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© 1988 Oxford University Press

research-article

BRINGING GAIT ANALYSIS OUT OF THE LABORATORY AND INTO THE CLINIC

L. KLENERMAN, Consultant Orthopaedic Surgeon, R. J. DOSES, Honorary Clinical Assistant*, C. WELLER, Scientist, A. L. LEEMAN, PhD Studen and P. W. NICHOLSON, Visiting Scientific Worker

Orthopaedic Department, Northwick Park Hospital, Therapeutics in the Elderly, Clinical Research Centre Watford Road, Harrow, Middlesex, HA1 3UJ
Division of Bioengineering, Clinical Research Centre, Therapeutics in the Elderly, Clinical Research Centre Watford Road, Harrow, Middlesex, HA1 3UJ
Therapeutics in the Elderly, Clinical Research Centre Watford Road, Harrow, Middlesex, HA1 3UJ
Senior Lecturer In Physics as Applied to Medicine, Department of Oncology, the Middlesax Hospital Medical School London Therapeutics in the Elderly, Clinical Research Centre Watford Road, Harrow, Middlesex, HA1 3UJ

*Address correspondence to Dr R. J. Dobbs, c/o Therapeutics in the Elderly Research Group, Clinical Research Centre, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ.

The potential value of objective assessment of gait in geriatric medicine cannot be explored fully whilst gait analysis remains a laboratory research tool, imposing special conditions which often preclude its use in the elderly. We describe a method of gait analysis suitable for the geriatric clinic and illustrate its use in documenting the response to interventions in three patients presenting with falls due to parkinsonism. Irregularity between gait cycles was noted, a finding previously described in Parkinson's disease, dementia and normal old men at a fast walking speed. Such irregularity may prove to be a major risk factor for falls. Where multiple pathologies which disturb gait coexist, measurement of changes in gait in response to treatment may provide a much needed means of audit.

accepted in revised form January 18, 1988.


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[Abstract] [PDF]


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