The effect of exercise-induced muscle fatigue on gait parameters among older adults: a systematic review and meta-analysis.
Background: Exercise-induced fatigue is a common consequence of physical activities. Particularly in older adults, it can affect gait performance. Due to a wide variety in fatiguing protocols and gait parameters used in experimental settings, pooled effects are not yet clear. Furthermore, specific e...
| Publicado en: | European Review of Aging & Physical Activity Vol. 22; no. 1; pp. 1 - 25 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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BioMed Central
4/1/2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=184163700&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 184163700 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 18137253 3RAQ jtl: European Review of Aging & Physical Activity issn: 18137253 maglogo: N pubinfo: dt: 4/1/2025 vid: 22 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 184163700 10.1186/s11556-025-00370-1 ppf: 1 ppct: 24 formats: fmt: – @attributes: type: T – @attributes: type: P size: 3.6MB tig: atl: The effect of exercise-induced muscle fatigue on gait parameters among older adults: a systematic review and meta-analysis. aug: au: Voorn, Paul Benjamin Oomen, Remco Buczny, Jacek Bossen, Daniël Visser, Bart Pijnappels, Mirjam affil: https://ror.org/00y2z2s03 Faculty of Health, Sport and Physical Activity, Centre of Expertise Urban Vitality, Amsterdam University of Applied Sciences, Amsterdam, Netherlands https://ror.org/008xxew50 Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences Research Institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands https://ror.org/008xxew50 Department of Experimental and Applied Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands su: Older people Physical activity Human locomotion Dynamic stability Spatiotemporal processes Muscle fatigue sug: subj: Older people Physical activity Human locomotion Dynamic stability Spatiotemporal processes Muscle fatigue keyword: Exercise-induced fatigue Gait Meta-analysis Older adults Exercise-induced fatigue Gait Meta-analysis Older adults ab: Background: Exercise-induced fatigue is a common consequence of physical activities. Particularly in older adults, it can affect gait performance. Due to a wide variety in fatiguing protocols and gait parameters used in experimental settings, pooled effects are not yet clear. Furthermore, specific elements of fatiguing protocols (i.e., intensity, duration, and type of activity) might lead to different changes in gait parameters. We aimed to systematically quantify to what extent exercise-induced fatigue alters gait in community-dwelling older adults, and whether specific elements of fatiguing protocols could be identified. Methods: This systematic review and meta-analysis was conducted in accordance with the PRISMA guidelines. In April 2023, PubMed, Web of Science, Scopus, Cochrane and CINAHL databases were searched. Two independent researchers screened and assessed articles using ASReview, Rayyan, and ROBINS-I. The extracted data related to spatio-temporal, stability, and variability gait parameters of healthy older adults (55 +) before and after a fatiguing protocol or prolonged physical exercise. Random-effects meta-analyses were performed on both absolute and non-absolute effect sizes in RStudio. Moderator analyses were performed on six clusters of gait parameters (Dynamic Balance, Lower Limb Kinematics, Regularity, Spatio-temporal Parameters, Symmetry, Velocity). Results: We included 573 effect sizes on gait parameters from 31 studies. The included studies reflected a total population of 761 older adults (57% female), with a mean age of 71 (SD 3) years. Meta-analysis indicated that exercise-induced fatigue affected gait with a standardized mean change of 0.31 (p <.001). Further analyses showed no statistical differences between the different clusters, and within clusters, the effects were non-uniform, resulting in an (indistinguishable from) zero overall effect within all clusters. Elements of fatiguing protocols like duration, (perceived) intensity, or type of activity did not moderate effects. Discussion: Due to the (mainly) low GRADE certainty ratings as a result of the heterogeneity between studies, and possible different strategies to cope with fatigue between participants, the only conclusion that can be drawn is that older adults, therapist, and researchers should be aware of the small to moderate changes in gait parameters as a result of exercise-induced fatigue. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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