scholarly journals Effects of arm swing amplitude and lower limb asymmetry on motor variability patterns during treadmill gait

2021 ◽  
Author(s):  
Christopher A Bailey ◽  
Allen Hill ◽  
Ryan B Graham ◽  
Julie Nantel

Motor variability is a fundamental feature of gait. Altered arm swing and lower limb asymmetry (LLA) may be contributing factors having been shown to affect the magnitude and dynamics of variability in spatiotemporal and trunk motion. However, the effects on lower limb joints remain unclear. Full-body kinematics of 15 healthy young adults were recorded during treadmill walking using the Computer-Assisted Rehabilitation Environment system. Participants completed six trials, combining three arm swing (AS) amplitude (normal, active, held) and two LLA (symmetrical, asymmetrical) conditions. The mean standard deviation (meanSD), maximum Lyapunov exponent (λmax), detrended fluctuation analysis scaling exponent of range of motion (DFAα), and sample entropy (SaEn) were computed for tridimensional trunk, pelvis, and lower limb joint angles, and compared using repeated-measures ANOVAs. Relative to normal AS, active AS increased meanSD of all joint angles, λmax of frontal plane hip and ankle angles, and SaEn of sagittal plane ankle angles. Active AS, however, did not affect λmax or SaEn of trunk or pelvis angles. LLA increased meanSD of sagittal plane joint angles, λmax of Euclidean norm trunk angle and of lower limb joint angles, and SaEn of ankle dorsiflexion/ plantarflexion, but decreased SaEn of tridimensional trunk angles and hip rotation in the slower moving leg. Alterations in lower limb variability with active AS and LLA suggest that young adults actively exploit their lower limb redundancies to maintain gait. This appears to preserve trunk stability and regularity during active AS but not during LLA.

2020 ◽  
pp. 1-9
Author(s):  
Chuyi Cui ◽  
Brittney Muir ◽  
Shirley Rietdyk ◽  
Jeffrey Haddad ◽  
Richard van Emmerik ◽  
...  

Tripping while walking is a main contributor to falls across the adult lifespan. Trip risk is proportional to variability in toe clearance. To determine the sources of this variability, the authors computed for 10 young adults the sensitivity of toe clearance to 10 bilateral lower limb joint angles during unobstructed and obstructed walking when the lead and the trail limb crossed the obstacle. The authors computed a novel measure—singular value of the appropriate Jacobian—as the combined toe clearance sensitivity to 4 groups of angles: all sagittal and all frontal plane angles and all swing and all stance limb angles. Toe clearance was most sensitive to the stance hip ab/adduction for unobstructed gait. For obstructed gait, sensitivity to other joints increased and matched the sensitivity to stance hip ab/adduction. Combined sensitivities revealed critical information that was not evident in the sensitivities to individual angles. The combined sensitivity to stance limb angles was 84% higher than swing limb angles. The combined sensitivity to the sagittal plane angles was lower than the sensitivity to the frontal plane angles during unobstructed gait, and this relation was reversed during obstacle crossing. The results highlight the importance of the stance limb joints and indicate that frontal plane angles should not be ignored.


2021 ◽  
Author(s):  
Christopher Bailey ◽  
Thomas Uchida ◽  
Julie Nantel ◽  
Ryan Graham

Motor variability in gait is frequently linked to fall risk, yet field-based biomechanical joint evaluations are scarce. We evaluated the validity and sensitivity of an inertial measurement unit (IMU)-driven biomechanical model of joint angle variability for gait. Fourteen healthy young adults completed seven-minute trials of treadmill gait at several speeds and arm swing amplitudes. Joint kinematics were estimated by IMU- and optoelectronic-based models using OpenSim. We calculated range of motion (ROM), magnitude of variability (meanSD), local dynamic stability (λmax), persistence of ROM fluctuations (DFAα), and regularity (SaEn) of each angle over 200 continuous strides, and evaluated model accuracy (e.g., RMSD: root mean square difference), consistency (ICC2,1: intraclass correlation), biases, limits of agreement, and sensitivity to within-participant gait responses (effects of Speed and Swing). RMSDs of joint angles were 1.7–7.5° (pooled mean of 4.8°), excluding ankle inversion. ICCs were mostly good–excellent in the primary plane of motion for ROM and in all planes for meanSD and λmax, but were poor–moderate for DFAα and SaEn. Modeled Speed and Swing responses for ROM, meanSD, and λmax were similar. Results suggest that the IMU-driven model is valid and sensitive for field-based assessments of joint angles and several motor variability features.


PLoS ONE ◽  
2019 ◽  
Vol 14 (12) ◽  
pp. e0218644 ◽  
Author(s):  
Allen Hill ◽  
Julie Nantel

2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Rodrigo Rico Bini ◽  
Patria Hume

AbstractPurpose. Configuration of bicycle components to the cyclist (bicycle fitting) commonly uses static poses of the cyclist on the bicycle at the 6 o’clock crank position to represent dynamic cycling positions. However, the validity of this approach and the potential use of the different crank position (e.g. 3 o’clock) have not been fully explored. Therefore, this study compared lower limb joint angles of cyclists in static poses (3 and 6 o’clock) compared to dynamic cycling. Methods. Using a digital camera, right sagittal plane images were taken of thirty cyclists seated on their own bicycles mounted on a stationary trainer with the crank at 3 o’clock and 6 o’clock positions. Video was then recorded during pedalling at a self-selected gear ratio and pedalling cadence. Sagittal plane hip, knee and ankle angles were digitised. Results. Differences between static and dynamic angles were large at the 6 o’clock crank position with greater mean hip angle (4.9 ± 3°), smaller knee angle (8.2 ± 5°) and smaller ankle angle (8.2 ± 5.3°) for static angles. Differences between static and dynamic angles (< 1.4°) were trivial to small for the 3 o’clock crank position. Conclusions. To perform bicycle fitting, joint angles should be measured dynamically or with the cyclist in a static pose at the 3 o’clock crank position.


Author(s):  
Jyotindra Narayan ◽  
Santosha Kumar Dwivedy

Abstract This work aims to estimate the lower-limb joint angles in the sagittal plane using Microsoft Kinect-based experimental setup and apply an efficient machine learning technique for predicting the same based on kinematic, spatiotemporal and biological parameters. Ten healthy participants from 19-50 years (33 ± 11.24 years) were asked to walk in front of the Kinect camera. Based on the skeleton image, the biomechanical hip, knee, and ankle joint angles of the lower-limb were measured using NI-LabView. Thereafter, two Bayesian regularisation-based backpropagation multilayer perceptron neural network models were designed to predict the joint angles in the stance and swing phase. The joint angles of two individuals, as a testing dataset, were predicted and compared with the experimental results. The test correlation coefficient for predicted joint angles have shown a promising effect of the proposed neural network models. Finally, a qualitative comparison was presented between the joint angles of healthy people and unhealthy people of similar age groups.


Sensors ◽  
2020 ◽  
Vol 20 (3) ◽  
pp. 715 ◽  
Author(s):  
Julien Lebleu ◽  
Thierry Gosseye ◽  
Christine Detrembleur ◽  
Philippe Mahaudens ◽  
Olivier Cartiaux ◽  
...  

Inertial measurement unit (IMU) records of human movement can be converted into joint angles using a sensor-to-segment calibration, also called functional calibration. This study aims to compare the accuracy and reproducibility of four functional calibration procedures for the 3D tracking of the lower limb joint angles of young healthy individuals in gait. Three methods based on segment rotations and one on segment accelerations were used to compare IMU records with an optical system for their accuracy and reproducibility. The squat functional calibration movement, offering a low range of motion of the shank, provided the least accurate measurements. A comparable accuracy was obtained in other methods with a root mean square error below 3.6° and an absolute difference in amplitude below 3.4°. The reproducibility was excellent in the sagittal plane (intra-class correlation coefficient (ICC) > 0.91, standard error of measurement (SEM) < 1.1°), good to excellent in the transverse plane (ICC > 0.87, SEM < 1.1°), and good in the frontal plane (ICC > 0.63, SEM < 1.2°). The better accuracy for proximal joints in calibration movements using segment rotations was traded to distal joints in calibration movements using segment accelerations. These results encourage further applications of IMU systems in unconstrained rehabilitative contexts.


2019 ◽  
Author(s):  
Allen Hill ◽  
Julie Nantel

AbstractChanges to arm swing and gait symmetry are symptomatic of several pathological gaits associated with reduced stability. The purpose of this study was to examine the relative contributions of arm swing and gait symmetry towards gait stability. We theorized that actively increasing arm swing would increase gait stability, while asymmetric walking would decrease gait stability. Fifteen healthy, young adults (23.4 ± 2.8 yrs) walked on a split-belt treadmill under symmetric (1.2 m/s) and asymmetric walking (left/right, 5:4 speed ratio) with three different arm swings: held, normal, and active. Trunk local dynamic stability, inter-limb coordination, and spatiotemporal gait variability and symmetry were measured. Active arm swing resulted in improved local trunk stability, increased gait variability, and decreased inter-limb coordination (p < .013). The changes in local trunk stability and gait variability during active arm swing suggests that these metrics quantify fundamentally different aspects of stability and are not always comparable. Split-belt walking caused reduced local trunk stability, increased gait variability, and increased lower limb asymmetry (p < .003). However, the arm swing symmetry was unaffected by gait asymmetry, this suggests that deficits in gait stability in pathological gaits may be linked to increases in gait asymmetry rather than increases in arm swing asymmetry.


Symmetry ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 598
Author(s):  
Massimiliano Pau ◽  
Bruno Leban ◽  
Michela Deidda ◽  
Federica Putzolu ◽  
Micaela Porta ◽  
...  

The majority of people with Multiple Sclerosis (pwMS), report lower limb motor dysfunctions, which may relevantly affect postural control, gait and a wide range of activities of daily living. While it is quite common to observe a different impact of the disease on the two limbs (i.e., one of them is more affected), less clear are the effects of such asymmetry on gait performance. The present retrospective cross-sectional study aimed to characterize the magnitude of interlimb asymmetry in pwMS, particularly as regards the joint kinematics, using parameters derived from angle-angle diagrams. To this end, we analyzed gait patterns of 101 pwMS (55 women, 46 men, mean age 46.3, average Expanded Disability Status Scale (EDSS) score 3.5, range 1–6.5) and 81 unaffected individuals age- and sex-matched who underwent 3D computerized gait analysis carried out using an eight-camera motion capture system. Spatio-temporal parameters and kinematics in the sagittal plane at hip, knee and ankle joints were considered for the analysis. The angular trends of left and right sides were processed to build synchronized angle–angle diagrams (cyclograms) for each joint, and symmetry was assessed by computing several geometrical features such as area, orientation and Trend Symmetry. Based on cyclogram orientation and Trend Symmetry, the results show that pwMS exhibit significantly greater asymmetry in all three joints with respect to unaffected individuals. In particular, orientation values were as follows: 5.1 of pwMS vs. 1.6 of unaffected individuals at hip joint, 7.0 vs. 1.5 at knee and 6.4 vs. 3.0 at ankle (p < 0.001 in all cases), while for Trend Symmetry we obtained at hip 1.7 of pwMS vs. 0.3 of unaffected individuals, 4.2 vs. 0.5 at knee and 8.5 vs. 1.5 at ankle (p < 0.001 in all cases). Moreover, the same parameters were sensitive enough to discriminate individuals of different disability levels. With few exceptions, all the calculated symmetry parameters were found significantly correlated with the main spatio-temporal parameters of gait and the EDSS score. In particular, large correlations were detected between Trend Symmetry and gait speed (with rho values in the range of –0.58 to –0.63 depending on the considered joint, p < 0.001) and between Trend Symmetry and EDSS score (rho = 0.62 to 0.69, p < 0.001). Such results suggest not only that MS is associated with significantly marked interlimb asymmetry during gait but also that such asymmetry worsens as the disease progresses and that it has a relevant impact on gait performances.


2019 ◽  
Vol 11 (4) ◽  
Author(s):  
Alexander Agboola-Dobson ◽  
Guowu Wei ◽  
Lei Ren

Recent advancements in powered lower limb prostheses have appeased several difficulties faced by lower limb amputees by using a series-elastic actuator (SEA) to provide powered sagittal plane flexion. Unfortunately, these devices are currently unable to provide both powered sagittal plane flexion and two degrees of freedom (2-DOF) at the ankle, removing the ankle’s capacity to invert/evert, thus severely limiting terrain adaption capabilities and user comfort. The developed 2-DOF ankle system in this paper allows both powered flexion in the sagittal plane and passive rotation in the frontal plane; an SEA emulates the biomechanics of the gastrocnemius and Achilles tendon for flexion while a novel universal-joint system provides the 2-DOF. Several studies were undertaken to thoroughly characterize the capabilities of the device. Under both level- and sloped-ground conditions, ankle torque and kinematic data were obtained by using force-plates and a motion capture system. The device was found to be fully capable of providing powered sagittal plane motion and torque very close to that of a biological ankle while simultaneously being able to adapt to sloped terrain by undergoing frontal plane motion, thus providing 2-DOF at the ankle. These findings demonstrate that the device presented in this paper poses radical improvements to powered prosthetic ankle-foot device (PAFD) design.


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