Age-related changes in avoidance strategies when negotiating single and multiple obstacles.

The aim of this research was to describe age-related changes in locomotor adjustments during obstructed gait and expand and build from the current body of literature describing single obstacle avoidance strategies by including trials in which the subjects stepped over two identical obstacles placed in series. We observed young adults (YA: N = 8; aged 23.1 +/- 2.0 years) and older adults (OA: N = 8; aged 76.1 +/- 4.3 years) as they walked along a 5 m long instrumented pathway (GAITRite) and stepped over one or two obstacles that were scaled to their lower leg length. Infrared markers, tracked using the Optotrak motion analysis system (60 Hz; Northern Digital Inc, Canada), were fixed to subjects' trunk and feet, and several anatomical landmarks were digitized for each segment (e.g. toes). Data analyses included lead and trail toe clearance values, take-off and landing distance, step time, length, width and velocity, and three-dimensional trunk angles. Both age groups were able to successfully complete the obstacle avoidance task, and the presence of a second obstacle did not affect clearance strategies of either OA or YA. OA crossed the obstacles with a reduced step velocity and stepped closer to the trailing edge, although take-off distances were not different between the age groups. Additionally, OA used similar ranges of trunk motion as YA when crossing the obstacle, but did so while using smaller step lengths and step widths compared to YA, effectively, using a narrower base of support. Together, these findings suggest that older adults adopted a more cautious crossing strategy in that they reduced their crossing step velocity. However, other aspects of the avoidance strategy used by the older adults, specifically the shortened landing distances and the use of similar ranges of trunk motion within a narrowed BOS, could potentially put them at risk for tripping or imbalance when stepping over an obstacle.