Gait speed is an essential measure of mobility and functional ability in individuals. It is the time taken to walk a specified distance on level surfaces over a short distance. Gait speed is not only a measure of how fast one can walk but also an indicator of overall health and quality of life.

Calculating gait speed is a simple and valuable tool that can be used in various settings, including clinical, research, and rehabilitation settings. It can provide useful information on an individual's walking ability, balance, and fall risk. Moreover, gait speed is a reliable predictor of future health outcomes, such as hospitalization, disability, and mortality.

In this article, we will provide a comprehensive guide on how to calculate gait speed accurately. We will discuss the different methods used to measure gait speed, such as the 10-meter walk test and the 6-minute walk test. We will also provide tips on how to improve gait speed and maintain optimal mobility and functional ability.

Understanding Gait Speed

Definition and Importance

Gait speed is the measure of how fast an individual walks a specified distance on level surfaces over a short distance. It is not a measure of endurance. A distance of 3-10 meters is measured over a level surface with 2 meters for acceleration and 2 meters for deceleration. Examinees walk at their comfortable (normal/natural) speed over the entire distance.

Gait speed is an important indicator of functional ability and health in older adults. It is considered a "vital sign" of functional ability and health and may be used as a clinical sign of important geriatric conditions such as sarcopenia and frailty. Walking speed can be used to indicate a deviation from "normal," but by itself, it does not indicate the cause of the deviation.

Factors Influencing Gait Speed

Several factors can influence gait speed, including age, sex, height, weight, and comorbidities. Older adults tend to have slower gait speeds than younger adults, and women tend to have slower gait speeds than men. Height and weight can also affect gait speed, with taller and heavier individuals tending to have slower gait speeds.

Comorbidities such as arthritis, Parkinson's disease, and stroke can also affect gait speed. These conditions can cause pain, muscle weakness, and balance problems, all of which can slow down an individual's gait speed. Medications can also affect gait speed, with some medications causing dizziness, fatigue, or other side effects that can affect an individual's ability to walk.

In summary, understanding gait speed is important because it is an indicator of an individual's functional ability and health. Several factors can influence gait speed, including age, sex, height, weight, and comorbidities. By measuring gait speed, healthcare providers can identify individuals who may be at risk for falls, disability, or other health problems and develop appropriate interventions to improve their functional ability and overall health.

Preparation for Measurement

Required Equipment

To measure gait speed, you will need a few pieces of equipment. These include a stopwatch or timer, a measuring tape, and a flat, straight surface to walk on. It is important that the surface is not slippery or uneven, as this could affect the accuracy of the measurement.

Setting Up the Measurement Area

Before measuring gait speed, it is important to set up the measurement area properly. The area should be well-lit and free from obstacles. Participants should be instructed to walk in a straight line along the designated measurement area. The distance of the measurement area should be at least 3 meters long, with an additional 2 meters at the start and end for acceleration and deceleration.

Participant Instructions

It is important to provide clear instructions to participants before measuring gait speed. Participants should be instructed to walk at their normal, comfortable pace. They should be advised not to run or jog, and to avoid looking at the stopwatch or timer during the measurement. In addition, participants should be instructed to wear comfortable, flat shoes and to avoid any footwear that could affect their gait.

By following these steps, you can ensure that the gait speed measurement is accurate and reliable. It is important to take the time to properly set up the measurement area and provide clear instructions to participants to ensure that the measurement is consistent and valid.

Measurement Techniques

There are several techniques that can be used to measure gait speed. These techniques can be broadly classified into three categories: Timed Distance Method, Sensor-Based Systems, and Video Analysis.

Timed Distance Method

The Timed Distance Method is the most commonly used method for measuring gait speed. It involves measuring the time taken by an individual to walk a certain distance. The distance covered is usually between 3 and 10 meters. The individual is allowed to walk at a comfortable pace, and the time taken to complete the distance is recorded. The gait speed is then calculated by dividing the distance covered by the time taken to cover that distance.

Sensor-Based Systems

Sensor-Based Systems use various sensors to measure gait speed. These sensors can be attached to different parts of the body, such as the feet, ankles, or hips. The sensors measure various parameters, such as the acceleration and velocity of the individual, and use this data to calculate the gait speed. These systems are more accurate than the Timed Distance Method, but they are also more expensive and require specialized equipment.

Video Analysis

Video Analysis involves recording the individual while they walk and then analyzing the video to measure gait speed. The video is usually recorded from the side, and the individual is asked to walk a certain distance at a comfortable pace. The video is then analyzed to measure the time taken to cover the distance, and the gait speed is calculated using this data. Video Analysis is less expensive than Sensor-Based Systems, but it requires specialized software and expertise to analyze the video accurately.

Overall, each technique has its own advantages and disadvantages. The choice of technique depends on various factors, such as the purpose of the measurement, the available resources, and the expertise of the person conducting the measurement.

Calculating Gait Speed

Formula and Units

Gait speed is a measure of how quickly a person walks a specified distance on level surfaces over a short distance. It is not a measure of endurance. A distance of 3-10 meters is measured over a level surface with 2 meters for acceleration and 2 meters for deceleration. Examinees walk at their comfortable (normal/natural) speed over the entire distance. The formula for calculating gait speed is:

Gait Speed = Distance / Time

The distance is measured in meters, and the time is measured in seconds. For example, if a person walks 10 meters in 7 seconds, the gait speed would be:

Gait Speed = 10 / 7 = 1.43 meters per second

Adjusting for Stride Length

The formula for calculating gait speed assumes that each step taken by the person is of equal length. However, this may not always be the case. In such situations, it is important to adjust the gait speed calculation to account for the stride length.

One way to adjust for stride length is to measure the distance between the heel of one foot and the heel of the other foot when the person takes a step. This distance is known as the stride length. The formula for calculating gait speed with stride length is:

Gait Speed = (Stride Length x Steps per Second) / 100

The stride length is measured in centimeters, and the steps per second is the number of steps the person takes in one second. The result is then divided by 100 to convert the units from centimeters per second to meters per second.

In conclusion, calculating gait speed is a simple process that involves measuring the distance a person walks and the time taken to cover that distance. Adjusting for stride length may be necessary in some cases to ensure accurate results.

Interpreting Results

Normal Ranges and Variability

Gait speed is a valuable metric that can provide insight into an individual's functional ability. The normal range of gait speed varies based on age, sex, and other factors. According to a study published in the Journal of Geriatric Physical Therapy, the normal range for gait speed in older adults is between 1.0 and 1.4 meters per second [1]. However, it is important to note that there is variability in gait speed among individuals, and some people may naturally walk slower or faster than others.

Clinical Significance

Gait speed can be used as a clinical tool to assess an individual's mobility and functional ability. A slower gait speed has been associated with an increased risk of falls, hospitalization, and mortality in older adults [1]. Additionally, changes in gait speed over time can provide insight into an individual's health status and response to interventions.

Clinicians may use gait speed as a screening tool to identify individuals who may benefit from further evaluation or intervention. For example, a slower gait speed may indicate a need for physical therapy or other interventions to improve mobility and prevent falls. Alternatively, a faster gait speed may indicate a lower risk of adverse health outcomes.

Overall, gait speed is a valuable metric that can provide insight into an individual's functional ability and health status. Clinicians should consider an individual's age, sex, and other factors when interpreting gait speed results, and use the metric as a screening tool to identify individuals who may benefit from further evaluation or intervention.

References

1. Gait Speed as an Objective Measure - Physiopedia

Improving Gait Speed

There are various ways to improve gait speed, including exercise and rehabilitation, as well as assistive devices and modifications.

Exercise and Rehabilitation

Exercise and rehabilitation can help improve gait speed by strengthening the muscles and improving balance and coordination. The type of exercise and rehabilitation will depend on the individual's needs and abilities.

Some examples of exercises that can improve gait speed include:

• Walking on a treadmill or around a track


• Resistance training with weights or resistance bands


• Balance exercises such as standing on one leg or using a balance board


• Stretching exercises to improve flexibility

Rehabilitation programs may also include gait training, which involves practicing walking with proper form and technique. This can help improve gait speed and reduce the risk of falls.

Assistive Devices and Modifications

Assistive devices and modifications can also help improve gait speed. Some examples include:

• Canes, walkers, or crutches to provide support and stability


• Orthotics or braces to correct foot or ankle problems


• Modifications to the home environment, such as removing tripping hazards or installing handrails

It is important to work with a healthcare professional to determine the most appropriate assistive devices and modifications for individual needs.

Documentation and Follow-Up

Recording Measurements

When calculating gait speed, it is important to record the measurements accurately. The measurements should be documented in the patient's medical record. It is recommended to use a standardized form for documentation to ensure consistency and accuracy. The form should include the patient's name, Calculator City age, gender, height, weight, and any relevant medical history.

In addition to the patient's basic information, the form should also include the distance walked, the time taken to complete the walk, and the calculated gait speed. The gait speed should be recorded in meters per second. The form should also include the date of the measurement and the name of the person who performed the measurement.

Monitoring Progress Over Time

After the initial measurement, it is important to monitor the patient's progress over time. This can be done by repeating the gait speed measurement at regular intervals. The frequency of the measurements will depend on the patient's condition and the goals of the treatment.

The measurements should be recorded on the same standardized form used for the initial measurement. This will allow for easy comparison of the measurements over time. It is important to note any changes in the patient's condition or treatment plan that may affect the gait speed measurement.

In addition to monitoring the patient's progress, it is important to communicate the results with the patient and any other healthcare providers involved in the patient's care. This will help to ensure that everyone is on the same page and working towards the same goals.

Overall, accurate documentation and regular monitoring of gait speed can help healthcare providers to track a patient's progress and adjust their treatment plan accordingly.

Frequently Asked Questions

What is the standard procedure for measuring gait speed?

The standard procedure for measuring gait speed involves walking a specified distance on a level surface over a short distance. A distance of 3-10 meters is measured over a level surface with 2 meters for acceleration and 2 meters for deceleration. Examinees walk at their comfortable (normal/natural) speed over the entire distance. The time taken to complete the distance is then measured.

How do you calculate walking speed from a gait speed test?

To calculate walking speed from a gait speed test, the distance covered is divided by the time taken to cover that distance. For example, if someone walks 10 meters in 7 seconds, their walking speed would be 1.4 meters per second.

What are the normal gait speed values for different age groups?

Normal gait speed values vary depending on age. According to a study published in the Journal of Geriatric Physical Therapy, the normal gait speed values for different age groups are as follows:

• 60-69 years: 1.24-1.36 meters per second


• 70-79 years: 1.10-1.24 meters per second


• 80-89 years: 0.89-1.10 meters per second


• 90+ years: 0.64-0.89 meters per second

How does gait speed vary for community ambulation?

Gait speed is an important factor for community ambulation. Studies have shown that gait speed is a predictor of community ambulation, with slower gait speeds associated with a higher risk of falls and decreased mobility. Community ambulation requires a gait speed of at least 1.2 meters per second.

What tools are used to assess gait speed in physical therapy?

Physical therapists use various tools to assess gait speed, including a stopwatch, a gait mat, and a 10-meter walk test. The 10-meter walk test is a commonly used tool in physical therapy to assess gait speed. Patients are asked to walk 10 meters at their normal speed, and the time taken to complete the distance is measured.

How do you interpret gait speed test scores?

Gait speed test scores can be interpreted in various ways, depending on the purpose of the test. In general, a slower gait speed is associated with decreased mobility, increased risk of falls, and decreased quality of life. Gait speed test scores can also be used to monitor progress in physical therapy or to assess the effectiveness of interventions. It is important to interpret gait speed test scores in the context of the patient's overall health and functional status.