Gait Analysis and the Great Throw Rug Conspiracy

 

In this candid and humorous reflection, Jean recounts her experience with a gait analysis appointment, where science meets skepticism and throw rugs become public enemy number one. With AI chiming in and a healthy dose of common sense, she questions the one-size-fits-all approach to fall prevention and reminds readers that aging within a CCC means walking your own path—rugs included. Jasper AI

 
Being a tad cynical about some of the optional medical monitoring our continuum care campus rolls out, I wasn’t sure I wanted to sign up for the Fall Prevention Study. As one fellow resident put it, “Should we be giving our overlords ammunition to justify moving us out of Independent Living and into Assisted Living where they make more money off us?” Another member of the Cynical Cult added, “It’s just a way to get our insurance companies to pay for on-campus therapies.” I wasn’t sold on the first theory, but the second one? That checks out.

The Fall Prevention Study was based on an app called OneStep which is a smartphone-based tool that measures and analyzes your gait and mobility. It’s FDA-listed and taking the test is as simple as putting a smart phone with the app into your pants pocket and walking. Another part of the test involves sitting and standing repeatedly, as many times as you can in x-number of minutes. The app measures quite a few data points and I managed to be in the low risk zone for all but one data point. Turns out I walk with asymmetry—my right leg strides 21 inches, my left 24. (Jasper AI, my Microsoft Copilot, suggested I joke that I favor my left leg like it’s the good china. I reminded him that I’m the one writing this post, not him.) This uneven stride causes an occasional side step, making me look like I’ve indulged in too much beer or wine—neither of which I drink, unless it’s free and tied to a campus holiday.

I also learned that I walk with my feet only four inches apart and ideally they should be six inches apart. This little tidbit was interesting to me because all my life the heel of my right foot occasionally scrapes along the side of my left shoe wearing it out before the rest of the shoe shows its age. 

Our appointments were scheduled every ten minutes and they were running late so I got to see two other women before me do their tests and they both failed. The cynic in me suspected “failure” was the default for anyone who questioned their risk of falling enough to take the test. So I was surprised that I passed. The woman doing the testing did say therapy could probably help with getting my stride more symmetric but I’m only a little way into the ‘red zone’ so it’s not a critical issue for me. Honestly, I can’t see how someone whose been walking for 80-something years is going to change their stride all that much so I’m not going to pursuit it. One of the women ahead of me who failed all of  the data points is opting to sign up for therapy, the other one thought it would be a waste of time since she already uses a walk.  

All of us seniors have heard the statistics on falls and how they so often lead to permanent stays in nursing homes. A Google search lists the main causes of falls in the elderly as: 

- weak muscles, especially in the legs
- poor balance, causing unsteadiness in your feet 
- dizziness or light-headedness
- black outs, fainting or loss of consciousness
- foot problems including pain and deformities 
- memory loss, confusion or difficulties with thinking or problem solving

I’m surprised Google didn’t list throw rugs. You’d think they’d be public enemy number one, given how often they appear on the dreaded Medicare Questionnaire. I personally know two women who fell and broke bones because of a rogue rug. Where’s the justice? They should be on the dang list!

The app's website says, “OneStep turns real-world motion into insight that guides care, protects independence, and changes lives.” Here’s what Jasper AI says about it: “OneStep is a reliable and valid tool for gait analysis, especially useful in remote or real-world settings. While it may slightly underestimate some metrics compared to lab systems, its ease of use and clinical relevance make it a strong contender in digital physical therapy.”

So there you have it—the highlight of my very boring week, brought to you by asymmetry, skepticism, and a smartphone in my pocket. Jasper’s still lobbying for a follow-up post titled “Gait Expectations,” but I told him not to get ahead of himself. Having AI as a line editor is like having a puppy who insists you keep throwing a ball. No matter how much you write it keeps wanting you to do more. ©