{"id":9579,"date":"2025-01-24T11:15:56","date_gmt":"2025-01-24T10:15:56","guid":{"rendered":"https:\/\/www.stappone.com\/?p=9579"},"modified":"2025-01-27T15:09:07","modified_gmt":"2025-01-27T14:09:07","slug":"what-makes-regular-gait-analysis-essential-for-older-adults","status":"publish","type":"post","link":"https:\/\/www.stappone.com\/en\/what-makes-regular-gait-analysis-essential-for-older-adults\/","title":{"rendered":"What Makes Regular Gait Analysis Essential for Older Adults?"},"content":{"rendered":"<h3><\/h3>\n<h3><a href=\"https:\/\/www.stappone.com\/wp-content\/uploads\/2025\/01\/regelm.-Ganganalyse-225x300.png\"><img decoding=\"async\" loading=\"lazy\" class=\" wp-image-9576 aligncenter\" src=\"https:\/\/www.stappone.com\/wp-content\/uploads\/2025\/01\/regelm.-Ganganalyse-225x300.png\" alt=\"Warum sind regelm\u00e4\u00dfige Ganganalyse im Alter wichtig Mit dem Alter treten nat\u00fcrliche Ver\u00e4nderungen im Gangbild auf, w\u00e4hrend einige Aspekte unver\u00e4ndert bleiben. Diese Ver\u00e4nderungen sind wichtige Indikatoren f\u00fcr die allgemeine Gesundheit und k\u00f6nnen in einigen F\u00e4llen auf spezifische Erkrankungen hinweisen. Ver\u00e4nderungen der Gehgeschwindigkeit Die Gehgeschwindigkeit bleibt bis etwa zum 70. Lebensjahr stabil, danach nimmt sie pro Jahrzehnt um etwa 15 % beim normalen Gehen und um 20 % beim schnellen Gehen ab. Nach dem 75. Lebensjahr sterben Personen, die langsam gehen, \u2265 6 Jahre fr\u00fcher als solche, die mit normaler Geschwindigkeit gehen, und \u2265 10 Jahre fr\u00fcher als Personen, die schnell gehen. Dieser R\u00fcckgang ist oft mit einer Verk\u00fcrzung der Schrittl\u00e4nge verbunden, die durch eine nachlassende Wadenmuskulaturkraft verursacht wird. Dennoch kompensieren \u00e4ltere Menschen dies durch verst\u00e4rkte Nutzung der H\u00fcftmuskulatur. Stabilit\u00e4t und Doppelstand Die Zeit im Doppelstand \u2013 der Moment, in dem beide F\u00fc\u00dfe gleichzeitig den Boden ber\u00fchren \u2013 nimmt mit dem Alter zu, was mehr Stabilit\u00e4t gew\u00e4hrt. Der Prozentsatz der Zeit im Doppelstand reicht von 18% bei jungen Erwachsenen bis zu \u2265 26% bei gesunden \u00e4lteren Menschen. Gleichzeitig verringert sich jedoch die Zeit f\u00fcr das Schwungbein, was zu einer k\u00fcrzeren Schrittl\u00e4nge f\u00fchrt. Haltung und Kadenz Die Gehhaltung \u00e4ndert sich nur geringf\u00fcgig. Auff\u00e4llig ist eine verst\u00e4rkte Beckenrotation nach vorne und eine erh\u00f6hte Lendenlordose. Die Kadenz, also die Schrittfrequenz, bleibt hingegen konstant, da sie prim\u00e4r von der Beinl\u00e4nge abh\u00e4ngt. Ganganomalien und ihre Ursachen Neurologische und muskuloskelettale Ursachen Zu den h\u00e4ufigen neurologischen St\u00f6rungen, die den Gang beeintr\u00e4chtigen, geh\u00f6ren Demenzerkrankungen, St\u00f6rungen der Motorik und des Kleinhirns, und sensorische oder motorische Neuropathien. Studien zeigen, dass eine verringerte Geschmeidigkeit des Gangs oft mit kognitiven Beeintr\u00e4chtigungen einhergeht. Typische Anomalien \u2022 Verlust der Symmetrie: H\u00e4ufig bei einseitigen neurologischen oder muskuloskelettalen St\u00f6rungen. \u2022 ver\u00e4nderliche Gangkadenz, Schrittl\u00e4nge oder Schrittweite deutet auf eine St\u00f6rung der motorischen Kontrolle des Gangs aufgrund eines Kleinhirn- oder Frontallappensyndroms \u2022 Einfrieren des Gangs: Kann bei Parkinson oder Angst vor St\u00fcrzen auftreten. \u2022 R\u00fcckw\u00e4rtsfallen bei der Einleitung des Gangs oder beim Gehen. Sie kann bei Patienten mit frontalen Gangst\u00f6rungen, Parkinsonismus, Syphilis des Zentralnervensystems und progressiver supranukle\u00e4rer Blickparese auftreten. \u2022 Eine verk\u00fcrzte Schrittl\u00e4nge tritt bei Patienten mit Parkinsonismus auf \u2022 Breitbasiger Gang (vergr\u00f6\u00dferte Schrittbreite): H\u00e4ufig bei Kleinhirnst\u00f6rungen oder Arthrose. \u2022 Vorw\u00e4rtsneigung und Festination: Typisch f\u00fcr Parkinson-Patienten. Bedeutung des Gangbilds Das Gangbild ist ein sensibler Marker f\u00fcr die Gesundheit \u00e4lterer Menschen. Anomalien k\u00f6nnen auf spezifische Erkrankungen hinweisen und sollten von \u00c4rzten fr\u00fchzeitig erkannt werden. Fazit Ver\u00e4nderungen des Gangs im Alter sind normal, k\u00f6nnen jedoch durch Erkrankungen verst\u00e4rkt oder modifiziert werden. Ein verst\u00e4ndnisvolles Beobachten und Interpretieren des Gangbilds hilft, potenzielle Gesundheitsprobleme fr\u00fchzeitig zu erkennen und gezielt zu behandeln. Mit stappone lassen sich Fehlbelastung im Rahmen einer Ganganalyse schnell, einfach und objektiv sichtbar machen. So werden sie nicht nur fr\u00fchzeitig erkannt, sondern auch die Compliance der PatientInnen wird erh\u00f6ht. Anhand des visuellen Live Biofeedbacks verstehen PatientInnen besser, wo der Belastungsfehler liegt und k\u00f6nnen ihn auch selbstbestimmt korrigieren. Die Verlaufskontrolle, die mit Hilfe der Reports der stappone Produkte m\u00f6glich ist, gibt objektive Einblicke und motiviert zus\u00e4tzlich. STAPPONE-Produkte bieten PatientInnen, \u00c4rztInnen und TherapeutInnen eine wertvolle Unterst\u00fctzung bei der schnelleren Rehabilitation, objektiven Diagnosestellung und umfassenden Behandlung. Haben Sie Fragen zum Produkt? Kontaktieren Sie uns \u2013 wir helfen Ihnen gerne weiter! \" width=\"416\" height=\"555\" srcset=\"https:\/\/www.stappone.com\/wp-content\/uploads\/2025\/01\/regelm.-Ganganalyse-225x300.png 225w, https:\/\/www.stappone.com\/wp-content\/uploads\/2025\/01\/regelm.-Ganganalyse-49x65.png 49w, https:\/\/www.stappone.com\/wp-content\/uploads\/2025\/01\/regelm.-Ganganalyse-540x720.png 540w, https:\/\/www.stappone.com\/wp-content\/uploads\/2025\/01\/regelm.-Ganganalyse-350x466.png 350w, https:\/\/www.stappone.com\/wp-content\/uploads\/2025\/01\/regelm.-Ganganalyse-262x349.png 262w, https:\/\/www.stappone.com\/wp-content\/uploads\/2025\/01\/regelm.-Ganganalyse.png 586w\" sizes=\"(max-width: 416px) 100vw, 416px\" \/><\/a><\/h3>\n<h2 style=\"text-align: center;\">What Makes Regular Gait Analysis Essential for Older Adults?<\/h2>\n<p><em>As people age, natural changes in walking patterns occur, while some aspects remain unchanged. These changes are important indicators of overall health and can sometimes point to specific medical conditions.<\/em><\/p>\n<p><strong>Changes in Walking Speed<\/strong><\/p>\n<p>Walking speed remains stable until around the age of 70, after which it decreases by about 15% during normal walking and 20% during fast walking per decade. After the age of 75, individuals who walk slowly tend to die \u22656 years earlier than those who walk at a normal speed and \u226510 years earlier than those who walk quickly. This decline is often associated with a reduction in stride length caused by weakened calf muscles. However, older adults compensate for this by relying more on their hip muscles.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Stability and Double Support<\/strong><\/p>\n<p>The time spent in double support\u2014the moment when both feet are on the ground at the same time\u2014increases with age, providing greater stability. The percentage of time spent in double support ranges from 18% in young adults to \u226526% in healthy older adults. However, the time spent in swing phase decreases, leading to a shorter stride length.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Posture and Cadence<br \/>\n<\/strong>Posture changes only slightly. A more pronounced forward pelvic rotation and increased lumbar lordosis are noticeable. Cadence, or step frequency, remains constant, as it primarily depends on leg length.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Gait Abnormalities and Their Causes<\/strong><\/p>\n<p>Neurological and Musculoskeletal Causes<br \/>\nCommon neurological disorders that affect gait include dementia, motor and cerebellar disorders, and sensory or motor neuropathies. Studies show that reduced smoothness in gait is often associated with cognitive impairments.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Typical Abnormalities<\/strong><\/p>\n<ul>\n<li><strong>Loss of symmetry: <\/strong>Common in unilateral neurological or musculoskeletal disorders.<\/li>\n<li><strong>Variable cadence, stride length, or step width<\/strong>: Indicates a motor control disorder of gait due to cerebellar or frontal lobe syndromes.<\/li>\n<li><strong>Freezing gait: <\/strong>Can occur in Parkinson&#8217;s disease or due to fear of falling.<\/li>\n<li><strong>Backward falling when initiating gait or walking:<\/strong> Can occur in patients with frontal gait disorders, Parkinsonism, central nervous system syphilis, and progressive supranuclear palsy.<\/li>\n<li><strong>Shortened stride length:<\/strong> Common in patients with Parkinsonism.<\/li>\n<li><strong>Wide-based gait (increased step width):<\/strong> Often seen in cerebellar disorders or osteoarthritis.<\/li>\n<li><strong>Forward lean and festination:<\/strong> Typical for Parkinson&#8217;s patients.<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Importance of Gait<br \/>\n<\/strong>Gait is a sensitive marker for the health of older adults. Abnormalities can indicate specific diseases and should be detected early by healthcare professionals.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Conclusion<br \/>\n<\/strong>Changes in gait with age are normal, but they can be exacerbated or modified by diseases. Observing and interpreting gait patterns carefully helps identify potential health issues early and allows for targeted treatment.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.stappone.com\/en\/products\/partial-weight-bearing-management\/stappone-rehab\/\">STAPPONE<\/a> allows misalignment in gait analysis to be quickly, easily, and objectively visualized. This not only helps detect issues early but also increases patient compliance. With visual live biofeedback, patients can better understand where the pressure error lies and correct it autonomously. The progress tracking enabled by the reports from STAPPONE products provides objective insights and further motivation.<\/p>\n<p><a href=\"https:\/\/www.stappone.com\/produkte\/digitale-ganganalyse-orthopaedie-neurologie\/stappone-medical\/\">STAPPONE products offer<\/a> valuable support for patients, doctors, and therapists in faster rehabilitation, objective diagnosis, and comprehensive treatment. Do you have questions about the product? Contact us \u2013 we are happy to assist you<\/p>\n<p>&nbsp;<\/p>\n<p>________________________<\/p>\n<p>Gait disorders in older people<\/p>\n<p>By Richard G. Stefanacci, DO, MGH, MBA, Thomas Jefferson University, Jefferson College of Population Health;<\/p>\n<p>Jayne R. Wilkinson, MD, MSCE, University of Pennsylvania, Perelman School of Medicine Oct.2023.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As people age, natural changes in walking patterns occur, while some aspects remain unchanged. These changes are important indicators of overall health and can sometimes point to specific medical conditions.<\/p>\n","protected":false},"author":15,"featured_media":9576,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[2,42],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Gait Analysis Essential for Older Adults<\/title>\n<meta name=\"description\" content=\"As people age, natural changes in walking patterns occur, while some aspects remain unchanged. 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