THE EFFECT OF ADDED PROSTHETIC MASS ON SELFSELECTED WALKING VELOCITY, HEART RATE, AND STEP LENGTH DURING OVERGROUND WALKING IN PERSONS WITH TRANSTIBIAL AMPUTATION - PRELIMINARY DATA.

2004 ◽  
Vol 15 (4) ◽  
pp. 30-31
Author(s):  
Lin Suh-Jen ◽  
Goh Hui-Ting ◽  
Kwon Yong-Hoo
2019 ◽  
Vol 43 (4) ◽  
pp. 426-433
Author(s):  
Paul W Kline ◽  
Amanda M Murray ◽  
Matthew J Miller ◽  
Thomas Fields ◽  
Cory L Christiansen

Background:Asymmetrical stepping patterns are chronic gait impairment for individuals with non-traumatic lower limb amputation. Persistent gait asymmetries contribute to poor gait efficiency, decreased physical function, and development of secondary orthopedic conditions.Objectives:Evaluate the feasibility and preliminary responsiveness of a treadmill-based, error-augmentation gait training protocol to improve gait symmetry in patients with non-traumatic transtibial amputation.Study design:Single group, pre- and post-test.Methods:The error-augmentation gait training protocol involved walking on a split-belt treadmill with asymmetrical belt speeds for five 3-min sets. Spatiotemporal gait characteristics during overground walking at self-selected and fast walking speeds were assessed prior to, immediately after, and 20 min following the error-augmentation gait training protocol. Outcomes included practicality, implementation feasibility, safety, participant acceptability, and change in gait asymmetry.Results:All four participants completed the error-augmentation gait training protocol as prescribed, without adverse events, and found the intervention to be acceptable. Step length and stance time asymmetry during overground walking changed immediately following the error-augmentation gait training protocol with inconsistent changes retained after a 20 min washout period.Conclusions:A single session of error-augmentation gait training is a feasible and safe intervention to modify gait asymmetry in patients with non-traumatic transtibial amputation. Additional study with larger sample sizes and repeated error-augmentation gait training dosing are warranted.Clinical relevanceGait training using error-augmentation on a split-belt treadmill may modify step length and stance time asymmetry for patients with non-traumatic transtibial amputation, but additional research is needed regarding short- and long-term efficacy. Additional training sessions may be needed to sustain initial changes achieved from a single session.


2021 ◽  
Vol 11 (5) ◽  
pp. 2093
Author(s):  
Noé Perrotin ◽  
Nicolas Gardan ◽  
Arnaud Lesprillier ◽  
Clément Le Goff ◽  
Jean-Marc Seigneur ◽  
...  

The recent popularity of trail running and the use of portable sensors capable of measuring many performance results have led to the growth of new fields in sports science experimentation. Trail running is a challenging sport; it usually involves running uphill, which is physically demanding and therefore requires adaptation to the running style. The main objectives of this study were initially to use three “low-cost” sensors. These low-cost sensors can be acquired by most sports practitioners or trainers. In the second step, measurements were taken in ecological conditions orderly to expose the runners to a real trail course. Furthermore, to combine the collected data to analyze the most efficient running techniques according to the typology of the terrain were taken, as well on the whole trail circuit of less than 10km. The three sensors used were (i) a Stryd sensor (Stryd Inc. Boulder CO, USA) based on an inertial measurement unit (IMU), 6 axes (3-axis gyroscope, 3-axis accelerometer) fixed on the top of the runner’s shoe, (ii) a Global Positioning System (GPS) watch and (iii) a heart belt. Twenty-eight trail runners (25 men, 3 women: average age 36 ± 8 years; height: 175.4 ± 7.2 cm; weight: 68.7 ± 8.7 kg) of different levels completed in a single race over a 8.5 km course with 490 m of positive elevation gain. This was performed with different types of terrain uphill (UH), downhill (DH), and road sections (R) at their competitive race pace. On these sections of the course, cadence (SF), step length (SL), ground contact time (GCT), flight time (FT), vertical oscillation (VO), leg stiffness (Kleg), and power (P) were measured with the Stryd. Heart rate, speed, ascent, and descent speed were measured by the heart rate belt and the GPS watch. This study showed that on a ≤10 km trail course the criteria for obtaining a better time on the loop, determined in the test, was consistency in the effort. In a high percentage of climbs (>30%), two running techniques stand out: (i) maintaining a high SF and a short SL and (ii) decreasing the SF but increasing the SL. In addition, it has been shown that in steep (>28%) and technical descents, the average SF of the runners was higher. This happened when their SL was shorter in lower steep and technically challenging descents.


2007 ◽  
Vol 22 (1) ◽  
pp. 163-166
Author(s):  
Takayuki SHIMOJU ◽  
Hiroaki TANI
Keyword(s):  

2009 ◽  
Vol 23 (7) ◽  
pp. 735-744 ◽  
Author(s):  
Darcy S. Reisman ◽  
Robert Wityk ◽  
Kenneth Silver ◽  
Amy J. Bastian

Background and Objective. Following stroke, subjects retain the ability to adapt interlimb symmetry on the split-belt treadmill. Critical to advancing our understanding of locomotor adaptation and its usefulness in rehabilitation is discerning whether adaptive effects observed on a treadmill transfer to walking over ground. We examined whether aftereffects following split-belt treadmill adaptation transfer to overground walking in healthy persons and those poststroke. Methods. Eleven poststroke and 11 age-matched and gender-matched healthy subjects walked over ground before and after walking on a split-belt treadmill. Adaptation and aftereffects in step length and double support time were calculated. Results. Both groups demonstrated partial transfer of the aftereffects observed on the treadmill ( P < .001) to overground walking ( P < .05), but the transfer was more robust in the subjects poststroke ( P < .05). The subjects with baseline asymmetry after stroke improved in asymmetry of step length and double limb support ( P = .06). Conclusions. The partial transfer of aftereffects to overground walking suggests that some shared neural circuits that control locomotion for different environmental contexts are adapted during split-belt treadmill walking. The larger adaptation transfer from the treadmill to overground walking in the stroke survivors may be due to difficulty adjusting their walking pattern to changing environmental demands. Such difficulties with context switching have been considered detrimental to function poststroke. However, we propose that the persistence of improved symmetry when changing context to overground walking could be used to advantage in poststroke rehabilitation.


2013 ◽  
Vol 29 (2) ◽  
pp. 188-193 ◽  
Author(s):  
Hanatsu Nagano ◽  
Rezaul K. Begg ◽  
William A. Sparrow ◽  
Simon Taylor

Although lower limb strength becomes asymmetrical with age, past studies of aging effects on gait biomechanics have usually analyzed only one limb. This experiment measured how aging and treadmill surface influenced both dominant and nondominant step parameters in older (mean 74.0 y) and young participants (mean 21.9 y). Step-cycle parameters were obtained from 3-dimensional position/time data during preferred-speed walking for 40 trials along a 10 m walkway and for 10 minutes of treadmill walking. Walking speed (young 1.23 m/s, older 1.24 m/s) and step velocity for the two age groups were similar in overground walking but older adults showed significantly slower walking speed (young 1.26 m/s, older 1.05 m/s) and step velocity on the treadmill due to reduced step length and prolonged step time. Older adults had shorter step length than young adults and both groups reduced step length on the treadmill. Step velocity and length of older adults’ dominant limb was asymmetrically larger. Older adults increased the proportion of double support in step time when treadmill walking. This adaptation combined with reduced step velocity and length may preserve balance. The results suggest that bilateral analyses should be employed to accurately describe asymmetric features of gait especially for older adults.


1987 ◽  
Vol 11 (2) ◽  
pp. 65-70 ◽  
Author(s):  
P. G. Van De Veen ◽  
W. Van Der Tempel ◽  
J. De Vreiss

A mathematical model was used to investigate the dynamic behaviour of an above-knee (AK) prosthesis in the swing phase and to analyse the influence of mass and mass distribution on the maximal stump load and the required energy. The model consists of a bondgraph model of the prosthesis and a “walking” model which predicts the walking velocity, step length and the femoral trajectory. Equipment was developed to measure the inertial properties of the components of the prosthesis. Through computer simulation, stickdiagrams of the swing phase and graphs of the variation with time of the hip and stump forces were obtained. It was found that for a normal AK prosthesis with a knee-lock mechanism the axial stump load is greatest at the beginning and at the end of the swing phase. At a walking velocity of 5 km/hr the maximum axial stump load amounts to 2.1 times the static weight of the prosthesis. The maximum axial stump force appeared to be almost directly proportional to the total mass of the prosthesis but independent of the mass distribution. The required energy also increased with the mass of the prosthesis but is' dependent on mass distribution. Because of their comparable weights the influence of the shoe is almost equal to the influence of the prosthetic foot. Thus lightweight shoes should be used with lightweight prosthetic feet in order to add to their advantages.


Author(s):  
Aušra Stuopelytė ◽  
Rasa Šakalienė

Parkinson’s disease is a chronic progressive neurological disorder that can impact function to a variable degree. Changes in gait parameters are the most common signs of Parkinson’s disease. Patients with Parkinson’s disease walk with a reduced step length, step time, walking velocity and walking cadence, increased stride cycle time, coefficient of variation of the step amplitude and step time and increased risk to fall. So, various gait training methods are applied. The effect of rhythmic auditory stimulation on gait in Parkinson’s disease patients is analysed. We can use various kinds of music, metronome, scansion and clapping as a rhythmic auditory stimulation.One of gait training methods in Parkinson’s disease patients is treadmill training. There are attempts to combine treadmill training with transcranial magnetic stimulation and virtual reality. We can use Nordic walking method and because walking technique requires straight posture, trunk rotation, bigger step and heel stride. More often robot–assisted gait training is used in patients with Parkinson’s disease gait training. The effect of dual–tasking and walking with music methods for gait and balance training in patients with Parkinson’s disease is also analysed. This method requires participants to perform primary and secondary tasks at the same time. The secondary task can be cognitive or motor. Dual–tasking is widely analysed because opinions about applying this method are very controversial. Walking with music method is more often analysed in scientific literature. This method could not be compared to rhythmic auditory stimulation method because the latter requires precise walking to rhythm and walking with music method is oriented to emotional component (music is chosen according patients’ music taste). As these methods are applied, we can see an increase in chosen walking and maximal walking velocities, step length and time, distance covered, and decrease in the coefficient of variation of the step time and turning time.Keywords: Gait impairments, walking velocity, rhythmic auditory stimulation.


2018 ◽  
Vol 18 (03) ◽  
pp. 1850039 ◽  
Author(s):  
Lu Dai ◽  
Na Yang ◽  
Qingshan Yang

Research on modeling the walking-induced dynamic load and its effects on structures has been increasing in recent years. Existing standards for estimating the acceleration response excited by crowd takes [Formula: see text] ([Formula: see text] is the number of walking persons in a crowd) times the single pedestrian load as the crowd load, neglecting uncertainties in the related parameters. This paper proposes a method for predicting the crowd-induced structural acceleration response based on the Bayesian theory. Parameters of the crowd include the distribution of stepping frequency, the interval of arriving time and the weight of pedestrians. By combining the existing methods for calculating the structural response to a pedestrian load and the Bayesian theory, the root-mean-square acceleration along with the crowd parameters are obtained. A field investigation is conducted to study the walking characteristics of pedestrians, including the distribution of stepping frequency, walking velocity and step length. The case of a crowd moving across a simply supported beam bridge is taken for illustration. The acceleration response under the crowd load with different stepping frequencies is calculated. A comparison between the results from the Bayesian method and the design standards is conducted. The proposed method is found to yield acceptable results, and is then applied to estimating the acceleration response of a typical Tibetan heritage building, with the result compared with a field measurement.


Robotica ◽  
2009 ◽  
Vol 28 (4) ◽  
pp. 563-581 ◽  
Author(s):  
Guy Bessonnet ◽  
Jérôme Marot ◽  
Pascal Seguin ◽  
Philippe Sardain

SUMMARYThis paper describes a dynamic synthesis method for generating optimal walking patterns of biped robots having a human-like locomotion system. The generating principle of gait is based on the minimisation of driving torques. A parametric optimisation technique is used to solve the underlying optimal control problem. Special attention is devoted to foot-ground interactions in order to ensure a steady dynamic balance of the biped. Transition states between step sub-phases are fully optimised together with step length and sub-phase lengths with respect to a given walking velocity. The data needed to generate purely cyclic steps can be reduced to the forward velocity.


Author(s):  
Bogdan-Alexandru Hagiu ◽  
Iulian Dumitru Turculeț ◽  
Iulian Marius Dumitru

"ABSTRACT. Independent studies suggest the possibility of prophylaxis of severe forms of COVID-19 through moderate-intensity exercise. There is the fear that intense exercise could increase the risk of the virus entering the cell, a determining factor being hypoxia. As a result, in this paper we aimed to assess the heart rate and oxygen saturation of the blood in the case of Kangoo Jumps and aerobic training at home. Kangoo Jumps workouts practiced in such a way as to avoid in principle the high intensity of the effort, do not produce transient hypoxia, not even in subjects whose heart rate indicated an intense effort. Preliminary data show that aerobics at home does not produce hypoxia in mature adults and the elderly, and heart rates do not exceed the limit of moderate intensity; however, additional studies are required for both categories of exercises under study."


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