healthy old adults. CI confidence interval, IV inverse variance, SE standard error
Fig. 4
Fig. 4
Meta-analysis of the effects of coordination training on the gait speed of healthy old adults. CI confidence interval, IV inverse variance, SE standard error
Fig. 5
Fig. 5
Meta-analysis of the effects of multimodal training on the gait speed of healthy old adults. CI confidence interval, IV inverse variance, SE standard error
See this image and copyright information in PMC

References

    1. Demes B, Thompson NE, O’Neill MC, et al. Center of mass mechanics of chimpanzee bipedal walking. Am J Phys Anthropol. 2014;156(3):422–433. doi: 10.1002/ajpa.22667. - DOI - PubMed
    1. Graham JE, Ostir GV, Fisher SR, et al. Assessing walking speed in clinical research: a systematic review. J Eval Clin Pract. 2008;14(4):552–562. doi: 10.1111/j.1365-2753.2007.00917.x. - DOI - PMC - PubMed
    1. Paleg G, Livingstone R. Outcomes of gait trainer use in home and school settings for children with motor impairments: a systematic review. Clin Rehabil. 2015. - PubMed
    1. Peel NM, Kuys SS, Klein K. Gait speed as a measure in geriatric assessment in clinical settings: a systematic review. J Gerontol A Biol Sci Med Sci. 2013;68(1):39–46. doi: 10.1093/gerona/gls174. - DOI - PubMed
    1. Roerdink M, Cutti AG, Summa A, et al. Gaitography applied to prosthetic walking. Med Biol Eng Comput. 2014;52(11):963–969. doi: 10.1007/s11517-014-1195-1. - DOI - PubMed

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