Improvements in Obstacle Clearance Parameters and Reaction Time Over a Series of Obstacles Revealed After Five Repeated Testing Sessions in Older Adults

in Motor Control

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Deborah A. JehuUniversity of Ottawa

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Yves LajoieUniversity of Ottawa

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Nicole PaquetUniversity of Ottawa

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The purpose of this study was to investigate obstacle clearance and reaction time parameters when crossing a series of six obstacles in older adults. A second aim was to examine the repeated exposure of this testing protocol once per week for 5 weeks. In total, 10 older adults (five females; age: 67.0 ± 6.9 years) walked onto and over six obstacles of varying heights (range: 100–200 mm) while completing no reaction time, simple reaction time, and choice reaction time tasks once per week for 5 weeks. The highest obstacles elicited the lowest toe clearance, and the first three obstacles revealed smaller heel clearance compared with the last three obstacles. Dual tasking negatively impacted obstacle clearance parameters when information processing demands were high. Longer and less consistent time to completion was observed in Session 1 compared with Sessions 2–5. Finally, improvements in simple reaction time were displayed after Session 2, but choice reaction time gradually improved and did not reach a plateau after repeated testing.

Jehu and Lajoie are with the School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada. Paquet is with the School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada.

Address author correspondence to Nicole Paquet at npaquet@uottawa.ca.
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  • Bamidis, P.D., Fissler, P., Papageorgiou, S., Zilidou, V., Konstantinidis, E.I., Billis, A.S., … Kolassa, I.T. (2015). Gains in cognition through combined cognitive and physical training: The role of training dosage and severity of neurocognitive disorder. Frontiers in Aging Neuroscience, 7, 152. PubMed doi:10.3389/fnagi.2015.00152

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Berard, J.R., & Vallis, L.A. (2006). Characteristics of single and double obstacle avoidance strategies: A comparison between adults and children. Experimental Brain Research, 175(1), 2131. PubMed doi:10.1007/s00221-006-0529-0

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Berg, W.P., Alessio, H.M., Mills, E.M., & Tong, C. (1997). Circumstances and consequences of falls in independent community-dwelling older adults. Age and Ageing, 26, 261268. PubMed doi:10.1093/ageing/26.4.261

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Brown, L.A., McKenzie, N.C., & Doan, J.B. (2005). Age-dependent differences in the attentional demands of obstacle negotiation. Journal of Gerontology, Series A: Biological and Medical Sciences, 60, 924927. PubMed doi:10.1093/gerona/60.7.924

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Carpenter, M.G., Frank, J.S., Silcher, C.P., & Peysar, G.P. (2001). The influence of postural threat on the control of upright stance. Experimental Brain Research, 138, 210218. PubMed doi:10.1007/s002210100681

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chen, H.C., Ashton-Miller, J.A., Alexander, N.B., & Schultz, A.B. (1991). Stepping over obstacles: Gait patterns of healthy young and old adults. Journal of Gerontology, Series A: Biological and Medical Sciences, 46, 196203. doi:10.1093/geronj/46.6.M196

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chen, H.C., Schultz, A.B., Ashton-Miller, J.A., Giordani, B., Alexander, N.B., & Guire, K.E. (1996). Stepping over obstacles: Dividing attention impairs performance of old more than young adults. Journal of Gerontology, Series A: Biological and Medical Sciences, 51, M116M122. doi:10.1093/gerona/51A.3.M116

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chou, L., & Draganich, L.F. (1998). Placing the trailing foot closer to an obstacle reduces flexion of the hip, knee, and ankle to increase the risk of tripping. Journal of Biomechanics, 31, 685691. PubMed doi:10.1016/S0021-9290(98)00081-5

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Collie, A., Maruff, P., Darby, D.G., & Mcstephen, M. (2003). The effects of practice on the cognitive test performance of neurologically normal individuals assessed at brief test–retest intervals. Journal of the International Neuropsychological Society, 9, 419428. PubMed doi:10.1017/S1355617703930074

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Del Rossi, G., Malaguti, A., & Del Rossi, S. (2014). Practice effects associated with repeated assessment of a clinical test of reaction time. Journal of Athletic Training, 49, 356359. PubMed doi:10.4085/1062-6059-49.2.04

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Draganich, L.F., & Kuo, C.E. (2004). The effects of walking speed on obstacle crossing in healthy young and healthy older adults. Journal of Biomechanics, 37, 889896. PubMed doi:10.1016/j.jbiomech.2003.11.002

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Eckner, J.T., Kutcher, J.S., & Richardson, J.K. (2011). Between-seasons test-retest reliability of clinically measured reaction time in National Collegiate Athletic Association Division I athletes. Journal of Athletic Training, 46, 409414. PubMed doi:10.4085/1062-6050-46.4.409

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Falleti, M.G., Maruff, P., Collie, A., & Darby, D.G. (2006). Practice effects associated with the repeated assessment of cognitive function using the CogState battery at 10-minute, one week and one month test-retest intervals. Journal of Clinical and Experimental Neuropsychology, 28, 10951112. PubMed doi:10.1080/13803390500205718

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Harley, C., Wilkie, R.M., & Wann, J.P. (2009). Stepping over obstacles: Attention demands and aging. Gait & Posture, 29, 428432. PubMed doi:10.1016/j.gaitpost.2008.10.063

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jehu, D.A., Desponts, A., Paquet, N., & Lajoie, Y. (2015). Prioritizing attention on a reaction time task improves postural control and reaction time. International Journal of Neuroscience, 125, 100106. PubMed doi:10.3109/00207454.2014.907573

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jehu, D.A., Paquet, N., & Lajoie, Y. (2016). Examining the stability of dual-task posture and reaction time measures in older adults over five sessions. Aging Clinical and Experimental Research, 28(6), 12111218. doi:10.1007/s40520-015-0513-2

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kahneman, D. (1973). Attention and effort. Englewood Cliffs, NJ: Prentice Hall.

  • Karst, G.M., Hageman, P.A., Jones, T.F., & Bunner, S.H. (1999). Reliability of foot trajectory measures within and between testing sessions. Journal of Gerontology,  Series A: Biological and Medical Sciences, 54(7), M343M347. doi:10.1093/gerona/54.7.M343

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kim, H.D., & Brunt, D. (2007). The effect of a dual-task on obstacle crossing in healthy elderly and young adults. Archives of Physical Medicine and Rehabilitation, 88(10), 13091313. PubMed doi:10.1016/j.apmr.2007.07.001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Krell, J., & Patla, A.E. (2002). The influence of multiple obstacles in the travel path on avoidance strategy. Gait & Posture, 16, 1519. PubMed doi:10.1016/S0966-6362(01)00194-1

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lajoie, Y., Jehu, D.A., Richer, N., & Chan, A. (2017). Continuous and difficult discrete cognitive tasks promote improved stability in older adults. Gait & Posture, 55, 4348. PubMed doi:10.1016/j.gaitpost.2017.04.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lajoie, Y., Jehu, D.A., Richer, N., & Tran, Y. (2016). Reaction time is slower when walking at a slow pace in young adults. Journal of Motor Behavior, 48, 153154. PubMed doi:10.1080/00222895.2015.1056767

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lamoureux, E., Sparrow, W.A., Murphy, A., & Newton, R.U. (2003). The effects of improved strength on obstacle negotiation in community-living older adults. Gait & Posture, 17, 273283. PubMed doi:10.1016/S0966-6362(02)00101-7

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lord, S., Howe, T., Greenland, J., Simpson, L., & Rochester, L. (2011). Gait variability in older adults: A structured review of testing protocol and clinimetric properties. Gait & Posture, 34, 443450. PubMed doi:10.1016/j.gaitpost.2011.07.010

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lowrey, C.R., Watson, A., & Vallis, L.A. (2007). Age-related changes in avoidance strategies when negotiating single and multiple obstacles. Experimental Brain Research, 182, 289299. PubMed doi:10.1007/s00221-007-0986-0

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Martin, M., Shinberg, M., Kuchibhatla, M., Ray, L., Carollo, J.J., & Schenkman, M.L. (2002). Gait initiation in community-dwelling adults with Parkinson disease: Comparison with older and younger adults without the disease. Physical Therapy, 82, 566577. PubMed

    • Search Google Scholar
    • Export Citation
  • McFadyen, B.J., & Prince, F. (2002). Avoidance and accommodation of surface height changes by healthy, community-dwelling, young and elderly men. Journal of Gerontology, Series A: Biological Sciences and Medical Sciences, 57(4), B166B174. doi:10.1093/gerona/57.4.B166

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Overstall, P.W., Exton-Smith, A.N., Imms, F.J., & Johnson, A.L. (1977). Falls in the elderly related to postural imbalance. British Medical Journal, 1, 261264. doi:10.1136/bmj.1.6056.261

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Patla, A. (1997). Understanding the roles of vision in the control of human locomotion. Gait & Posture, 5, 5469. doi:10.1016/S0966-6362(96)01109-5

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Patla, A.E., & Rietdyk, S. (1993). Visual control of limb trajectory over obstacles during locomotion: Effect of obstacle height and width. Gait & Posture, 1, 4560. doi:10.1016/0966-6362(93)90042-Y

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pichierri, G., Diener, T., Murer, K., & de Bruin, E.D. (2013). Assessment of the test-retest reliability of a foot placement accuracy protocol in assisted-living older adults. Gait & Posture, 38(4), 784789. PubMed doi:10.1016/j.gaitpost.2013.03.025

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rhea, C.K., & Rietdyk, S. (2007). Visual exteroceptive information provided during obstacle crossing did not modify the lower limb trajectory. Neuroscience Letters, 418, 6065. PubMed doi:10.1016/j.neulet.2007.02.063

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Schrodt, L.A., Mercer, V.S., Giuliani, C.A., & Hartman, M. (2004). Characteristics of stepping over an obstacle in community dwelling older adults under dual-task conditions. Gait & Posture, 19, 279287. PubMed doi:10.1016/S0966-6362(03)00067-5

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Schulz, B.W. (2011). Minimum toe clearance adaptations to floor surface irregularity and gait speed. Journal of Biomechanics, 44, 12771284. doi:10.1016/j.jbiomech.2011.02.010

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Siu, K., Lugade, V., Chou, L., van Donkelaar, P., & Woollacott, M.H. (2008). Dual-task interference during obstacle clearance in healthy and balance-impaired older adults. Aging Clinical and Experimental Research, 20, 349354. PubMed doi:10.1007/BF03324867

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stins, J.F., Roerdink, M., & Beek, P.J. (2011). To freeze or not to freeze? Affective and cognitive perturbations have markedly different effects on postural control. Human Movement Science, 30, 190202. PubMed doi:10.1016/j.humov.2010.05.013

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stobach, T., Frensch, P., Hermann, M., & Schubert, T. (2012a). Age- and practice-related influences on dual-task costs and compensation mechanisms under optimal conditions of dual-task performance. Aging Neuropsychology, and Cognition, 19, 222247. doi:10.1080/13825585.2011.630973

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stobach, T., Frensch, P., Hermann, M., & Schubert, T. (2012b). Testing the limits of optimizing dual-task performance in younger and older adults. Frontiers in Human Neuroscience, 6, 112.

    • Search Google Scholar
    • Export Citation
  • Tideiksaar, R. (1996). Preventing falls: How to identify risk factors, reduce complications. Geriatrics, 51(2), 4346. PubMed

  • Worden, T.A., & Vallis, L.A. (2014). Concurrent performance of a cognitive and dynamic obstacle avoidance task: Influence of dual-task training. Journal of Motor Behavior, 46(5), 357368. PubMed doi:10.1080/00222895.2014.914887

    • Crossref
    • Search Google Scholar
    • Export Citation
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