Dataset Information

The influence of gait speed on local dynamic stability of walking.

ABSTRACT: The focus of this study was to examine the role of walking velocity in stability during normal gait. Local dynamic stability was quantified through the use of maximum finite-time Lyapunov exponents, lambda(Max). These quantify the rate of attenuation of kinematic variability of joint angle data recorded as subjects walked on a motorized treadmill at 20%, 40%, 60%, and 80% of the Froude velocity. A monotonic trend between lambda(Max) and walking velocity was observed with smaller lambda(Max) at slower walking velocities. Smaller lambda(Max) indicates more stable walking dynamics. This trend was evident whether stride duration variability remained or was removed by time normalizing the data. This suggests that slower walking velocities lead to increases in stability. These results may reveal more detailed information on the behavior of the neuro-controller than variability-based analyses alone.

SUBMITTER: England SA

PROVIDER: S-EPMC1785331 | biostudies-literature | 2007 Feb

REPOSITORIES: biostudies-literature

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The influence of gait speed on local dynamic stability of walking.

England Scott A SA Granata Kevin P KP

Gait & posture 20060418 2

The focus of this study was to examine the role of walking velocity in stability during normal gait. Local dynamic stability was quantified through the use of maximum finite-time Lyapunov exponents, lambda(Max). These quantify the rate of attenuation of kinematic variability of joint angle data recorded as subjects walked on a motorized treadmill at 20%, 40%, 60%, and 80% of the Froude velocity. A monotonic trend between lambda(Max) and walking velocity was observed with smaller lambda(Max) at s ...[more]

PMID: 16621565

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Project description:In recent years the use of sample entropy (SampEn) to evaluate the complexity of the locomotor system in human gait data has gained in popularity. However, it has been suggested that SampEn is sensitive to various input parameters and signal preprocessing methods. This study quantified the effects of different temporal and spatial normalization approaches and various lengths of the template vector (m) on SampEn calculations. The discriminatory ability of SampEn was studied by comparing two walking conditions. Twenty-three participants (seven males, 55.7 ± 8.5 years, 165.7 ± 7.9 cm, 80.5 ± 16.7 kg) walked on a treadmill with preferred (Vpref) and maximum (Vmax) speed. Data were segmented and resampled (SEGM), resampled and spatially normalized (NORM), resampled and detrended (ZERO). For vertical ground reaction force (vGRF) and center of pressure in anterio-posterior direction (COPap), in both walking conditions, SampEn was generally sensitive to the vector length and not to the data processing, except for COPap in ZERO, m = 2, 4. For the COPml SampEn behaved oppositely, it was sensitive to preprocessing method and not to the m length. The regularity of COPap and vGRF in all processed signals increased in Vmax condition. For the COPml only two signals, WHOLE and ZERO, revealed increased complexity caused by more demanding walking conditions. SampEn was able to discriminate between different walking conditions in all analyzed variables, but not in all signals. Depending on evaluated variable, SampEn was susceptible in different way for the m level and processing method. Hence, these should be checked and selected for each variable independently. For future studies evaluating influence of walking velocity on COP and vGRF regularity during treadmill walking it is advised to use raw time series. Furthermore, to maintain template vector which represents biological relevance it is advised to detect highest frequencies present in analyzed signals and evaluate minimal time interval which can reflect change caused by response of a neuromuscular system. During evaluating treadmill walking measured with 100 Hz sampling frequency it is recommended to adopt m from 6 to 10, when average stride time is up to about 1 s.

Project description:Introduction: Although deep brain stimulation (DBS) often improves levodopa-responsive gait symptoms, robust therapies for gait dysfunction from Parkinson's disease (PD) remain a major unmet need. Walking speed could represent a simple, integrated tool to assess DBS efficacy but is often not examined systematically or quantitatively during DBS programming. Here we investigate the reliability and functional significance of changes in gait by directional DBS in the subthalamic nucleus. Methods: Nineteen patients underwent unilateral subthalamic nucleus DBS surgery with an eight-contact directional lead (1-3-3-1 configuration) in the most severely affected hemisphere. They arrived off dopaminergic medications >12 h preoperatively and for device activation 1 month after surgery. We measured a comfortable walking speed using an instrumented walkway with DBS off and at each of 10 stimulation configurations (six directional contacts, two virtual rings, and two circular rings) at the midpoint of the therapeutic window. Repeated measures of ANOVA contrasted preoperative vs. maximum and minimum walking speeds across DBS configurations during device activation. Intraclass correlation coefficients examined walking speed reliability across the four trials within each DBS configuration. We also investigated whether changes in walking speed related to modification of step length vs. cadence with a one-sample t-test. Results: Mean comfortable walking speed improved significantly with DBS on vs. both DBS off and minimum speeds with DBS on (p < 0.001, respectively). Pairwise comparisons showed no significant difference between DBS off and minimum comfortable walking speed with DBS on (p = 1.000). Intraclass correlations were ?0.949 within each condition. Changes in comfortable walk speed were conferred primarily by changes in step length (p < 0.004). Conclusion: Acute assessment of walking speed is a reliable, clinically meaningful measure of gait function during DBS activation. Directional and circular unilateral subthalamic DBS in appropriate configurations elicit acute and clinically significant improvements in gait dysfunction related to PD. Next-generation directional DBS technologies have significant potential to enhance gait by individually tailoring stimulation parameters to optimize efficacy.

Dataset Information

The influence of gait speed on local dynamic stability of walking.

Publications

The influence of gait speed on local dynamic stability of walking.

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