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De Keersmaecker E, Van Bladel A, Zaccardi S, Lefeber N, Rodriguez-Guerrero C, Kerckhofs E, Jansen B, Swinnen E. Virtual reality-enhanced walking in people post-stroke: effect of optic flow speed and level of immersion on the gait biomechanics. J Neuroeng Rehabil 2023; 20:124. [PMID: 37749566 PMCID: PMC10518929 DOI: 10.1186/s12984-023-01254-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 09/18/2023] [Indexed: 09/27/2023] Open
Abstract
BACKGROUND Optic flow-the apparent visual motion experienced while moving-is absent during treadmill walking. With virtual reality (VR), optic flow can be controlled to mediate alterations in human walking. The aim of this study was to investigate (1) the effects of fully immersive VR and optic flow speed manipulation on gait biomechanics, simulator sickness, and enjoyment in people post-stroke and healthy people, and (2) the effects of the level of immersion on optic flow speed and sense of presence. METHODS Sixteen people post-stroke and 16 healthy controls performed two VR-enhanced treadmill walking sessions: the semi-immersive GRAIL session and fully immersive head-mounted display (HMD) session. Both consisted of five walking trials. After two habituation trials (without and with VR), participants walked three more trials under the following conditions: matched, slow, and fast optic flow. Primary outcome measures were spatiotemporal parameters and lower limb kinematics. Secondary outcomes (simulator sickness, enjoyment, and sense of presence) were assessed with the Simulator Sickness Questionnaire, Visual Analogue Scales, and Igroup Presence Questionnaire. RESULTS When walking with the immersive HMD, the stroke group walked with a significantly slower cadence (-3.69strides/min, p = 0.006), longer stride time (+ 0.10 s, p = 0.017) and stance time for the unaffected leg (+ 1.47%, p = 0.001) and reduced swing time for the unaffected leg (- 1.47%, p = 0.001). Both groups responded to the optic flow speed manipulation such that people accelerated with a slow optic flow and decelerated with a fast optic flow. Compared to the semi-immersive GRAIL session, manipulating the optic flow speed with the fully immersive HMD had a greater effect on gait biomechanics whilst also eliciting a higher sense of presence. CONCLUSION Adding fully immersive VR while walking on a self-paced treadmill led to a more cautious gait pattern in people post-stroke. However, walking with the HMD was well tolerated and enjoyable. People post-stroke altered their gait parameters when optic flow speed was manipulated and showed greater alterations with the fully-immersive HMD. Further work is needed to determine the most effective type of optic flow speed manipulation as well as which other principles need to be implemented to positively influence the gait pattern of people post-stroke. TRIAL REGISTRATION NUMBER The study was pre-registered at ClinicalTrials.gov (NCT04521829).
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Affiliation(s)
- Emma De Keersmaecker
- Rehabilitation Research, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium.
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Brussels, Belgium.
- Brussels Human Robotic Research Center (BruBotics), Vrije Universiteit Brussel, Brussels, Belgium.
- Alliance research group REBI (Rehabilitation technology for people with a brain injury), Vrije Universiteit Brussel & Ghent University, Brussels, Belgium.
| | - Anke Van Bladel
- Alliance research group REBI (Rehabilitation technology for people with a brain injury), Vrije Universiteit Brussel & Ghent University, Brussels, Belgium
- Faculty of Medicine and Health Sciences, Department Rehabilitation Sciences, Campus UZ Gent, Ghent, Belgium
| | - Silvia Zaccardi
- Rehabilitation Research, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium
- Brussels Human Robotic Research Center (BruBotics), Vrije Universiteit Brussel, Brussels, Belgium
- Department of Electronics and Informatics, Engineering Sciences, Vrije Universiteit Brussel, Brussels, Belgium
| | - Nina Lefeber
- Rehabilitation Research, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium
- Movement and Nutrition for Health and Performance, Vrije Universiteit Brussel, Brussels, Belgium
| | | | - Eric Kerckhofs
- Rehabilitation Research, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium
| | - Bart Jansen
- Brussels Human Robotic Research Center (BruBotics), Vrije Universiteit Brussel, Brussels, Belgium
- Department of Electronics and Informatics, Engineering Sciences, Vrije Universiteit Brussel, Brussels, Belgium
- Imec, Leuven, Belgium
| | - Eva Swinnen
- Rehabilitation Research, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Brussels, Belgium
- Brussels Human Robotic Research Center (BruBotics), Vrije Universiteit Brussel, Brussels, Belgium
- Alliance research group REBI (Rehabilitation technology for people with a brain injury), Vrije Universiteit Brussel & Ghent University, Brussels, Belgium
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Renaux A, Muhla F, Clanché F, Meyer P, Maïaux S, Colnat-Coulbois S, Gauchard G. Effects of using immersive virtual reality on time and steps during a locomotor task in young adults. PLoS One 2022; 17:e0275876. [PMID: 36215277 PMCID: PMC9550093 DOI: 10.1371/journal.pone.0275876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Accepted: 09/23/2022] [Indexed: 11/06/2022] Open
Abstract
Immersive virtual reality makes possible to perceive and interact in a standardized, reproductible and digital environment, with a wide range of simulated situations possibilities. This study aimed to measure the potential effect of virtual reality on time and number of steps when performing a locomotor task, in a young adult’s population. Sixty young adults (32W, 28M, mean age 21.55 ± 1.32), who had their first immersive virtual reality experience, performed a locomotor task based on "Timed Up and Go" (TUG) task in real, in virtual reality in a stopped train and in virtual reality in a moving train. Time and number of steps variables representing primary locomotion indicators were measured and compared between each condition. Results showed significant increases in time and number of steps in the two virtual reality conditions compared to real but not between the two virtual reality conditions. There was an effect of virtual reality in young adults when performing the locomotor task. It means that technological and digital characteristics of the immersive virtual reality experience led to modify motor strategies employed. Adding a plausible visual optic flow did not appear to affect motor control further when the information is negligible and not essential for performing the task.
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Affiliation(s)
- Alexandre Renaux
- EA 3450 DevAH, Development, Adaptation and Handicap, Faculty of Medicine, Université de Lorraine, CS 50184, Vandœuvre-lès-Nancy, France
- CARE Grand Est, Research and Expertise Support Center, Nancy, France
| | - Frédéric Muhla
- CARE Grand Est, Research and Expertise Support Center, Nancy, France
- UFR STAPS, Faculty of Sport Science, Université de Lorraine, CS 30156, Villers-lès- Nancy, France
| | - Fabien Clanché
- UFR STAPS, Faculty of Sport Science, Université de Lorraine, CS 30156, Villers-lès- Nancy, France
| | | | | | - Sophie Colnat-Coulbois
- EA 3450 DevAH, Development, Adaptation and Handicap, Faculty of Medicine, Université de Lorraine, CS 50184, Vandœuvre-lès-Nancy, France
| | - Gérome Gauchard
- EA 3450 DevAH, Development, Adaptation and Handicap, Faculty of Medicine, Université de Lorraine, CS 50184, Vandœuvre-lès-Nancy, France
- CARE Grand Est, Research and Expertise Support Center, Nancy, France
- UFR STAPS, Faculty of Sport Science, Université de Lorraine, CS 30156, Villers-lès- Nancy, France
- * E-mail:
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3
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Matthis JS, Muller KS, Bonnen KL, Hayhoe MM. Retinal optic flow during natural locomotion. PLoS Comput Biol 2022; 18:e1009575. [PMID: 35192614 PMCID: PMC8896712 DOI: 10.1371/journal.pcbi.1009575] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Revised: 03/04/2022] [Accepted: 10/14/2021] [Indexed: 11/18/2022] Open
Abstract
We examine the structure of the visual motion projected on the retina during natural locomotion in real world environments. Bipedal gait generates a complex, rhythmic pattern of head translation and rotation in space, so without gaze stabilization mechanisms such as the vestibular-ocular-reflex (VOR) a walker’s visually specified heading would vary dramatically throughout the gait cycle. The act of fixation on stable points in the environment nulls image motion at the fovea, resulting in stable patterns of outflow on the retinae centered on the point of fixation. These outflowing patterns retain a higher order structure that is informative about the stabilized trajectory of the eye through space. We measure this structure by applying the curl and divergence operations on the retinal flow velocity vector fields and found features that may be valuable for the control of locomotion. In particular, the sign and magnitude of foveal curl in retinal flow specifies the body’s trajectory relative to the gaze point, while the point of maximum divergence in the retinal flow field specifies the walker’s instantaneous overground velocity/momentum vector in retinotopic coordinates. Assuming that walkers can determine the body position relative to gaze direction, these time-varying retinotopic cues for the body’s momentum could provide a visual control signal for locomotion over complex terrain. In contrast, the temporal variation of the eye-movement-free, head-centered flow fields is large enough to be problematic for use in steering towards a goal. Consideration of optic flow in the context of real-world locomotion therefore suggests a re-evaluation of the role of optic flow in the control of action during natural behavior. We recorded the full body kinematics and binocular gaze of humans walking through real-world natural environment and estimated visual motion (optic flow) using both computational video analysis and geometric simulation. Contrary to the established theories of the role of optic flow in the control of locomotion, we found that eye-movement-free, head-centric optic flow is highly unstable due to the complex phasic trajectory of the head during natural locomotion, rendering it an unlikely candidate for heading perception. In contrast, retina-centered optic flow consisted of a regular pattern of outflowing motion centered on the fovea. Retinal optic flow contained highly consistent patterns that specified the walker’s trajectory relative to the point of fixation, which may provide powerful, retinotopic cues that may be used for the visual control of locomotion in natural environments. This examination of optic flow in real-world contexts suggest a need to re-evaluate existing theories of the role of optic flow in the visual control of action during natural behavior.
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Affiliation(s)
- Jonathan Samir Matthis
- Department of Biology, Northeastern University, Boston, Massachusetts, United States of America
- * E-mail:
| | - Karl S. Muller
- Center for Perceptual Systems, University of Texas at Austin, Austin, Texas, United States of America
| | - Kathryn L. Bonnen
- School of Optometry, Indiana University Bloomington, Bloomington, Indiana, United States of America
| | - Mary M. Hayhoe
- Center for Perceptual Systems, University of Texas at Austin, Austin, Texas, United States of America
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Taborri J, Santuz A, Brüll L, Arampatzis A, Rossi S. Measuring Kinematic Response to Perturbed Locomotion in Young Adults. SENSORS 2022; 22:s22020672. [PMID: 35062633 PMCID: PMC8778052 DOI: 10.3390/s22020672] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 01/06/2022] [Accepted: 01/14/2022] [Indexed: 12/15/2022]
Abstract
Daily life activities often require humans to perform locomotion in challenging scenarios. In this context, this study aimed at investigating the effects induced by anterior-posterior (AP) and medio-lateral (ML) perturbations on walking. Through this aim, the experimental protocol involved 12 participants who performed three tasks on a treadmill consisting of one unperturbed and two perturbed walking tests. Inertial measurement units were used to gather lower limb kinematics. Parameters related to joint angles, as the range of motion (ROM) and its variability (CoV), as well as the inter-joint coordination in terms of continuous relative phase (CRP) were computed. The AP perturbation seemed to be more challenging causing differences with respect to normal walking in both the variability of the ROM and the CRP amplitude and variability. As ML, only the ankle showed different behavior in terms of joint angle and CRP variability. In both tasks, a shortening of the stance was found. The findings should be considered when implementing perturbed rehabilitative protocols for falling reduction.
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Affiliation(s)
- Juri Taborri
- Department of Economics, Engineering, Society and Business Organization (DEIM), University of Tuscia, 01100 Viterbo, Italy;
| | - Alessandro Santuz
- Department of Training and Movement Sciences, Humboldt-Universität zu Berlin, 10115 Berlin, Germany; (A.S.); (L.B.); (A.A.)
- Berlin School of Movement Science, Humboldt-Universität zu Berlin, 10115 Berlin, Germany
| | - Leon Brüll
- Department of Training and Movement Sciences, Humboldt-Universität zu Berlin, 10115 Berlin, Germany; (A.S.); (L.B.); (A.A.)
- Berlin School of Movement Science, Humboldt-Universität zu Berlin, 10115 Berlin, Germany
- Network Aging Research, Heidelberg University, 69117 Heidelberg, Germany
| | - Adamantios Arampatzis
- Department of Training and Movement Sciences, Humboldt-Universität zu Berlin, 10115 Berlin, Germany; (A.S.); (L.B.); (A.A.)
- Berlin School of Movement Science, Humboldt-Universität zu Berlin, 10115 Berlin, Germany
| | - Stefano Rossi
- Department of Economics, Engineering, Society and Business Organization (DEIM), University of Tuscia, 01100 Viterbo, Italy;
- Correspondence: ; Tel.: +39-07-6135-7049
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5
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Takamuku S, Gomi H. Vision-based speedometer regulates human walking. iScience 2021; 24:103390. [PMID: 34841229 PMCID: PMC8605357 DOI: 10.1016/j.isci.2021.103390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Revised: 08/23/2021] [Accepted: 10/28/2021] [Indexed: 11/15/2022] Open
Abstract
Can we recover self-motion from vision? This basic issue remains unsolved since, while the human visual system is known to estimate the direction of self-motion from optic flow, it remains unclear whether it also estimates the speed. Importantly, the latter requires disentangling self-motion speed and depths of objects in the scene as retinal velocity depends on both. Here we show that our automatic regulator of walking speed based on vision, which estimates and maintains the speed to its preferred range by adjusting stride length, is robust to changes in the depths. The robustness was not explained by temporal-frequency-based speed coding previously suggested to underlie depth-invariant object-motion perception. Meanwhile, it broke down, not only when the interocular distance was virtually manipulated but also when monocular depth cues were deceptive. These observations suggest that our visuomotor system embeds a speedometer that calculates self-motion speed from vision by integrating monocular/binocular depth and motion cues. Changes in optic flow speed triggers implicit adjustments of walking speed The response is invariant with respect to the depths of objects in the scene The invariance is not explained by temporal-frequency-based speed coding Both binocular and monocular depth cues contribute to the invariance
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Affiliation(s)
- Shinya Takamuku
- NTT Communication Science Laboratories, Nippon Telegraph and Telephone Corporation, 3-1 Morinosato-Wakamiya, Atsugishi 243-0198, Kanagawa, Japan
| | - Hiroaki Gomi
- NTT Communication Science Laboratories, Nippon Telegraph and Telephone Corporation, 3-1 Morinosato-Wakamiya, Atsugishi 243-0198, Kanagawa, Japan
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Benady A, Zadik S, Zeilig G, Gilaie-Dotan S, Plotnik M. Gait Speed Modulations Are Proportional to Grades of Virtual Visual Slopes-A Virtual Reality Study. Front Neurol 2021; 12:615242. [PMID: 34512493 PMCID: PMC8425350 DOI: 10.3389/fneur.2021.615242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Accepted: 07/14/2021] [Indexed: 11/17/2022] Open
Abstract
Gait is a complex mechanism relying on integration of several sensory inputs such as vestibular, proprioceptive, and visual cues to maintain stability while walking. Often humans adapt their gait to changes in surface inclinations, and this is typically achieved by modulating walking speed according to the inclination in order to counteract the gravitational forces, either uphill (exertion effect) or downhill (braking effect). The contribution of vision to these speed modulations is not fully understood. Here we assessed gait speed effects by parametrically manipulating the discrepancy between virtual visual inclination and the actual surface inclination (aka visual incongruence). Fifteen healthy participants walked in a large-scale virtual reality (VR) system on a self-paced treadmill synchronized with projected visual scenes. During walking they were randomly exposed to varying degrees of physical-visual incongruence inclinations (e.g., treadmill leveled & visual scene uphill) in a wide range of inclinations (−15° to +15°). We observed an approximately linear relation between the relative change in gait speed and the anticipated gravitational forces associated with the virtual inclinations. Mean relative gait speed increase of ~7%, ~11%, and ~17% were measured for virtual inclinations of +5°, +10°, and +15°, respectively (anticipated decelerating forces were proportional to sin[5°], sin[10°], sin[15°]). The same pattern was seen for downhill virtual inclinations with relative gait speed modulations of ~-10%, ~-16%, and ~-24% for inclinations of −5°, −10°, and −15°, respectively (in anticipation of accelerating forces). Furthermore, we observed that the magnitude of speed modulation following virtual inclination at ±10° was associated with subjective visual verticality misperception. In conclusion, visual cues modulate gait speed when surface inclinations change proportional to the anticipated effect of the gravitational force associated the inclinations. Our results emphasize the contribution of vision to locomotion in a dynamic environment and may enhance personalized rehabilitation strategies for gait speed modulations in neurological patients with gait impairments.
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Affiliation(s)
- Amit Benady
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel.,School of Optometry and Vision Science, Bar Ilan University, Ramat Gan, Israel.,The Gonda Multidisciplinary Brain Research Center, Bar Ilan University, Ramat Gan, Israel
| | - Sean Zadik
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel
| | - Gabriel Zeilig
- Department of Neurological Rehabilitation, Sheba Medical Center, Ramat Gan, Israel.,Department of Physical and Rehabilitation Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,School of Health Professions, Ono Academic College, Kiryat Ono, Israel
| | - Sharon Gilaie-Dotan
- School of Optometry and Vision Science, Bar Ilan University, Ramat Gan, Israel.,The Gonda Multidisciplinary Brain Research Center, Bar Ilan University, Ramat Gan, Israel.,UCL Institute of Cognitive Neuroscience, London, United Kingdom
| | - Meir Plotnik
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel.,Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,The Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
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Abe D, Sakata S, Motoyama K, Toyota N, Nishizono H, Horiuchi M. Economical and preferred walking speed using body weight support apparatus with a spring-like characteristics. BMC Sports Sci Med Rehabil 2021; 13:107. [PMID: 34488873 PMCID: PMC8422757 DOI: 10.1186/s13102-021-00336-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Accepted: 08/27/2021] [Indexed: 11/10/2022]
Abstract
BACKGROUND A specific walking speed minimizing the U-shaped relationship between energy cost of transport per unit distance (CoT) and speed is called economical speed (ES). To investigate the effects of reduced body weight on the ES, we installed a body weight support (BWS) apparatus with a spring-like characteristics. We also examined whether the 'calculated' ES was equivalent to the 'preferred' walking speed (PWS) with 30% BWS. METHODS We measured oxygen uptake and carbon dioxide output to calculate CoT values at seven treadmill walking speeds (0.67-2.00 m s- 1) in 40 healthy young males under normal walking (NW) and BWS. The PWS was determined under both conditions on a different day. RESULTS A spring-like behavior of our BWS apparatus reduced the CoT values at 1.56, 1.78, and 2.00 m s- 1. The ES with BWS (1.61 ± 0.11 m s- 1) was faster than NW condition (1.39 ± 0.06 m s- 1). A Bland-Altman analysis indicated that there were no systematic biases between ES and PWS in both conditions. CONCLUSIONS The use of BWS apparatus with a spring-like behavior reduced the CoT values at faster walking speeds, resulting in the faster ES with 30% BWS compared to NW. Since the ES was equivalent to the PWS in both conditions, the PWS could be mainly determined by the metabolic minimization in healthy young males. This result also derives that the PWS can be a substitutable index of the individual ES in these populations.
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Affiliation(s)
- Daijiro Abe
- Center for Health and Sports Science, Kyushu Sangyo University, 2-3-1 Matsukadai, Higashi- ku, Fukuoka, 813-8503, Japan.
| | - Shunsuke Sakata
- Center for Health and Sports Science, Kyushu Sangyo University, 2-3-1 Matsukadai, Higashi- ku, Fukuoka, 813-8503, Japan.,Department of Management and Information, Faculty of Commerce, Yokohama College of Commerce, Yokohama, Kanagawa, Japan
| | - Kiyotaka Motoyama
- Center for Health and Sports Science, Kyushu Sangyo University, 2-3-1 Matsukadai, Higashi- ku, Fukuoka, 813-8503, Japan
| | - Naoki Toyota
- Center for Health and Sports Science, Kyushu Sangyo University, 2-3-1 Matsukadai, Higashi- ku, Fukuoka, 813-8503, Japan
| | - Hidetsugu Nishizono
- Center for Health and Sports Science, Kyushu Sangyo University, 2-3-1 Matsukadai, Higashi- ku, Fukuoka, 813-8503, Japan.,Department of Sport Science and Health, Faculty of Human Sciences, Kyushu Sangyo University, Fukuoka, Japan
| | - Masahiro Horiuchi
- Division of Human Environmental Science, Mt. Fuji Research Institute, Fujiyoshida, Yamanashi, Japan
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McAllister MJ, Blair RL, Donelan JM, Selinger JC. Energy optimization during walking involves implicit processing. J Exp Biol 2021; 224:272119. [PMID: 34521117 DOI: 10.1242/jeb.242655] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 08/02/2021] [Indexed: 11/20/2022]
Abstract
Gait adaptations, in response to novel environments, devices or changes to the body, can be driven by the continuous optimization of energy expenditure. However, whether energy optimization involves implicit processing (occurring automatically and with minimal cognitive attention), explicit processing (occurring consciously with an attention-demanding strategy) or both in combination remains unclear. Here, we used a dual-task paradigm to probe the contributions of implicit and explicit processes in energy optimization during walking. To create our primary energy optimization task, we used lower-limb exoskeletons to shift people's energetically optimal step frequency to frequencies lower than normally preferred. Our secondary task, designed to draw explicit attention from the optimization task, was an auditory tone discrimination task. We found that adding this secondary task did not prevent energy optimization during walking; participants in our dual-task experiment adapted their step frequency toward the optima by an amount and at a rate similar to participants in our previous single-task experiment. We also found that performance on the tone discrimination task did not worsen when participants were adapting toward energy optima; accuracy scores and reaction times remained unchanged when the exoskeleton altered the energy optimal gaits. Survey responses suggest that dual-task participants were largely unaware of the changes they made to their gait during adaptation, whereas single-task participants were more aware of their gait changes yet did not leverage this explicit awareness to improve gait adaptation. Collectively, our results suggest that energy optimization involves implicit processing, allowing attentional resources to be directed toward other cognitive and motor objectives during walking.
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Affiliation(s)
| | - Rachel L Blair
- Simon Fraser University, Burnaby, BC, Canada, V5A 1S6.,University of British Columbia, Department of Anesthesiology, Vancouver, BC, Canada, V6T 1Z3
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Evaluating the energetics of entrainment in a human-machine coupled oscillator system. Sci Rep 2021; 11:15804. [PMID: 34349146 PMCID: PMC8338938 DOI: 10.1038/s41598-021-95047-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 07/19/2021] [Indexed: 12/03/2022] Open
Abstract
During locomotion, humans sometimes entrain (i.e. synchronize) their steps to external oscillations: e.g. swaying bridges, tandem walking, bouncy harnesses, vibrating treadmills, exoskeletons. Previous studies have discussed the role of nonlinear oscillators (e.g. central pattern generators) in facilitating entrainment. However, the energetics of such interactions are unknown. Given substantial evidence that humans prioritize economy during locomotion, we tested whether reduced metabolic expenditure is associated with human entrainment to vertical force oscillations, where frequency and amplitude were prescribed via a custom mechatronics system during walking. Although metabolic cost was not significantly reduced during entrainment, individuals expended less energy when the oscillation forces did net positive work on the body and roughly selected phase relationships that maximize positive work. It is possible that individuals use mechanical cues to infer energy cost and inform effective gait strategies. If so, an accurate prediction may rely on the relative stability of interactions with the environment. Our results suggest that entrainment occurs over a wide range of oscillation parameters, though not as a direct priority for minimizing metabolic cost. Instead, entrainment may act to stabilize interactions with the environment, thus increasing predictability for the effective implementation of internal models that guide energy minimization.
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Castano CR, Huang HJ. Speed-related but not detrended gait variability increases with more sensitive self-paced treadmill controllers at multiple slopes. PLoS One 2021; 16:e0251229. [PMID: 33961654 PMCID: PMC8104374 DOI: 10.1371/journal.pone.0251229] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 04/22/2021] [Indexed: 11/19/2022] Open
Abstract
Self-paced treadmills are being used more frequently to study humans walking with their self-selected gaits on a range of slopes. There are multiple options to purchase a treadmill with a built-in controller, or implement a custom written self-paced controller, which raises questions about how self-paced controller affect treadmill speed and gait biomechanics on multiple slopes. This study investigated how different self-paced treadmill controller sensitivities affected gait parameters and variability on decline, level, and incline slopes. We hypothesized that increasing self-paced controller sensitivity would increase gait variability on each slope. We also hypothesized that detrended variability could help mitigate differences in variability that arise from differences in speed fluctuations created by the self-paced controllers. Ten young adults walked on a self-paced treadmill using three controller sensitivities (low, medium, and high) and fixed speeds at three slopes (decline, -10°; level, 0°; incline, +10°). Within each slope, average walking speeds and spatiotemporal gait parameters were similar regardless of self-paced controller sensitivity. With higher controller sensitivities on each slope, speed fluctuations, speed variance, and step length variance increased whereas step frequency variance and step width variance were unaffected. Detrended variance was not affected by controller sensitivity suggesting that detrending variability helps mitigate differences associated with treadmill speed fluctuations. Speed-trend step length variances, however, increased with more sensitive controllers. Further, detrended step length variances were similar for self-paced and fixed speed walking, whereas self-paced walking included substantial speed-trend step length variance not present in fixed speed walking. In addition, regardless of the self-paced controller, subjects walked fastest on the level slope with the longest steps, narrowest steps, and least variance. Overall, our findings suggest that separating gait variability into speed-trend and detrended variability could be beneficial for interpreting gait variability among multiple self-paced treadmill studies and when comparing self-paced walking with fixed speed walking.
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Affiliation(s)
- Cesar R. Castano
- Department of Mechanical and Aerospace Engineering, University of Central Florida, Orlando, Florida, United States of America
- * E-mail:
| | - Helen J. Huang
- Department of Mechanical and Aerospace Engineering, University of Central Florida, Orlando, Florida, United States of America
- Disability, Aging, and Technology Cluster, University of Central Florida, Orlando, Florida, United States of America
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Benady A, Zadik S, Ben-Gal O, Cano Porras D, Wenkert A, Gilaie-Dotan S, Plotnik M. Vision Affects Gait Speed but not Patterns of Muscle Activation During Inclined Walking-A Virtual Reality Study. Front Bioeng Biotechnol 2021; 9:632594. [PMID: 33898402 PMCID: PMC8062981 DOI: 10.3389/fbioe.2021.632594] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 02/04/2021] [Indexed: 12/22/2022] Open
Abstract
While walking, our locomotion is affected by and adapts to the environment based on vision- and body-based (vestibular and proprioception) cues. When transitioning to downhill walking, we modulate gait by braking to avoid uncontrolled acceleration, and when transitioning to uphill walking, we exert effort to avoid deceleration. In this study, we aimed to measure the influence of visual inputs on this behavior and on muscle activation. Specifically, we aimed to explore whether the gait speed modulations triggered by mere visual cues after transitioning to virtually inclined surface walking are accompanied by changes in muscle activation patterns typical to those triggered by veridical (gravitational) surface inclination transitions. We used an immersive virtual reality system equipped with a self-paced treadmill and projected visual scenes that allowed us to modulate physical-visual inclination congruence parametrically. Gait speed and leg muscle electromyography were measured in 12 healthy young adults. In addition, the magnitude of subjective visual verticality misperception (SVV) was measured by the rod and frame test. During virtual (non-veridical) inclination transitions, vision modulated gait speed by (i) slowing down to counteract the excepted gravitational "boost" in virtual downhill inclinations and (ii) speeding up to counteract the expected gravity resistance in virtual uphill inclinations. These gait speed modulations were reflected in muscle activation intensity changes and associated with SVV misperception. However, temporal patterns of muscle activation were not affected by virtual (visual) inclination transitions. Our results delineate the contribution of vision to locomotion and may lead to enhanced rehabilitation strategies for neurological disorders affecting movement.
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Affiliation(s)
- Amit Benady
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel
- St George’s University of London Medical School, Sheba Medical Center, Ramat Gan, Israel
- School of Optometry and Vision Science, Faculty of Life Sciences, Bar-Ilan University, Ramat Gan, Israel
| | - Sean Zadik
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel
- St George’s University of London Medical School, Sheba Medical Center, Ramat Gan, Israel
| | - Oran Ben-Gal
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel
| | - Desiderio Cano Porras
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel
- Brightlands Institute for Smart Society (BISS), Maastricht University, Maastricht, Netherlands
| | - Atalia Wenkert
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel
| | - Sharon Gilaie-Dotan
- School of Optometry and Vision Science, Faculty of Life Sciences, Bar-Ilan University, Ramat Gan, Israel
- UCL Institute of Cognitive Neuroscience, London, United Kingdom
- The Gonda Multidisciplinary Brain Research Center, Bar-Ilan University, Ramat Gan, Israel
| | - Meir Plotnik
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel
- Department of Physiology and Pharmacology, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
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12
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Multiple human trajectory prediction and cooperative navigation modeling in crowded scenes. INTEL SERV ROBOT 2020. [DOI: 10.1007/s11370-020-00333-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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13
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Plotnik M, Wagner JM, Adusumilli G, Gottlieb A, Naismith RT. Gait asymmetry, and bilateral coordination of gait during a six-minute walk test in persons with multiple sclerosis. Sci Rep 2020; 10:12382. [PMID: 32709914 PMCID: PMC7382471 DOI: 10.1038/s41598-020-68263-0] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Accepted: 06/22/2020] [Indexed: 11/09/2022] Open
Abstract
Gait impairments in persons with multiple sclerosis (pwMS) leading to decreased ambulation and reduced walking endurance remain poorly understood. Our objective was to assess gait asymmetry (GA) and bilateral coordination of gait (BCG), among pwMS during the six-minute walk test (6MWT), and determine their association with disease severity. We recruited 92 pwMS (age: 46.6 ± 7.9; 83% females) with a range of clinical disability, who completed the 6MWT wearing gait analysis system. GA was assessed by comparing left and right swing times, and BCG was assessed by the phase coordination index (PCI). Several functional and subjective gait assessments were performed. Results show that gait is more asymmetric and less coordinated as the disease progresses (p < 0.0001). Participants with mild MS showed significantly better BCG as reflected by lower PCI values in comparison to the other two MS severity groups (severe: p = 0.001, moderate: p = 0.02). GA and PCI also deteriorated significantly each minute during the 6MWT (p < 0.0001). GA and PCI (i.e., BCG) show weaker associations with clinical MS status than associations observed between functional and subjective gait assessments and MS status. Similar to other neurological cohorts, GA and PCI may be important parameters to assess and target in interventions among pwMS.
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Affiliation(s)
- Meir Plotnik
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, 5265601, Ramat Gan, Israel. .,Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel. .,Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.
| | - Joanne M Wagner
- Department of Physical Therapy and Athletic Training, Saint Louis University, St. Louis, USA
| | - Gautam Adusumilli
- Department of Neurology, Washington University in St. Louis, St. Louis, USA
| | - Amihai Gottlieb
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, 5265601, Ramat Gan, Israel
| | - Robert T Naismith
- Department of Neurology, Washington University in St. Louis, St. Louis, USA
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14
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Rosenblum U, Kribus-Shmiel L, Zeilig G, Bahat Y, Kimel-Naor S, Melzer I, Plotnik M. Novel methodology for assessing total recovery time in response to unexpected perturbations while walking. PLoS One 2020; 15:e0233510. [PMID: 32492029 PMCID: PMC7269230 DOI: 10.1371/journal.pone.0233510] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Accepted: 05/06/2020] [Indexed: 11/18/2022] Open
Abstract
Walking stability is achieved by adjusting the medio-lateral and anterior-posterior dimensions of the base of support (step length and step width, respectively) to contain an extrapolated center of mass. We aimed to calculate total recovery time after different types of perturbations during walking, and use it to compare young and older adults following different types of perturbations. Walking trials were performed in 12 young (age 26.92 ± 3.40 years) and 12 older (age 66.83 ± 1.60 years) adults. Perturbations were introduced at different phases of the gait cycle, on both legs and in anterior-posterior or medio-lateral directions, in random order. A novel algorithm was developed to determine total recovery time values for regaining stable step length and step width parameters following the different perturbations, and compared between the two participant groups under low and high cognitive load conditions, using principal component analysis (PCA). We analyzed 829 perturbations each for step length and step width. The algorithm successfully estimated total recovery time in 91.07% of the runs. PCA and statistical comparisons showed significant differences in step length and step width recovery times between anterior-posterior and medio-lateral perturbations, but no age-related differences. Initial analyses demonstrated the feasibility of comparisons based on total recovery time calculated using our algorithm.
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Affiliation(s)
- Uri Rosenblum
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel
- Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Lotem Kribus-Shmiel
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel
| | - Gabi Zeilig
- Department of Neurological Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel
- Department of Physical and Rehabilitation Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Yotam Bahat
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel
| | - Shani Kimel-Naor
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel
| | - Itshak Melzer
- Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Meir Plotnik
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel
- Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
- * E-mail:
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15
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Song S, Choi H, Collins SH. Using force data to self-pace an instrumented treadmill and measure self-selected walking speed. J Neuroeng Rehabil 2020; 17:68. [PMID: 32493426 PMCID: PMC7268460 DOI: 10.1186/s12984-020-00683-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Accepted: 04/03/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Self-selected speed is an important functional index of walking. A self-pacing controller that reliably matches walking speed without additional hardware can be useful for measuring self-selected speed in a treadmill-based laboratory. METHODS We adapted a previously proposed self-pacing controller for force-instrumented treadmills and validated its use for measuring self-selected speeds. We first evaluated the controller's estimation of subject speed and position from the force-plates by comparing it to those from motion capture data. We then compared five tests of self-selected speed. Ten healthy adults completed a standard 10-meter walk test, a 150-meter walk test, a commonly used manual treadmill speed selection test, a two-minute self-paced treadmill test, and a 150-meter self-paced treadmill test. In each case, subjects were instructed to walk at or select their comfortable speed. We also assessed the time taken for a trial and a survey on comfort and ease of choosing a speed in all the tests. RESULTS The self-pacing algorithm estimated subject speed and position accurately, with root mean square differences compared to motion capture of 0.023 m s -1 and 0.014 m, respectively. Self-selected speeds from both self-paced treadmill tests correlated well with those from the 10-meter walk test (R>0.93,p<1×10-13). Subjects walked slower on average in the self-paced treadmill tests (1.23±0.27 ms-1) than in the 10-meter walk test (1.32±0.18 ms-1) but the speed differences within subjects were consistent. These correlations and walking speeds are comparable to those from the manual treadmill speed selection test (R=0.89,p=3×10-11;1.18±0.24 ms-1). Comfort and ease of speed selection were similar in the self-paced tests and the manual speed selection test, but the self-paced tests required only about a third of the time to complete. Our results demonstrate that these self-paced treadmill tests can be a strong alternative to the commonly used manual treadmill speed selection test. CONCLUSIONS The self-paced force-instrumented treadmill well adapts to subject walking speed and reliably measures self-selected walking speeds. We provide the self-pacing software to facilitate use by gait researchers and clinicians.
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Affiliation(s)
- Seungmoon Song
- Department of Mechanical Engineering, Stanford University, Stanford, CA USA
| | - Hojung Choi
- Department of Mechanical Engineering, Stanford University, Stanford, CA USA
| | - Steven H. Collins
- Department of Mechanical Engineering, Stanford University, Stanford, CA USA
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16
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Cano Porras D, Zeilig G, Doniger GM, Bahat Y, Inzelberg R, Plotnik M. Seeing Gravity: Gait Adaptations to Visual and Physical Inclines - A Virtual Reality Study. Front Neurosci 2020; 13:1308. [PMID: 32038123 PMCID: PMC6992711 DOI: 10.3389/fnins.2019.01308] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2019] [Accepted: 11/22/2019] [Indexed: 11/13/2022] Open
Abstract
Using advanced virtual reality technology, we demonstrate that exposure to virtual inclinations visually simulating inclined walking induces gait modulations in a manner consistent with expected gravitational forces (i.e., acting upon a free body), suggesting vision-based perception of gravity. The force of gravity critically impacts the regulation of our movements. However, how humans perceive and incorporate gravity into locomotion is not well understood. In this study, we introduce a novel paradigm for exposing humans to incongruent sensory information under conditions constrained by distinct gravitational effects, facilitating analysis of the consistency of human locomotion with expected gravitational forces. Young healthy adults walked under conditions of actual physical inclinations as well as virtual inclinations. We identify and describe ‘braking’ and ‘exertion’ effects – locomotor adaptations accommodating gravito-inertial forces associated with physical inclines. We show that purely visual cues (from virtual inclinations) induce consistent locomotor adaptations to counter expected gravity-based changes, consistent with indirect prediction mechanisms. Specifically, downhill visual cues activate the braking effect in anticipation of a gravitational boost, whereas uphill visual cues promote an exertion effect in anticipation of gravitational deceleration. Although participants initially rely upon vision to accommodate environmental changes, a sensory reweighting mechanism gradually reprioritizes body-based cues over visual ones. A high-level neural model outlines a putative pathway subserving the observed effects. Our findings may be pivotal in designing virtual reality-based paradigms for understanding perception and action in complex environments with potential translational benefits.
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Affiliation(s)
- Desiderio Cano Porras
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Perception and Action in Complex Environments, Marie Curie International Training Network, European Union's Horizons 2020 Research and Innovation Program, Brussels, Belgium
| | - Gabriel Zeilig
- Department of Neurological Rehabilitation, Sheba Medical Center, Ramat Gan, Israel.,Department of Physical and Rehabilitation Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Glen M Doniger
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel.,Department of Clinical Research, NeuroTrax Corporation, Modiin, Israel.,The Joseph Sagol Neuroscience Center, Sheba Medical Center, Ramat Gan, Israel
| | - Yotam Bahat
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel
| | - Rivka Inzelberg
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.,Department of Neurology and Neurosurgery, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Applied Mathematics and Computer Science, The Weizmann Institute of Science, Rehovot, Israel
| | - Meir Plotnik
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Ramat Gan, Israel.,Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.,Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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17
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Selinger JC, Wong JD, Simha SN, Donelan JM. How humans initiate energy optimization and converge on their optimal gaits. ACTA ACUST UNITED AC 2019; 222:jeb.198234. [PMID: 31488623 DOI: 10.1242/jeb.198234] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Accepted: 09/02/2019] [Indexed: 11/20/2022]
Abstract
A central principle in motor control is that the coordination strategies learned by our nervous system are often optimal. Here, we combined human experiments with computational reinforcement learning models to study how the nervous system navigates possible movements to arrive at an optimal coordination. Our experiments used robotic exoskeletons to reshape the relationship between how participants walk and how much energy they consume. We found that while some participants used their relatively high natural gait variability to explore the new energetic landscape and spontaneously initiate energy optimization, most participants preferred to exploit their originally preferred, but now suboptimal, gait. We could nevertheless reliably initiate optimization in these exploiters by providing them with the experience of lower cost gaits, suggesting that the nervous system benefits from cues about the relevant dimensions along which to re-optimize its coordination. Once optimization was initiated, we found that the nervous system employed a local search process to converge on the new optimum gait over tens of seconds. Once optimization was completed, the nervous system learned to predict this new optimal gait and rapidly returned to it within a few steps if perturbed away. We then used our data to develop reinforcement learning models that can predict experimental behaviours, and applied these models to inductively reason about how the nervous system optimizes coordination. We conclude that the nervous system optimizes for energy using a prediction of the optimal gait, and then refines this prediction with the cost of each new walking step.
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Affiliation(s)
- Jessica C Selinger
- School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada, K7L 3N6 .,Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada, V5A 1S6
| | - Jeremy D Wong
- Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada, V5A 1S6.,Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada, T2N 1N4
| | - Surabhi N Simha
- Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada, V5A 1S6
| | - J Maxwell Donelan
- Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada, V5A 1S6
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18
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Roemmich RT, Leech KA, Gonzalez AJ, Bastian AJ. Trading Symmetry for Energy Cost During Walking in Healthy Adults and Persons Poststroke. Neurorehabil Neural Repair 2019; 33:602-613. [PMID: 31208276 DOI: 10.1177/1545968319855028] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background. Humans typically walk in ways that minimize energy cost. Recent work has found that healthy adults will even adopt new ways of walking when a new pattern costs less energy. This suggests potential for rehabilitation to drive changes in walking by altering the energy costs of walking patterns so that the desired pattern becomes energetically optimal (ie, costs least energy of all available patterns). Objective. We aimed to change gait symmetry in healthy adults and persons poststroke by creating environments where changing symmetry allowed the participants to save energy. Methods. Across 3 experiments, we tested healthy adults (n = 12 in experiment 1, n = 20 in experiment 2) and persons poststroke (n = 7 in experiment 3) in a novel treadmill environment that linked asymmetric stepping and gait speed-2 factors that influence energy cost-to create situations where walking with one's preferred gait symmetry (or asymmetry, in the case of the persons poststroke) was no longer the least energetically costly way to walk. Results. Across the 3 experiments, we found that most participants changed their gait when experiencing the new energy landscape. Healthy adults often adopted an asymmetric gait if it saved energy, and persons poststroke often began to step more symmetrically than they prefer to walk in daily life. Conclusions. We used a novel treadmill environment to show that people with and without stroke change clinically relevant features of walking to save energy. These findings suggest that rehabilitation approaches aimed at making symmetric walking energetically "easier" may promote gait symmetry after stroke.
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Affiliation(s)
- Ryan T Roemmich
- 1 Kennedy Krieger Institute, Baltimore, MD, USA
- 2 Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Kristan A Leech
- 1 Kennedy Krieger Institute, Baltimore, MD, USA
- 2 Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | | | - Amy J Bastian
- 1 Kennedy Krieger Institute, Baltimore, MD, USA
- 2 Johns Hopkins University School of Medicine, Baltimore, MD, USA
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19
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Agresta CE, Goulet GC, Peacock J, Housner J, Zernicke RF, Zendler JD. Years of running experience influences stride-to-stride fluctuations and adaptive response during step frequency perturbations in healthy distance runners. Gait Posture 2019; 70:376-382. [PMID: 30959429 PMCID: PMC7607923 DOI: 10.1016/j.gaitpost.2019.02.034] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 01/31/2019] [Accepted: 02/26/2019] [Indexed: 02/02/2023]
Abstract
RESEARCH QUESTION The current study investigated stride-to-stride fluctuations of step rate and contact time in response to enforced step frequency perturbations as well as adaptation and de-adaptation behavior. METHODS Forty distance runners ran at a self-selected speed and were asked to match five different enforced step frequencies (150, 160, 170, 180, and 190 beats per min). The influence of experience was explored, because running is a skill that presumably gets better with practice, and increased years of running experience is protective against injury. Detrended fluctuation analysis was used to determine the strength of long-range correlations in gait fluctuations at baseline, during the perturbation, and post-perturbation. Adaptive response was measured by the ability to match, rate of matching, and aftereffect of step frequency perturbations. RESULTS The structure of stride-to-stride fluctuations for step rate and contact time did not change during the perturbation or post-perturbation compared to baseline. However, fluctuations in step rate were affected by the level of perturbation. Runners with the most experience had a less persistent structural gait pattern for both step rate and contact time at baseline. Highly experienced runners also demonstrated the best adaptive response. They better matched the enforced step frequency, reached the enforced step frequency sooner, and returned to preferred step frequency more quickly following removal of the perturbation. SIGNIFICANCE These findings indicate baseline locomotor flexibility may be beneficial to achieve task demands and return to a stable state once the task is complete. Increased locomotor flexibility may also be a contributing factor for reduced injury risk in experienced runners.
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Affiliation(s)
- Cristine E. Agresta
- Michigan Performance Research Laboratory, School of Kinesiology, United States,Central Campus Recreational Building, 401 Washtenaw Avenue, Ann Arbor, MI, 48109, United States,Corresponding author at: Michigan Performance Research Laboratory, School of Kinesiology, United States. (C.E. Agresta)
| | - Grant C. Goulet
- Michigan Performance Research Laboratory, School of Kinesiology, United States,Central Campus Recreational Building, 401 Washtenaw Avenue, Ann Arbor, MI, 48109, United States
| | - Jillian Peacock
- Michigan Performance Research Laboratory, School of Kinesiology, United States,Central Campus Recreational Building, 401 Washtenaw Avenue, Ann Arbor, MI, 48109, United States
| | - Jeffrey Housner
- Department of Family Medicine, 24 Frank Lloyd Wright Drive, Ann Arbor, MI, 48105, United States
| | - Ronald F. Zernicke
- Michigan Performance Research Laboratory, School of Kinesiology, United States,Department of Orthopaedic Surgery, United States,Department of Biomedical Engineering, United States,Central Campus Recreational Building, 401 Washtenaw Avenue, Ann Arbor, MI, 48109, United States
| | - Jessica Deneweth Zendler
- Michigan Performance Research Laboratory, School of Kinesiology, United States,Central Campus Recreational Building, 401 Washtenaw Avenue, Ann Arbor, MI, 48109, United States
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20
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Fernández Menéndez A, Saubade M, Hans D, Millet GP, Malatesta D. The Determinants of the Preferred Walking Speed in Individuals with Obesity. Obes Facts 2019; 12:543-553. [PMID: 31505515 PMCID: PMC6876590 DOI: 10.1159/000501968] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Accepted: 07/08/2019] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND The preferred walking speed (PWS), also known as the "spontaneous" or "self-selected" walking speed, is the speed normally used during daily living activities and may represent an appropriate exercise intensity for weight reduction programs aiming to enhance a more negative energy balance. OBJECTIVES The aim of this study was to examine, simultaneously, the energetics, mechanics, and perceived exertion determinants of PWS in individuals with obesity. METHODS Twenty-three adults with obesity (age 32.7 ± 6.8 years, body mass index 33.6 ± 2.6 kg/m2) were recruited. The participants performed 10 min of treadmill familiarization, and PWS was determined. Each subject performed six 5-min walking trials (PWS 0.56, 0.83, 1.11, 1.39, and 1.67 m/s). Gas exchanges were collected and analyzed to obtain the gross energy cost of walking (GCw), rated perceived exertion (RPE) was measured using a 6-20 Borg scale, and the external mechanical work (Wext) and the fraction of mechanical energy recovered by the pendular mechanism (Recovery) were computed using an instrumented treadmill. Second-order least-squares regression was used to calculate the optimal walking speed (OWS) of each variable. RESULTS No significant difference was found between PWS (1.28 ± 0.13 m/s) and OWS for GCw (1.28 ± 0.10 m/s), RPE cost of walking (1.38 ± 0.14 m/s), and Recovery (1.48 ± 0.27 m/s; p > 0.06 for all), but the PWS was significantly faster than the OWS for Wext (0.98 ± 0.56 m/s; p < 0.02). Multiple regression (r = 0.72; p = 0.003) showed that ∼52% of the variance in PWS was explained by Recovery, Wext, and height. CONCLUSION The main finding of this study was that obese adults may select their PWS in function of several competing demands, since this speed simultaneously minimizes pendular energy transduction, energy cost, and perceived exertion during walking. Moreover, recovery of mechanical work, external work, and height seem to be the major determinants of PWS in these individuals.
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Affiliation(s)
- Aitor Fernández Menéndez
- Institute of Sport Sciences, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland,
| | - Mathieu Saubade
- Sports Medicine Unit, Swiss Olympic Medical Center, Lausanne University Hospital, Lausanne, Switzerland
| | - Didier Hans
- Center for Bone Diseases, Lausanne University Hospital, Lausanne, Switzerland
| | - Grégoire P Millet
- Institute of Sport Sciences, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| | - Davide Malatesta
- Institute of Sport Sciences, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
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21
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Reimann H, Fettrow T, Thompson ED, Jeka JJ. Neural Control of Balance During Walking. Front Physiol 2018; 9:1271. [PMID: 30271354 PMCID: PMC6146212 DOI: 10.3389/fphys.2018.01271] [Citation(s) in RCA: 57] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2018] [Accepted: 08/21/2018] [Indexed: 11/23/2022] Open
Abstract
Neural control of standing balance has been extensively studied. However, most falls occur during walking rather than standing, and findings from standing balance research do not necessarily carry over to walking. This is primarily due to the constraints of the gait cycle: Body configuration changes dramatically over the gait cycle, necessitating different responses as this configuration changes. Notably, certain responses can only be initiated at specific points in the gait cycle, leading to onset times ranging from 350 to 600 ms, much longer than what is observed during standing (50-200 ms). Here, we investigated the neural control of upright balance during walking. Specifically, how the brain transforms sensory information related to upright balance into corrective motor responses. We used visual disturbances of 20 healthy young subjects walking in a virtual reality cave to induce the perception of a fall to the side and analyzed the muscular responses, changes in ground reaction forces and body kinematics. Our results showed changes in swing leg foot placement and stance leg ankle roll that accelerate the body in the direction opposite of the visually induced fall stimulus, consistent with previous results. Surprisingly, ankle musculature activity changed rapidly in response to the stimulus, suggesting the presence of a direct reflexive pathway from the visual system to the spinal cord, similar to the vestibulospinal pathway. We also observed systematic modulation of the ankle push-off, indicating the discovery of a previously unobserved balance mechanism. Such modulation has implications not only for balance but plays a role in modulation of step width and length as well as cadence. These results indicated a temporally-coordinated series of balance responses over the gait cycle that insures flexible control of upright balance during walking.
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Affiliation(s)
- Hendrik Reimann
- Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, United States
- Department of Kinesiology, Temple University, Philadelphia, PA, United States
| | - Tyler Fettrow
- Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, United States
- Department of Kinesiology, Temple University, Philadelphia, PA, United States
| | | | - John J. Jeka
- Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, United States
- Department of Kinesiology, Temple University, Philadelphia, PA, United States
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22
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Sutton EE, Demir A, Stamper SA, Fortune ES, Cowan NJ. Dynamic modulation of visual and electrosensory gains for locomotor control. J R Soc Interface 2017; 13:rsif.2016.0057. [PMID: 27170650 DOI: 10.1098/rsif.2016.0057] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2016] [Accepted: 04/13/2016] [Indexed: 11/12/2022] Open
Abstract
Animal nervous systems resolve sensory conflict for the control of movement. For example, the glass knifefish, Eigenmannia virescens, relies on visual and electrosensory feedback as it swims to maintain position within a moving refuge. To study how signals from these two parallel sensory streams are used in refuge tracking, we constructed a novel augmented reality apparatus that enables the independent manipulation of visual and electrosensory cues to freely swimming fish (n = 5). We evaluated the linearity of multisensory integration, the change to the relative perceptual weights given to vision and electrosense in relation to sensory salience, and the effect of the magnitude of sensory conflict on sensorimotor gain. First, we found that tracking behaviour obeys superposition of the sensory inputs, suggesting linear sensorimotor integration. In addition, fish rely more on vision when electrosensory salience is reduced, suggesting that fish dynamically alter sensorimotor gains in a manner consistent with Bayesian integration. However, the magnitude of sensory conflict did not significantly affect sensorimotor gain. These studies lay the theoretical and experimental groundwork for future work investigating multisensory control of locomotion.
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Affiliation(s)
- Erin E Sutton
- Department of Mechanical Engineering, Johns Hopkins University, Baltimore, MD, USA
| | - Alican Demir
- Department of Mechanical Engineering, Johns Hopkins University, Baltimore, MD, USA
| | - Sarah A Stamper
- Department of Mechanical Engineering, Johns Hopkins University, Baltimore, MD, USA
| | - Eric S Fortune
- Department of Biological Sciences, New Jersey Institute of Technology, Newark, NJ, USA
| | - Noah J Cowan
- Department of Mechanical Engineering, Johns Hopkins University, Baltimore, MD, USA
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23
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How humans use visual optic flow to regulate stepping during walking. Gait Posture 2017; 57:15-20. [PMID: 28570860 DOI: 10.1016/j.gaitpost.2017.05.002] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2016] [Revised: 04/25/2017] [Accepted: 05/05/2017] [Indexed: 02/02/2023]
Abstract
Humans use visual optic flow to regulate average walking speed. Among many possible strategies available, healthy humans walking on motorized treadmills allow fluctuations in stride length (Ln) and stride time (Tn) to persist across multiple consecutive strides, but rapidly correct deviations in stride speed (Sn=Ln/Tn) at each successive stride, n. Several experiments verified this stepping strategy when participants walked with no optic flow. This study determined how removing or systematically altering optic flow influenced peoples' stride-to-stride stepping control strategies. Participants walked on a treadmill with a virtual reality (VR) scene projected onto a 3m tall, 180° semi-cylindrical screen in front of the treadmill. Five conditions were tested: blank screen ("BLANK"), static scene ("STATIC"), or moving scene with optic flow speed slower than ("SLOW"), matched to ("MATCH"), or faster than ("FAST") walking speed. Participants took shorter and faster strides and demonstrated increased stepping variability during the BLANK condition compared to the other conditions. Thus, when visual information was removed, individuals appeared to walk more cautiously. Optic flow influenced both how quickly humans corrected stride speed deviations and how successful they were at enacting this strategy to try to maintain approximately constant speed at each stride. These results were consistent with Weber's law: healthy adults more-rapidly corrected stride speed deviations in a no optic flow condition (the lower intensity stimuli) compared to contexts with non-zero optic flow. These results demonstrate how the temporal characteristics of optic flow influence ability to correct speed fluctuations during walking.
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Bondi M, Zeilig G, Bloch A, Fasano A, Plotnik M. Split-arm swinging: the effect of arm swinging manipulation on interlimb coordination during walking. J Neurophysiol 2017; 118:1021-1033. [PMID: 28490642 DOI: 10.1152/jn.00130.2017] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Revised: 04/25/2017] [Accepted: 04/26/2017] [Indexed: 11/22/2022] Open
Abstract
Human locomotion is defined by bilateral coordination of gait (BCG) and shared features with the fore-hindlimb coordination of quadrupeds. The objective of the present study is to explore the influence of arm swinging (AS) on BCG. Sixteen young, healthy individuals (eight women; eight right motor-dominant, eight left-motor dominant) participated. Participants performed 10 walking trials (2 min). In each of the trials AS was unilaterally manipulated (e.g., arm restriction, weight on the wrist), bilaterally manipulated, or not manipulated. The order of trials was random. Walking trials were performed on a treadmill. Gait kinematics were recorded by a motion capture system. Using feedback-controlled belt speed allowed the participants to walk at a self-determined gait speed. Effects of the manipulations were assessed by AS amplitudes and the phase coordination index (PCI), which quantifies the left-right anti-phased stepping pattern. Most of the AS manipulations caused an increase in PCI values (i.e., reduced lower limb coordination). Unilateral AS manipulation had a reciprocal effect on the AS amplitude of the other arm such that, for example, over-swinging of the right arm led to a decrease in the AS amplitude of the left arm. Side of motor dominance was not found to have a significant impact on PCI and AS amplitude. The present findings suggest that lower limb BCG is markedly influenced by the rhythmic AS during walking. It may thus be important for gait rehabilitation programs targeting BCG to take AS into account.NEW & NOTEWORTHY Control mechanisms for four-limb coordination in human locomotion are not fully known. To study the influence of arm swinging (AS) on bilateral coordination of the lower limbs during walking, we introduced a split-AS paradigm in young, healthy adults. AS manipulations caused deterioration in the anti-phased stepping pattern and impacted the AS amplitudes for the contralateral arm, suggesting that lower limb coordination is markedly influenced by the rhythmic AS during walking.
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Affiliation(s)
- Moshe Bondi
- Department of Neurological Rehabilitation, Sheba Medical Center, Tel Hashomer, Israel.,Department of Physical and Rehabilitation Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Spinal Cord Injury Fellow, University Health Network-Toronto Rehabilitation Institute, Toronto, Ontario, Canada
| | - Gabi Zeilig
- Department of Neurological Rehabilitation, Sheba Medical Center, Tel Hashomer, Israel.,Department of Physical and Rehabilitation Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ayala Bloch
- Department of Neurological Rehabilitation, Sheba Medical Center, Tel Hashomer, Israel.,The National Institute for the Rehabilitation of the Brain Injured, Tel Aviv, Israel
| | - Alfonso Fasano
- Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital, University Health Network, Division of Neurology, University of Toronto, Toronto, Ontario, Canada.,Krembil Research Institute, Toronto, Ontario, Canada
| | - Meir Plotnik
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel Hashomer, Israel; .,Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; and.,Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
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Lee J, Lee K, Song C. Speed-Interactive Treadmill Training Using Smartphone-Based Motion Tracking Technology Improves Gait in Stroke Patients. J Mot Behav 2017. [PMID: 28632106 DOI: 10.1080/00222895.2016.1271300] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
This study was conducted to investigate the effects of speed-interactive treadmill training (SITT) using smartphone-based motion tracking technology on gait in stroke patients. Thirty-four chronic stroke patients were randomly divided into a SITT group (n = 18) and a standard treadmill training (control) group (n = 16). The SITT group underwent smartphone-based SSIT while the control group underwent standard treadmill training. Both groups performed the training for 35 min per session, 3 times per week, for 6 weeks. Both groups used nonmotorized treadmills so that patients could control the speed. Evaluation was conducted during the week before and after the training. The OptoGait system measured gait spatiotemporal parameters. Both groups showed significant improvement in the temporal and spatial gait parameters (p < .05). In the SITT group, compared to the control group, the two-way analysis of variance with repeated measures showed an improvement in the temporal and spatial gait parameters after the intervention period (p < .05). This study confirmed that SITT improved the gait function of stroke patients. Based on this result, the authors propose that SITT, by improving gait, can be used as an effective training method to improve patients' functional activities in the clinic.
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Affiliation(s)
- Junyoung Lee
- a Department of Physical Therapy , College of Health Science, Sahmyook University , Seoul , Republic of Korea
| | - Kyeongjin Lee
- b Department of Physical Therapy , Kyungdong University , Gangwon Province , Republic of Korea
| | - Changho Song
- a Department of Physical Therapy , College of Health Science, Sahmyook University , Seoul , Republic of Korea
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Asymmetry of short-term control of spatio-temporal gait parameters during treadmill walking. Sci Rep 2017; 7:44349. [PMID: 28287168 PMCID: PMC5347008 DOI: 10.1038/srep44349] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Accepted: 02/09/2017] [Indexed: 11/25/2022] Open
Abstract
Optimization of energy cost determines average values of spatio-temporal gait parameters such as step duration, step length or step speed. However, during walking, humans need to adapt these parameters at every step to respond to exogenous and/or endogenic perturbations. While some neurological mechanisms that trigger these responses are known, our understanding of the fundamental principles governing step-by-step adaptation remains elusive. We determined the gait parameters of 20 healthy subjects with right-foot preference during treadmill walking at speeds of 1.1, 1.4 and 1.7 m/s. We found that when the value of the gait parameter was conspicuously greater (smaller) than the mean value, it was either followed immediately by a smaller (greater) value of the contralateral leg (interleg control), or the deviation from the mean value decreased during the next movement of ipsilateral leg (intraleg control). The selection of step duration and the selection of step length during such transient control events were performed in unique ways. We quantified the symmetry of short-term control of gait parameters and observed the significant dominance of the right leg in short-term control of all three parameters at higher speeds (1.4 and 1.7 m/s).
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Rathkey JK, Wall-Scheffler CM. People choose to run at their optimal speed. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2017; 163:85-93. [DOI: 10.1002/ajpa.23187] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2016] [Revised: 12/21/2016] [Accepted: 01/24/2017] [Indexed: 11/07/2022]
Affiliation(s)
- Joseph K. Rathkey
- Department of Pathology; School of Medicine, Case Western Reserve University; Cleveland Ohio 44106
| | - Cara M. Wall-Scheffler
- Department of Biology; Seattle Pacific University; Seattle Washington 98119-1997
- Department of Anthropology; University of Washington; Seattle Washington 98195-3100
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Rábago CA, Dingwell JB, Wilken JM. Reliability and Minimum Detectable Change of Temporal-Spatial, Kinematic, and Dynamic Stability Measures during Perturbed Gait. PLoS One 2015; 10:e0142083. [PMID: 26535580 PMCID: PMC4633040 DOI: 10.1371/journal.pone.0142083] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Accepted: 10/16/2015] [Indexed: 12/04/2022] Open
Abstract
Temporal-spatial, kinematic variability, and dynamic stability measures collected during perturbation-based assessment paradigms are often used to identify dysfunction associated with gait instability. However, it remains unclear which measures are most reliable for detecting and tracking responses to perturbations. This study systematically determined the between-session reliability and minimum detectable change values of temporal-spatial, kinematic variability, and dynamic stability measures during three types of perturbed gait. Twenty young healthy adults completed two identical testing sessions two weeks apart, comprised of an unperturbed and three perturbed (cognitive, physical, and visual) walking conditions in a virtual reality environment. Within each session, perturbation responses were compared to unperturbed walking using paired t-tests. Between-session reliability and minimum detectable change values were also calculated for each measure and condition. All temporal-spatial, kinematic variability and dynamic stability measures demonstrated fair to excellent between-session reliability. Minimal detectable change values, normalized to mean values ranged from 1–50%. Step width mean and variability measures demonstrated the greatest response to perturbations with excellent between-session reliability and low minimum detectable change values. Orbital stability measures demonstrated specificity to perturbation direction and sensitivity with excellent between-session reliability and low minimum detectable change values. We observed substantially greater between-session reliability and lower minimum detectable change values for local stability measures than previously described which may be the result of averaging across trials within a session and using velocity versus acceleration data for reconstruction of state spaces. Across all perturbation types, temporal-spatial, orbital and local measures were the most reliable measures with the lowest minimum detectable change values, supporting their use for tracking changes over multiple testing sessions. The between-session reliability and minimum detectable change values reported here provide an objective means for interpreting changes in temporal-spatial, kinematic variability, and dynamic stability measures during perturbed walking which may assist in identifying instability.
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Affiliation(s)
- Christopher A. Rábago
- Center for the Intrepid, Department of Orthopaedics and Rehabilitation, Brooke Army Medical Center, JBSA Fort Sam Houston, Texas, United States of America
- Department of Defense and Veterans Affairs Extremity Trauma and Amputation Center of Excellence, JBSA Fort Sam Houston, Texas, United States of America
- * E-mail:
| | - Jonathan B. Dingwell
- Department of Kinesiology and Health Education, University of Texas at Austin, Austin, Texas, United States of America
| | - Jason M. Wilken
- Center for the Intrepid, Department of Orthopaedics and Rehabilitation, Brooke Army Medical Center, JBSA Fort Sam Houston, Texas, United States of America
- Department of Defense and Veterans Affairs Extremity Trauma and Amputation Center of Excellence, JBSA Fort Sam Houston, Texas, United States of America
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29
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Houdijk H, Brown SE, van Dieën JH. Relation between postural sway magnitude and metabolic energy cost during upright standing on a compliant surface. J Appl Physiol (1985) 2015; 119:696-703. [DOI: 10.1152/japplphysiol.00907.2014] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Accepted: 07/02/2015] [Indexed: 11/22/2022] Open
Abstract
Postural control performance is often described in terms of postural sway magnitude, assuming that lower sway magnitude reflects better performance. However, people do not typically minimize sway magnitude when performing a postural control task. Possibly, other criteria are satisfied when people select the amount of sway they do. Minimal metabolic cost has been suggested as such a criterion. The aim of this study was to experimentally test the relation between sway magnitude and metabolic cost to establish whether metabolic cost could be a potential optimization criterion in postural control. Nineteen healthy subjects engaged in two experiments in which different magnitudes of sway were evoked during upright standing on a foam surface while metabolic energy expenditure, center of pressure (CoP) excursion, and muscle activation were recorded. In one experiment, sway was manipulated by visual feedback of CoP excursion. The other experiment involved verbal instructions of standing still, natural or relaxed. In both experiments, metabolic cost changed with sway magnitude in an asymmetric parabolic fashion, with a minimum around self-selected sway magnitudes and a larger increase at small compared with large sway magnitudes. This metabolic response was paralleled by a change in tonic and phasic EMG activity in the major leg muscles. It is concluded that these results are in line with the notion that metabolic cost can be an optimization criterion used to set postural control and as such could account for the magnitude of naturally occurring postural sway in healthy individuals, although the pathway remains to be elucidated.
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Affiliation(s)
- Han Houdijk
- Faculty of Human Movement Sciences, MOVE Research Institute Amsterdam, VU University Amsterdam, Amsterdam, The Netherlands; and
- Heliomare Rehabilitation, Research and Development, Wijk aan Zee, The Netherlands
| | - Starr E. Brown
- Faculty of Human Movement Sciences, MOVE Research Institute Amsterdam, VU University Amsterdam, Amsterdam, The Netherlands; and
| | - Jaap H. van Dieën
- Faculty of Human Movement Sciences, MOVE Research Institute Amsterdam, VU University Amsterdam, Amsterdam, The Netherlands; and
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Hubbuch JE, Bennett BW, Dean JC. Proprioceptive feedback contributes to the adaptation toward an economical gait pattern. J Biomech 2015; 48:2925-31. [PMID: 25935689 DOI: 10.1016/j.jbiomech.2015.04.024] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2015] [Accepted: 04/04/2015] [Indexed: 11/17/2022]
Abstract
Humans generally prefer gait patterns with a low metabolic cost, but it is unclear how such patterns are chosen. We have previously proposed that humans may use proprioceptive feedback to identify economical movement patterns. The purpose of the present experiments was to investigate the role of plantarflexor proprioception in the adaptation toward an economical gait pattern. To disrupt proprioception in some trials, we applied noisy vibration (randomly varying between 40-120Hz) over the bilateral Achilles tendons while participants stood quietly or walked on a treadmill. For all 10min walking trials, the treadmill surface was initially level before slowly increasing to a 2.5% incline midway through the trial without participant knowledge. During standing posture, noisy vibration increased sway, indicating decreased proprioception accuracy. While walking on a level surface, vibration did not significantly influence stride period or metabolic rate. However, vibration had clear effects for the first 2-3min after the incline increase; vibration caused participants to walk with shorter stride periods, reduced medial gastrocnemius (MG) activity during mid-stance (30-65% stance), and increased MG activity during late-stance (65-100% stance). Over time, these metrics gradually converged toward the gait pattern without vibration. Likely as a result of this delayed adaptation to the new mechanical context, the metabolic rate when walking uphill was significantly higher in the presence of noisy vibration. These results may be explained by the disruption of proprioception preventing rapid identification of muscle activation patterns which allow the muscles to operate under favorable mechanical conditions with low metabolic demand.
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Affiliation(s)
- Jill E Hubbuch
- Division of Physical Therapy, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA
| | - Blake W Bennett
- Division of Physical Therapy, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA
| | - Jesse C Dean
- Division of Physical Therapy, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA.
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31
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32
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Hurt CP, Wang J, Capo-Lugo CE, Brown DA. Effect of progressive horizontal resistive force on the comfortable walking speed of individuals post-stroke. J Neuroeng Rehabil 2015; 12:12. [PMID: 25884953 PMCID: PMC4329221 DOI: 10.1186/s12984-015-0007-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2014] [Accepted: 01/28/2015] [Indexed: 12/03/2022] Open
Abstract
Background Individuals post-stroke select slow comfortable walking speeds (CWS) and the major factors used to select their CWS is unknown. Objective To determine the extent to which slow CWS post-stroke is achieved through matching a relative force output or targeting a particular walking speed. Methods Ten neurologically nonimpaired individuals and fourteen chronic stroke survivors with hemiplegia were recruited. Participants were instructed to “walk at the speed that feels most comfortable” on a treadmill against 12 progressively increasing horizontal resistive force levels applied at the pelvis using a robotic system that allowed participant to self-select their walking speed. We compared slope coefficients of the simple linear regressions between the observed normalized force vs. normalized speed relationship in each group to a slope of -1.0 (i.e. ideal slope for a constant relative force output) and 0.0 (i.e. ideal slope for a constant relative speed). We also compared slope coefficients between groups. Results The slope coefficients were significantly greater than -1.0 (p < 0.001 for both) and significantly less than 0 (p < 0.001 for both). However, compared with nonimpaired individuals, people post-stroke were less able to maintain their walking speed (p = 0.003). Conclusions The results of this study provide evidence for a complex interaction between the regulation of relative force output and intention to move at a particular speed in the selection of the CWS for individuals post-stroke. This would suggest that therapeutic interventions should not only focus on task specific lower-limb strengthening exercises (e.g. walking against resistance), but should also focus on increasing the range of speeds at which people can safely walk.
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Affiliation(s)
- Christopher P Hurt
- Department of Physical Therapy, University of Alabama at Birmingham, 1720 2nd Avenue South, Birmingham, Alabama, 35294, USA.
| | - Jing Wang
- Centre of Rehabilitation, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China. .,Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
| | - Carmen E Capo-Lugo
- Department of Physical Therapy and Human Movement Sciences, Northwestern University, Evanston, USA. .,Interdepartmental Neuroscience Program (NUIN), Northwestern University, Chicago, Illinois, USA.
| | - David A Brown
- Department of Physical Therapy, University of Alabama at Birmingham, 1720 2nd Avenue South, Birmingham, Alabama, 35294, USA. .,Department of Occupational Therapy, University of Alabama at Birmingham, Birmingham, USA.
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Joshi V, Srinivasan M. Walking on a moving surface: energy-optimal walking motions on a shaky bridge and a shaking treadmill can reduce energy costs below normal. Proc Math Phys Eng Sci 2015; 471:20140662. [PMID: 25663810 DOI: 10.1098/rspa.2014.0662] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2014] [Accepted: 12/18/2014] [Indexed: 01/21/2023] Open
Abstract
Understanding how humans walk on a surface that can move might provide insights into, for instance, whether walking humans prioritize energy use or stability. Here, motivated by the famous human-driven oscillations observed in the London Millennium Bridge, we introduce a minimal mathematical model of a biped, walking on a platform (bridge or treadmill) capable of lateral movement. This biped model consists of a point-mass upper body with legs that can exert force and perform mechanical work on the upper body. Using numerical optimization, we obtain energy-optimal walking motions for this biped, deriving the periodic body and platform motions that minimize a simple metabolic energy cost. When the platform has an externally imposed sinusoidal displacement of appropriate frequency and amplitude, we predict that body motion entrained to platform motion consumes less energy than walking on a fixed surface. When the platform has finite inertia, a mass- spring-damper with similar parameters to the Millennium Bridge, we show that the optimal biped walking motion sustains a large lateral platform oscillation when sufficiently many people walk on the bridge. Here, the biped model reduces walking metabolic cost by storing and recovering energy from the platform, demonstrating energy benefits for two features observed for walking on the Millennium Bridge: crowd synchrony and large lateral oscillations.
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Affiliation(s)
- Varun Joshi
- Mechanical and Aerospace Engineering , The Ohio State University , Columbus, OH 43201, USA
| | - Manoj Srinivasan
- Mechanical and Aerospace Engineering , The Ohio State University , Columbus, OH 43201, USA
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Collins SH, Jackson RW. Inducing self-selected human engagement in robotic locomotion training. IEEE Int Conf Rehabil Robot 2014; 2013:6650488. [PMID: 24187305 DOI: 10.1109/icorr.2013.6650488] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Stroke leads to severe mobility impairments for millions of individuals each year. Functional outcomes can be improved through manual treadmill therapy, but high costs limit patient exposure and, thereby, outcomes. Robotic gait training could increase the viable duration and frequency of training sessions, but robotic approaches employed thus far have been less effective than manual therapy. These shortcomings may relate to subconscious energy-minimizing drives, which might cause patients to engage less actively in therapy when provided with corrective robotic assistance. We have devised a new method for gait rehabilitation that harnesses, rather than fights, least-effort tendencies. Therapeutic goals, such as increased use of the paretic limb, are made easier than the patient's nominal gait through selective assistance from a robotic platform. We performed a pilot test on a healthy subject (N = 1) in which altered self-selected stride length was induced using a tethered robotic ankle-foot orthosis. The subject first walked on a treadmill while wearing the orthosis with and without assistance at unaltered and voluntarily altered stride length. Voluntarily increasing stride length by 5% increased metabolic energy cost by 4%. Robotic assistance decreased energy cost at both unaltered and voluntarily increased stride lengths, by 6% and 8% respectively. We then performed a test in which the robotic system continually monitored stride length and provided more assistance if the subject's stride length approached a target increase. This adaptive assistance protocol caused the subject to slowly adjust their gait patterns towards the target, leading to a 4% increase in stride length. Metabolic energy consumption was simultaneously reduced by 5%. These results suggest that selective-assistance protocols based on targets relevant to rehabilitation might lead patients to self-select desirable gait patterns during robotic gait training sessions, possibly facilitating better adherence and outcomes.
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Bertram JEA, Gutmann A, Randev J, Hulliger M. Domestic cat walking parallels human constrained optimization: optimization strategies and the comparison of normal and sensory deficient individuals. Hum Mov Sci 2014; 36:154-66. [PMID: 24974156 DOI: 10.1016/j.humov.2014.05.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2013] [Revised: 04/22/2014] [Accepted: 05/08/2014] [Indexed: 10/25/2022]
Abstract
To evaluate how fundamental gait parameters used in walking (stride length, frequency, speed) are selected by cats we compared stride characteristics selected when walking on a solid surface to those selected when they were constrained to specific stride lengths using a pedestal walkway. Humans spontaneously select substantially different stride length-stride frequency-speed relationships in walking when each of these parameters is constrained, as in walking to a metronome beat (frequency constrained), evenly spaced floor markers (stride length constrained) or on a treadmill (speed constrained). In humans such adjustments largely provide energetic economy under the prescribed walking conditions. Cats show a similar shift in gait parameter selection between conditions as observed in humans. This suggests that cats (and by extension, quadrupedal mammals) also select gait parameters to optimize walking cost-effectiveness. Cats with a profound peripheral sensory deficit (from pyridoxine overdose) appeared to parallel the optimization seen in healthy cats, but without the same level of precision. Recent studies in humans suggest that gait optimization may proceed in two stages - a fast perception-based stage that provides the initial gait selection strategy which is then fine-tuned by feedback. The sensory deficit cats appeared unable to accomplish the feedback-dependent aspect of this process.
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Affiliation(s)
| | - Anne Gutmann
- Faculty of Medicine, University of Calgary and Sports Research Lab, New Balance Athletic Shoe, Inc., USA
| | | | - Manuel Hulliger
- Dept. of Clinical Neurosciences and Hotchkiss Brain Inst., University of Calgary, Canada
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Pagliara R, Snaterse M, Donelan JM. Fast and slow processes underlie the selection of both step frequency and walking speed. ACTA ACUST UNITED AC 2014; 217:2939-46. [PMID: 24902746 DOI: 10.1242/jeb.105270] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
People prefer gaits that minimize their energetic cost. Research focused on step frequency selection suggests that a fast predictive process and a slower optimization process underlie this energy optimization. Our purpose in this study was to test whether the mechanisms controlling step frequency selection are used more generally to select one of the most relevant characteristics of walking - preferred speed. To accomplish this, we contrasted the dynamic adjustments in speed following perturbations to step frequency against the dynamic adjustments in step frequency following perturbations to speed. Despite the use of different perturbations and contexts, we found that the responses were very similar. In both experiments, subjects responded to perturbations by first rapidly changing their speed or step frequency towards their preferred pattern, and then slowly adjusting their gait to converge onto their preferred pattern. We measured similar response times for both the fast processes (1.4±0.3 versus 2.7±0.6 s) and the slow processes (74.2±25.4 versus 79.7±20.2 s). We also found that the fast process, although quite variable in amplitude, dominated the adjustments in both speed and step frequency. These distinct but complementary experiments demonstrate that people appear to rely heavily on prediction to rapidly select the most relevant aspects of their preferred gait and then gradually fine-tune that selection, perhaps using direct optimization of energetic cost.
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Affiliation(s)
- Renato Pagliara
- Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC V5A 1S6, Canada
| | - Mark Snaterse
- Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC V5A 1S6, Canada
| | - J Maxwell Donelan
- Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC V5A 1S6, Canada
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Sloot LH, van der Krogt MM, Harlaar J. Effects of adding a virtual reality environment to different modes of treadmill walking. Gait Posture 2014; 39:939-45. [PMID: 24412269 DOI: 10.1016/j.gaitpost.2013.12.005] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2013] [Revised: 12/02/2013] [Accepted: 12/10/2013] [Indexed: 02/02/2023]
Abstract
Differences in gait between overground and treadmill walking are suggested to result from imposed treadmill speed and lack of visual flow. To counteract this effect, feedback-controlled treadmills that allow the subject to control the belt speed along with an immersive virtual reality (VR) have recently been developed. We studied the effect of adding a VR during both fixed speed (FS) and self-paced (SP) treadmill walking. Nineteen subjects walked on a dual-belt instrumented treadmill with a simple endless road projected on a 180° circular screen. A main effect of VR was found for hip flexion offset, peak hip extension, peak knee extension moment, knee flexion moment gain and ankle power during push off. A consistent interaction effect between VR and treadmill mode was found for 12 out of 30 parameters, although the differences were small and did not exceed 50% of the within subject stride variance. At FS, the VR seemed to slightly improve the walking pattern towards overground walking, with for example a 6.5mm increase in stride length. At SP, gait became slightly more cautious by adding a VR, with a 9.1mm decrease in stride length. Irrespective of treadmill mode, subjects rated walking with the VR as more similar to overground walking. In the context of clinical gait analysis, the effects of VR are too small to be relevant and are outweighed by the gains of adding a VR, such as a more stimulating experience and possibility of augmenting it by real-time feedback.
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Affiliation(s)
- L H Sloot
- Dept. of Rehabilitation Medicine, Research Institute MOVE Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
| | - M M van der Krogt
- Dept. of Rehabilitation Medicine, Research Institute MOVE Amsterdam, VU University Medical Center, Amsterdam, The Netherlands
| | - J Harlaar
- Dept. of Rehabilitation Medicine, Research Institute MOVE Amsterdam, VU University Medical Center, Amsterdam, The Netherlands
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Ankarali MM, Tutkun Sen H, De A, Okamura AM, Cowan NJ. Haptic feedback enhances rhythmic motor control by reducing variability, not improving convergence rate. J Neurophysiol 2013; 111:1286-99. [PMID: 24371296 DOI: 10.1152/jn.00140.2013] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Stability and performance during rhythmic motor behaviors such as locomotion are critical for survival across taxa: falling down would bode well for neither cheetah nor gazelle. Little is known about how haptic feedback, particularly during discrete events such as the heel-strike event during walking, enhances rhythmic behavior. To determine the effect of haptic cues on rhythmic motor performance, we investigated a virtual paddle juggling behavior, analogous to bouncing a table tennis ball on a paddle. Here, we show that a force impulse to the hand at the moment of ball-paddle collision categorically improves performance over visual feedback alone, not by regulating the rate of convergence to steady state (e.g., via higher gain feedback or modifying the steady-state hand motion), but rather by reducing cycle-to-cycle variability. This suggests that the timing and state cues afforded by haptic feedback decrease the nervous system's uncertainty of the state of the ball to enable more accurate control but that the feedback gain itself is unaltered. This decrease in variability leads to a substantial increase in the mean first passage time, a measure of the long-term metastability of a stochastic dynamical system. Rhythmic tasks such as locomotion and juggling involve intermittent contact with the environment (i.e., hybrid transitions), and the timing of such transitions is generally easy to sense via haptic feedback. This timing information may improve metastability, equating to less frequent falls or other failures depending on the task.
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Affiliation(s)
- M Mert Ankarali
- Department of Mechanical Engineering, Johns Hopkins University, Baltimore, Maryland
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39
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Energetic consequences of human sociality: walking speed choices among friendly dyads. PLoS One 2013; 8:e76576. [PMID: 24194840 PMCID: PMC3806777 DOI: 10.1371/journal.pone.0076576] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2013] [Accepted: 08/23/2013] [Indexed: 11/25/2022] Open
Abstract
Research has shown that individuals have an optimal walking speed–a speed which minimizes energy expenditure for a given distance. Because the optimal walking speed varies with mass and lower limb length, it also varies with sex, with males in any given population tending to have faster optimal walking speeds. This potentially creates an energetic dilemma for mixed-sex walking groups. Here we examine speed choices made by individuals of varying stature, mass, and sex walking together. Individuals (N = 22) walked around a track alone, with a significant other (with and without holding hands), and with friends of the same and opposite sex while their speeds were recorded every 100 m. Our findings show that males walk at a significantly slower pace to match the females’ paces (p = 0.009), when the female is their romantic partner. The paces of friends of either same or mixed sex walking together did not significantly change (p>0.05). Thus significant pace adjustment appears to be limited to romantic partners. These findings have implications for both mobility and reproductive strategies of groups. Because the male carries the energetic burden by adjusting his pace (slowing down 7%), the female is spared the potentially increased caloric cost required to walk together. In energetically demanding environments, we will expect to find gender segregation in group composition, particularly when travelling longer distances.
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40
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Abstract
During cyclical tasks, humans often prefer stereotyped movement patterns. Although minimization of metabolic energy expenditure commonly is proposed as an underlying motor control goal, the mechanism by which humans choose their preferred movement pattern is not clear. We hypothesize that humans use proprioceptive feedback, which provides information about body mechanics in the identification of the preferred pattern of movement.
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Wall-Scheffler CM, Myers MJ. Reproductive costs for everyone: how female loads impact human mobility strategies. J Hum Evol 2013; 64:448-56. [PMID: 23465336 DOI: 10.1016/j.jhevol.2013.01.014] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2011] [Revised: 08/31/2012] [Accepted: 01/25/2013] [Indexed: 10/27/2022]
Abstract
While mobility strategies are considered important in understanding selection pressures on individuals, testing hypotheses of such strategies requires high resolution datasets, particularly at intersections between morphology, ecology and energetics. Here we present data on interactions between morphology and energetics in regards to the cost of walking for reproductive women and place these data into a specific ecological context of time and heat load. Frontal loads (up to 16% of body mass), as during pregnancy and child-carrying, significantly slow the optimal and preferred walking speed of women, significantly increase cost at the optimal speed, and make it significantly more costly for women to walk with other people. We further show for the first time significant changes in the curvature in the Cost of Transport curve for human walking, as driven by frontal loads. The impact of these frontal loads on females, and the populations to which they belong, would have been magnified by time constraints due to seasonal changes in day length at high latitudes and thermoregulatory limitations at low latitudes. However, wider pelves increase both stride length and speed flexibility, providing a morphological offset for load-related costs. Longer lower limbs also increase stride length. Observed differences between preferred and energetically optimal speeds with frontal loading suggest that speed choices of women carrying reproductive loads might be particularly sensitive to changes in heat load. Our findings show that female reproductive costs, particularly those related to locomotion, would have meaningfully shaped the mobility strategies of the hominin lineage, as well as modern foraging populations.
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Affiliation(s)
- Cara M Wall-Scheffler
- Department of Biology, Seattle Pacific University, Suite 205, 3307 3rd Ave. West, Seattle, WA 98119-1997, USA.
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Okazaki S, Nishiike S, Watanabe H, Imai T, Uno A, Kitahara T, Horii A, Kamakura T, Takimoto Y, Takeda N, Inohara H. Effects of repeated optic flow stimulation on gait termination in humans. Acta Otolaryngol 2013; 133:246-52. [PMID: 23176088 DOI: 10.3109/00016489.2012.740163] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
CONCLUSIONS Because the basic strategies to stop walking are stored as motor programs, visual stimulation may have little influence on body deviation during gait termination and its time course. Walking velocity, however, demonstrated dynamic flexible changes, which may subserve the stable process of gait termination under variable circumstantial changes such as optic flow. OBJECTIVE The aim of this study was to examine the effect of repeated optic flow on body deviation and walking velocity during gait termination, which may be more complicated than continuous standing or walking. METHODS Twenty-three healthy subjects were instructed to start walking upon an acoustic cue and to stop walking when the scenery changed in a virtual reality environment. Subjects underwent eight control trials without optic flow and three sets of optic flow conditions including four trials each of optic horizontal and rotational movement randomly. RESULTS Repeated optic flow caused no significant change of body deviation or the time course of the gait termination process in comparison with that in the control. The walking velocity at the start of the termination process showed short-term flexibility that denoted a gradual increase over the trial for within-set and long-term flexibility that denoted a gradual decrease for between-set.
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Affiliation(s)
- Suzuyo Okazaki
- Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
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