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Gait & Posture

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https://www.readbyqxmd.com/read/29055270/executive-functioning-concern-about-falling-and-quadriceps-strength-mediate-the-relationship-between-impaired-gait-adaptability-and-fall-risk-in-older-people
#1
Maria Joana D Caetano, Stephen R Lord, Matthew A Brodie, Daniel Schoene, Paulo H S Pelicioni, Daina L Sturnieks, Jasmine C Menant
BACKGROUND: Reduced ability to adapt gait, particularly under challenging conditions, may be an important reason why older adults have an increased risk of falling. This study aimed to identify cognitive, psychological and physical mediators of the relationship between impaired gait adaptability and fall risk in older adults. METHODS: Fifty healthy older adults (mean±SD: 74±7years) were categorised as high or low fall risk, based on past falls and their performance in the Physiological Profile Assessment...
October 16, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29054045/analysis-of-data-collected-from-right-and-left-limbs-accounting-for-dependence-and-improving-statistical-efficiency-in-musculoskeletal-research
#2
Sarah Stewart, Janet Pearson, Keith Rome, Nicola Dalbeth, Alain C Vandal
OBJECTIVES: Statistical techniques currently used in musculoskeletal research often inefficiently account for paired-limb measurements or the relationship between measurements taken from multiple regions within limbs. This study compared three commonly used analysis methods with a mixed-models approach that appropriately accounted for the association between limbs, regions, and trials and that utilised all information available from repeated trials. METHOD: Four analysis were applied to an existing data set containing plantar pressure data, which was collected for seven masked regions on right and left feet, over three trials, across three participant groups...
October 16, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29035841/verification-of-an-improved-hip-joint-center-prediction-method
#3
Emily J Miller, Kenton R Kaufman
In motion analysis, the hip joint center (HJC) is used to define the proximal location of the thigh segment and is also the point about which hip moments are calculated. The HJC cannot be palpated; its location must be calculated. Functional methods have been proposed but are difficult to perform by some clinical populations. Therefore, regression methods are utilized, but yield large errors in estimating the HJC location. These prediction methods typically utilize the anterior and posterior superior iliac spines, where excessive adipose tissue makes correctly locating difficult...
October 10, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29031141/analysis-of-spastic-gait-in-cervical-myelopathy-linking-compression-ratio-to-spatiotemporal-and-pedobarographic-parameters
#4
Taro Nagai, Yasuhito Takahashi, Kenji Endo, Ryo Ikegami, Ryuichi Ueno, Kengo Yamamoto
BACKGROUND: Gait dysfunction associated with spasticity and hyperreflexia is a primary symptom in patients with compression of cervical spinal cord. The objective of this study was to link maximum compression ratio (CR) to spatiotemporal/pedobarographic parameters. METHODS: Quantitative gait analysis was performed by using a pedobarograph in 75 elderly males with a wide range of cervical compression severity. CR values were characterized on T1-weighted magnetic resonance imaging (MRI)...
October 10, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29049964/the-bit-doesn-t-fit-evaluation-of-a-commercial-activity-tracker-at-slower-walking-speeds
#5
Christopher K Wong, Helena M Mentis, Ravi Kuber
Accelerometer-based commercial activity trackers are a low-cost and convenient method for monitoring and assessing health measures such as gait. However, the accuracy of these activity trackers in slow walking conditions on a minute-by-minute basis is largely unknown. In this study, the accuracy of a hip-worn commercial activity tracker (FitBit Ultra) was examined through step counts. Accuracy was evaluated through four minute trials of treadmill walking at speeds representative of older adults (0.9, 1.1, and 1...
October 9, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29031138/similarity-of-muscle-synergies-extracted-from-the-lower-limb-including-the-deep-muscles-between-level-and-uphill-treadmill-walking
#6
Akira Saito, Aya Tomita, Ryosuke Ando, Kohei Watanabe, Hiroshi Akima
This study aimed to examine muscle synergies involving the deeper muscles of the lower limb during level and uphill treadmill walking. Seven men and five women walked on a treadmill at three speeds (60, 80, and 100m/min) and two grades (level and 10% grade). Surface electromyographic (EMG) signals were recorded from 10 muscles of the lower limb, including vastus intermedius, adductor magnus, and adductor longus. Muscle synergies were extracted applying non-negative matrix factorization, and the relative co-activation across muscles and the temporal information of synergy recruitment were identified by the muscle synergy vector and synergy activation coefficient, respectively...
October 8, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29032000/everyday-multitasking-habits-university-students-seamlessly-text-and-walk-on-a-split-belt-treadmill
#7
Dorelle Clare Hinton, Yeu-Yao Cheng, Caroline Paquette
With increasing numbers of adults owning a cell phone, walking while texting has become common in daily life. Previous research has shown that walking is not entirely automated and when challenged with a secondary task, normal walking patterns are disrupted. This study investigated the effects of texting on the walking patterns of healthy young adults while walking on a split-belt treadmill. Following full adaptation to the split-belt treadmill, thirteen healthy adults (23±3years) walked on a tied-belt and split-belt treadmill, both with and without a simultaneous texting task...
October 7, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29031137/the-association-between-habitual-walking-speed-and-medial-femoral-cartilage-deformation-following-30minutes-of-walking
#8
Matthew S Harkey, J Troy Blackburn, Hope Davis, Leslie Sierra-Arévalo, Daniel Nissman, Brian Pietrosimone
Habitual walking speed is a key functional outcome that has implications for knee biomechanics that occur during gait. Lower extremity biomechanics during walking affects the loading of the femoral cartilage. Ultrasonography (US) can be used to assess resting femoral cartilage thickness and acute cartilage deformation in response to walking. The purpose of this study was to determine the association between habitual walking speed and both resting femoral cartilage thickness and deformation. Twenty-four healthy participants with no history of knee injury volunteered for this study...
October 7, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29028625/difference-in-kick-motion-of-adolescent-soccer-players-in-presence-and-absence-of-low-back-pain
#9
Michio Tojima, Suguru Torii
Many adolescent soccer players experience low back pain (LBP). However, there are no reports studying the kick motion of adolescent soccer players experiencing LBP. This study aimed to clarify the kick motion of adolescent soccer players in the presence and absence of LBP. We recruited 42 adolescent soccer players and divided them into two groups according to the presence of LBP (LBP group, n=22) and absence of LBP (NBP group, n=20). We measured real-time kick motion using a three-dimensional motion analysis system...
October 7, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29028626/accuracy-of-three-methods-in-gait-event-detection-during-overground-running
#10
Shiwei Mo, Daniel H K Chow
Inertial measurement units (IMUs) have been extensively used to detect gait events. Various methods have been proposed for detecting initial contact (IC) and toe-off (TO) using IMUs affixed at various anatomical locations. However, the accuracy of such methods has yet to be compared. This study evaluated the accuracy of three common methods used for detecting gait events during jogging and running: (1) S-method, in which IC is identified as the instant of peak foot-resultant acceleration and TO is identified when the acceleration exceeds a threshold of 2g in the region of interest; (2) M-method, in which IC and TO are defined as the minimum before the positive peak shank vertical acceleration and the minimum in the region of interest, respectively; and (3) L-method, in which IC is indicated by the instant of peak pelvis anteroposterior acceleration and TO is identified by the maximum in the region of interest...
October 6, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29028624/foot-pressure-pattern-hindfoot-deformities-and-their-associations-with-foot-pain-in-individuals-with-advanced-medial-knee-osteoarthritis
#11
Isao Saito, Kyoji Okada, Masahiko Wakasa, Hidekazu Abe, Akira Saito
This survey clarified foot pressure patterns and hindfoot deformities in individuals with advanced knee osteoarthritis (OA) and analyzed their associations with foot pain. Sixty-four individuals with unilateral knee OA who underwent total knee arthroplasty (TKA) were divided into the following groups: no foot pain (n=26; men:women, 4:22; mean age, 73.7 years), foot pain resolved after TKA (12; 2:10; 75.8), and foot pain remaining after TKA (26; 4:22; 74.7). Elderly individuals without pain or deformity in either knee (54; 10:44; 74...
October 6, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29031999/analysis-of-biases-in-dynamic-margins-of-stability-introduced-by-the-use-of-simplified-center-of-mass-estimates-during-walking-and-turning
#12
Kathryn L Havens, Tatri Mukherjee, James M Finley
The ability to control the body's center of mass (CoM) is critical for preventing falls, which are a major health concern in aging populations. Control of the CoM has been assessed by characterizing dynamic margins of stability (MoS) which capture the dynamic relationship between the CoM and the base of support. Accurate estimation of CoM dynamics is best accomplished using a full-body marker set. However, a number of simplified estimates have been used throughout literature. Here, we determined the biases and sources of bias when computing MoS using four simplified CoM models, and we characterized how these biases varied in straight walking versus turning...
October 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29028627/local-dynamic-stability-during-treadmill-walking-can-detect-children-with-developmental-coordination-disorder
#13
Merete B Speedtsberg, Sofie B Christensen, Jan Stenum, Thomas Kallemose, Jesper Bencke, Derek J Curtis, Bente R Jensen
OBJECTIVE: Developmental coordination disorder (DCD) is an innate impairment of motor coordination that affects basic locomotion and balance. This study investigated local dynamic stability of trunk accelerations during treadmill walking as an objective evaluation of gait stability and the sensitivity and specificity of this measure to discriminate children with DCD from typically developing children. METHOD: Eight children with DCD and ten age- and gender-matched typically developing children (TD) walked four minutes on a treadmill...
October 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29028622/virtual-reality-balance-training-for-elderly-similar-skiing-games-elicit-different-challenges-in-balance-training
#14
Aijse W de Vries, Gert Faber, Ilse Jonkers, Jaap H Van Dieen, Sabine M P Verschueren
BACKGROUND: Virtual Reality (VR) balance training may have advantages over regular exercise training in older adults. However, results so far are conflicting potentially due to the lack of challenge imposed by the movements in those games. Therefore, the aim of this study was to assess to which extent two similar skiing games challenge balance, as reflected in center of mass (COM) movements relative to their Functional Limits of Stability (FLOS). METHODS: Thirty young and elderly participants performed two skiing games, one on the Wii Balance board (Wiiski), which uses a force plate, and one with the Kinect sensor (Kinski), which performs motion tracking...
October 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29028621/combining-valgus-knee-brace-and-lateral-foot-wedges-reduces-external-forces-and-moments-in-osteoarthritis-patients
#15
Amir Ali Jafarnezhadgero, Anderson S Oliveira, Seyed Hamed Mousavi, Morteza Madadi-Shad
Osteoarthritis progression can be related to the external knee adduction and flexion moments during walking. Lateral foot wedges and knee braces have been used as treatment for osteoarthritis, but little is known about their influence on knee joint moments generated in the sagittal and frontal planes. Therefore, the aim of the present study was determine the effects of the isolated and combined use of valgus knee brace and lateral wedge foot orthotic on peak forces and moments during gait in knee osteoarthritis patients...
October 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29020659/3d-gait-analysis-with-and-without-an-orthopedic-walking-boot
#16
H Gulgin, K Hall, A Luzadre, E Kayfish
INTRODUCTION: Orthopedic walking boots have been widely used in place of traditional fiberglass casts for a variety of orthopedic injuries and post-surgical interventions. These walking boots create a leg length discrepancy (LLD). LLD has been shown to alter the kinematics and kinetics of gait and are associated with lumbar and lower limb conditions such as: foot over pronation, low back pain, scoliosis, and osteoarthritis of the hip and knee joints. Past gait analyses research with orthopedic boots is limited to findings on the ipsilateral limb...
October 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29031998/dominant-foot-could-affect-the-postural-control-in-vestibular-neuritis-perceived-by-dynamic-body-balance
#17
Tomoe Yoshida, Toshitake Tanaka, Yuya Tamura, Masahiko Yamamoto, Mitsuya Suzuki
During attacks of vestibular neuritis (VN), patients typically lose postural balance, with resultant postural inclination, gait deviation toward the lesion side, and tendency to fall. In this study, we examined and analyzed static and dynamic postural control during attacks of VN to characterize differences in postural control between right and left VN. Subjects were patients diagnosed with VN at the Department of Otolaryngology, Toho University Sakura Medical Center, and underwent in-patient treatment. Twenty-five patients who had spontaneous nystagmus were assessed within 3days after the onset; all were right-foot dominant...
October 4, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29031140/the-effects-of-real-and-artificial-leg-length-discrepancy-on-mechanical-work-and-energy-cost-during-the-gait
#18
T F Assogba, S Boulet, C Detrembleur, P Mahaudens
BACKGROUND: The impacts of Leg Length Discrepancy (LLD) on the kinematic and dynamic parameters of walking have been widely discussed. But little is known on total mechanical work and energy cost. These two variables are more representative of the functional impairment undergone by the LLD patients. AIM: To assess the changes of the mechanical work and energy cost of walking in subjects with real LLD and to compare their results with healthy subjects in whom the LLD has been simulated...
October 4, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29031136/increased-sensory-noise-and-not-muscle-weakness-explains-changes-in-non-stepping-postural-responses-following-stance-perturbations-in-healthy-elderly
#19
Maarten Afschrift, Friedl De Groote, Sabine Verschueren, Ilse Jonkers
The response to stance perturbations changes with age. The shift from an ankle to a hip strategy with increasing perturbation magnitude occurs at lower accelerations in older than in young adults. This strategy shift has been related to age-related changes in muscle and sensory function. However, the effect of isolated changes in muscle or sensory function on the responses following stance perturbations cannot be determined experimentally since changes in muscle and sensory function occur simultaneously. Therefore, we used predictive simulations to estimate the effect of isolated changes in (rates of change in) maximal joint torques, functional base of support, and sensory noise on the response to backward platform translations...
October 4, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28985577/characteristics-of-clinical-measurements-between-biomechanical-responders-and-non-responders-to-a-shoe-designed-for-knee-osteoarthritis
#20
Yongwook Kim, Jim Richards, Roy H Lidtke, Renato Trede
PURPOSE: The purpose of this study was to investigate the characteristics of biomechanical and clinical measurements in relation to the knee adduction moment when wearing a standard shoe and a shoe design for individuals with knee osteoarthritis (Flex-OA). METHODS: Kinematic and kinetic data were collected from thirty-two healthy individuals (64 knees) using a ten camera motion analysis system and four force plates. Subjects performed 5 walking trials under the two conditions and the magnitude of individuals' biomechanical responses where explored in relation to the clinical assessment of the Foot Posture Index, hip rotation range, strength of hip rotators, and active ankle-foot motion, all of which have been described as possible compensation mechanisms in knee osteoarthritis...
September 29, 2017: Gait & Posture
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