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Kinematic strategies for walking across a destabilizing rock surface.

ABSTRACT: It is important to understand how people adapt their gait when walking in real-world conditions with variable surface characteristics. This study quantified lower-extremity joint kinematics, estimated whole body center of mass height (COM(VT)), and minimum toe clearance (MTC) while 15 healthy, young subjects walked on level ground (LG) and a destabilizing loose rock surface (RS) at four controlled speeds. There were no significant differences in average step parameters (length, time, or width) between the walking surfaces. However, the variability of these parameters increased twofold on the RS compared to LG. When walking on the RS, subjects contacted the surface with a flatter foot and increased knee and hip flexion, which enabled them to lower COM(VT). Subjects exhibited increased hip and knee flexion and ankle dorsiflexion during swing on the RS. These changes contributed to a 3.8 times greater MTC on the RS compared to LG. Peak hip and knee flexion during early stance and swing increased with walking speed, contributing to decreased COM(VT) and increased MTC. Overall, subjects systematically adapted their movement kinematics to overcome the challenge imposed by the destabilizing loose rock surface.

SUBMITTER: Gates DH

PROVIDER: S-EPMC3262902 | biostudies-literature | 2012 Jan

REPOSITORIES: biostudies-literature

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Kinematic strategies for walking across a destabilizing rock surface.

Gates Deanna H DH Wilken Jason M JM Scott Shawn J SJ Sinitski Emily H EH Dingwell Jonathan B JB

Gait & posture 20110903 1

It is important to understand how people adapt their gait when walking in real-world conditions with variable surface characteristics. This study quantified lower-extremity joint kinematics, estimated whole body center of mass height (COM(VT)), and minimum toe clearance (MTC) while 15 healthy, young subjects walked on level ground (LG) and a destabilizing loose rock surface (RS) at four controlled speeds. There were no significant differences in average step parameters (length, time, or width) b ...[more]

PMID: 21890361

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Project description:BackgroundPersons with lower limb amputation often experience decreased physical capacity, difficulty walking, and increased fall risk. To either prevent or recover from a loss of balance, one must effectively regulate their stepping movements. It is therefore critical to identify how well persons with amputation regulate stepping. Here, we used a multi-objective control framework based on Goal Equivalent Manifolds to identify how persons with transtibial amputation (TTA) regulate lateral stepping while walking without and with lateral perturbations.Research questionWhen walking in destabilizing environments, do otherwise healthy persons with TTA exhibit greater difficulty regulating lateral stepping due to impaired control? Or do they instead continue to use similar strategies to regulate lateral stepping despite their amputation?MethodsEight persons with unilateral TTA and thirteen able-bodied (AB) controls walked in a virtual environment under three conditions: no perturbations, laterally oscillating visual field, and laterally oscillating treadmill platform. We analyzed step-to-step time series of step widths and absolute lateral body positions. We computed means, standard deviations and Detrended Fluctuation Analysis scaling exponents for each time series and computed how much participants directly corrected step width and position deviations at each step. We compared our results to computational predictions to identify the underlying causes of our experimental findings.ResultsAll participants exhibited significantly increased variability, decreased scaling exponents, and tighter direct control when perturbed. Simulations from our stepping regulation models revealed that people responded to the increased variability produced by the imposed perturbations by tightening their control of both step width and lateral position. Participants with TTA exhibited only a few minor differences from AB in lateral stepping regulation, even when subjected to substantially destabilizing lateral perturbations.SignificanceSince control of stepping is intrinsically multi-objective, developing effective interventions to reduce fall risk in persons with amputation will likely require strategies that adopt multi-objective approaches.

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Kinematic strategies for walking across a destabilizing rock surface.

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Kinematic strategies for walking across a destabilizing rock surface.

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