Using Goal Setting And Performance Feedback To Increase Adults Daily Walking

Author : Kedar Mate
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (111 download)

DOWNLOAD NOW!

Download or read book Self-reported, Performance-based and Technologically-measured Walking Capacity in Gait Vulnerable Populations written by Kedar Mate and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Physical activity is an important way to maintain good health for older adults and people with neurodegenerative conditions such as Parkinson's Disease (PD) and Multiple Sclerosis (MS). Walking is one of the most commonly performed and recommended physical activity. Aging and neurodegenerative conditions predispose people to gait vulnerability that limit walking activities and restrict opportunities for achieving health benefits from walking. The Canadian Physical Activity Guidelines for older adults recommend at least 150 minutes of moderate- to vigorous-intensity aerobic physical activity per week, in bouts of 10 minutes or more with an additional 2 days of muscle and bone strengthening activities. Brisk walking is one of the recommended modes to achieve moderate intensity physical activity. Two aspects of walking need to be considered: what the person can do (walking capacity) and what they do do (walking performance). Information on walking capacity is typically obtained by measuring performance in a clinical setting and by asking the individuals about activity (self-report) and/or free-living monitoring using accelerometers (technology). It is not known how these three sources of information provide concordant or discordant information among gait vulnerable populations, in this case older adults and people with PD and MS.The objective of this thesis is to contribute evidence towards how the different sources of information about walking (self-report questionnaires, performance tests, and technologically assessed) provide convergent or divergent information about walking capacity and walking performance among people with health conditions that lead to gait vulnerability. As is typical for theses in the Faculties of Medicine and Science, this thesis is built around manuscripts.The first manuscript aimed to estimate the extent to which sex/gender differences affect the relationships between tests of physical performance and self-reports about function in everyday life activities among people with MS. The second manuscript aimed to estimate, for people with MS, the extent to which walking capacity tested in laboratory, using 6MWT, is reproduced during 7 days of free-living step monitoring using an accelerometer and how this relationship is affected by age, gender, motivation, exercise enjoyment and barriers to participation. The third manuscript tested whether walking among older adults is modifiable by external auditory feedback using a technology - Heel2Toe sensor. Auditory feedback was provided to correct stepping pattern during outdoor walking. This objective was achieved using a pre-post design with 5 training sessions. The fourth and last manuscript targeted the relationship between indicators of step quality and cadence among seniors, people with PD and MS. The data for this manuscript came from the Heel2Toe sensor that was deployed during walking assessments for people with MS, PD and seniors. The objective of this manuscript was to estimate, across seniors and people with MS and PD, the extent to which heel-to-toe stepping pattern (good steps), angular velocity and coefficient of variation at heel strike using the Heel2Toe sensor separately explained variation in cadence. This thesis highlights the lack of ecological validity among commonly used performance tests (manuscript 1), shows the discrepancy between walking capacity and free-living walking performance among people with MS (manuscript 2), demonstrates that gait in seniors shows adaptation to auditory feedback using Heel2Toe sensor (manuscript 3), and illustrates how gait quality parameters of proportion of good steps and angular velocity are not predictive of cadence in seniors, people with MS and PD." --