Cross-Comparisons of Gait Speeds by Automatic Sensors and a Stopwatch to Provide Converting Formula Between Measuring Modalities

Background We aimed to compare 4 automatic devices with a conventional stopwatch for measuring gait speed. Methods We used 4 experimental devices to automatically measure gait speed: 1) Gaitspeedometer (GSM) 1, with laser sensors; 2) GSM2, with ultrasound sensors; 3) GSM3, with infrared sensors; and 4) GSM4, with a light detection and ranging sensor. To assess compatibility between different versions of GSMs, we collected 426 data points from 4 young engineers walking at random speeds and with varying postures. We used these data to convert gait speed measured by GSM1 and 2 for compatibility with GSM3 in the Korean Frailty and Aging Cohort Study (KFACS) dataset. Results Mean gait speeds measured with GSMs 1–4 were 1.7% slower (R2=0.997), 12.2% faster (R2=0.993), 1.3% slower (R2=0.999), and 4.3% slower (R2=0.996), respectively, than the gait speed measured with a stopwatch. The concordance correlation coefficient between each GSM and the stopwatch was higher than 0.9. Using linear regression analysis with no constant term, conversion formulas for GSMs were established for the KFACS dataset using GSM1 and GSM2. Conclusion The 4 methods of automatic gait speed measurement and the manually measured gait speed correlated well with each other, and we hope these new technologies reduce barriers to measuring older people’s gait speed in busy clinical settings.

[1]  S. Fritz,et al.  Walking speed: the functional vital sign. , 2015, Journal of aging and physical activity.

[2]  Subashan Perera,et al.  Gait variability and the risk of incident mobility disability in community-dwelling older adults. , 2007, The journals of gerontology. Series A, Biological sciences and medical sciences.

[3]  H. Jang How to Diagnose Sarcopenia in Korean Older Adults? , 2018, Annals of geriatric medicine and research.

[4]  James E. Graham,et al.  Relationship between test methodology and mean velocity in timed walk tests: a review. , 2008, Archives of physical medicine and rehabilitation.

[5]  L. Peng,et al.  Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. , 2014, Journal of the American Medical Directors Association.

[6]  Nandini Dendukuri,et al.  Gait speed as an incremental predictor of mortality and major morbidity in elderly patients undergoing cardiac surgery. , 2010, Journal of the American College of Cardiology.

[7]  I. Oh,et al.  Starting Construction of Frailty Cohort for Elderly and Intervention Study , 2016 .

[8]  S. Studenski,et al.  Physical Performance Measures in the Clinical Setting , 2003, Journal of the American Geriatrics Society.

[9]  R. Moe-Nilssen,et al.  Test-retest reliability of trunk accelerometric gait analysis. , 2004, Gait & posture.

[10]  S. Fritz,et al.  White paper: "walking speed: the sixth vital sign". , 2009, Journal of geriatric physical therapy.

[11]  L. Lin,et al.  A concordance correlation coefficient to evaluate reproducibility. , 1989, Biometrics.

[12]  Subashan Perera,et al.  Gait Speed Predicts Incident Disability: A Pooled Analysis. , 2016, The journals of gerontology. Series A, Biological sciences and medical sciences.

[13]  Hee-Won Jung,et al.  Usual gait speed is associated with frailty status, institutionalization, and mortality in community-dwelling rural older adults: a longitudinal analysis of the Aging Study of Pyeongchang Rural Area , 2018, Clinical interventions in aging.

[14]  K. Ho Using linear regression to assess dose-dependent bias on a Bland-Altman plot , 2018, Journal of Emergency and Critical Care Medicine.

[15]  K. Alexander,et al.  Addition of Frailty and Disability to Cardiac Surgery Risk Scores Identifies Elderly Patients at High Risk of Mortality or Major Morbidity , 2012, Circulation. Cardiovascular quality and outcomes.

[16]  Miji Kim,et al.  Combinations of gait speed testing protocols (automatic vs manual timer, dynamic vs static start) can significantly influence the prevalence of slowness: Results from the Korean Frailty and Aging Cohort Study. , 2019, Archives of gerontology and geriatrics.

[17]  Simple Method of Screening for Frailty in Older Adults Using a Chronometer and Tape Measure in Clinic , 2018, Journal of the American Geriatrics Society.

[18]  S. Studenski,et al.  Slowing gait and risk for cognitive impairment , 2017, Neurology.

[19]  Susan E. Hardy,et al.  Improvement in Usual Gait Speed Predicts Better Survival in Older Adults , 2007, Journal of the American Geriatrics Society.

[20]  B. Bloem,et al.  Neurological gait disorders in elderly people: clinical approach and classification , 2007, The Lancet Neurology.

[21]  S. Studenski,et al.  Gait speed and survival in older adults. , 2011, JAMA.