Regression analysis of gait parameters and mobility measures in a healthy cohort for subject-specific normative values

PLoS One. 2018 Jun 18;13(6):e0199215. doi: 10.1371/journal.pone.0199215. eCollection 2018.

Abstract

Background: Deviation in gait performance from normative data of healthy cohorts is used to quantify gait ability. However, normative data is influenced by anthropometry and such differences among subjects impede accurate assessment. De-correlation of anthropometry from gait parameters and mobility measures is therefore desirable.

Methods: 87 (42 male) healthy subjects varying form 21 to 84 years of age were assessed on gait parameters (cadence, ankle velocity, stride time, stride length) and mobility measures (the 3-meter/7-meter Timed Up-and-Go, 10-meter Walk Test). Multiple linear regression models were derived for each gait parameter and mobility measure, with anthropometric measurements (age, height, body mass, gender) and self-selected walking speed as independent variables. The resulting models were used to normalize the gait parameters and mobility measures. The normalization's capability in de-correlating data and reducing data dispersion were evaluated.

Results: Gait parameters were predominantly influenced by height and walking speed, while mobility measures were affected by age and walking speed. Normalization de-correlated data from anthropometric measurements from |rs| < 0.74 to |rs| < 0.23, and reduced data dispersion by up to 69%.

Conclusion: Normalization of gait parameters and mobility measures through linear regression models augment the capability to compare subjects with varying anthropometric measurements.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Ankle / physiology
  • Female
  • Gait / physiology*
  • Healthy Volunteers
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Motion
  • Walking / physiology*
  • Walking Speed / physiology*

Grants and funding

The study was supported by research grants from the Singapore Millennium Foundation Limited, the National Medical Research Council of Singapore (Translational and Clinical Research Flagship Programme), and NUS MOE Tier 1 grant no. R263-000-A42-112. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.