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Ch04-I044963.fm  Page 13  Tuesday, August 1, 2006  6:33 PM
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                             QUANTIFICATION         OF  DYNAMIC      WALKING
                                  STABILITY     OF  ELDERLY     BY   USING
                              NONLINEAR      TIME-SERIES      ANALYSIS     AND
                                       SIMPLE    ACCELEROMETRY

                                                  1
                                                          2
                                          Y.  Ohtaki ,  M. Arii ,  A.  Suzuki 3
                                               4
                                                           5
                                        K.  Fujita ,  R.  Nagatomi' ,  H.  Inooka 1
                                x
                                New  Industry  Creation  Hatchery  Center,  Tohoku  University,
                               6-6-04  Aza  Aoba,  Aramaki,  Aoba-ku,  Sendai  9808579,  JAPAN
                             2
                              Pakistan  Institute  of Engineering  and  Applied  Science,  PAKISTAN
                                3
                                Instruments  Technology  Research  Co.  Ltd.,  Sendai.  JAPAN
                             4
                              Center  for  Preventive  Medicine  and  Salutogenesis,  Tohoku  Fukushi
                                             University,  Sendai,  JAPAN
                              "'Graduate  School  of  Medicine,  Tohoku  University,  Sendai,  JAPAN
                  ABSTRACT
                  This  study  presented  a  technique  to  assess  dynamic  walking  stability  utilizing  a  nonlinear  time-
                  series  analysis  and  a portable  instrument.  Main  objective  was to  investigate  its  usefulness  in  the
                  assessment  of  elderly  walking.  The  method  was  consisted  of  measurement  of  three-dimensional
                  acceleration  of the upper  body, and estimation  of the Lyapunov exponents,  thereby directly  quan-
                  tifying  local dynamic stability  while walking.  Straight  level walking  of young  and  elderly  subjects
                  was  investigated  in  the  experimental  study.  Effects  and  efficacies  of the  interventions  for  the  el-
                  derly  were  demonstrated  by  the  proposed  method.  The  experimental  results  suggested  that  the
                  method  was  useful  in  revealing  degree  of improvements  on the  walking  stability.



                  KEYWORDS

                  Gait  analysis, Walking stability, Portable instrument,  Acceleration.  Nonlinear time-series analysis,
                  Aging,  Medical  application.



                  INTRODUCTION
                  Falls cause a serious hazard  to elderly people.  Impaired  mobility  due to  injuries  or a fear  of  falling
                  diminish  a  person's  ability  to  perform  activities  of  daily  living  (Maki  et  al.  1991).  Hip  fracture
                  due  to  fall  accidents  amounts  to  more  than  10  %  of  bed-bound  status  of  the  elderly  in  Japan.
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