The Stance Phase of Walking During Late Pregnancy

2005 ◽  
Vol 95 (3) ◽  
pp. 247-253 ◽  
Author(s):  
Janelle K. Lymbery ◽  
Wendy Gilleard

The purpose of this study was to investigate temporospatial and ground reaction force variables in the stance phase of walking during late pregnancy. An eight-camera motion-analysis system was used to record 13 pregnant women at 38 weeks’ gestation and again 8 weeks after birth. In late pregnancy, there was a wider step width, and mediolateral ground reaction force tended to be increased in a medial direction. The center of pressure moved more medially initially and less anteriorly at 100% of stance in late pregnancy. The differences suggest that women may adapt their gait to maximize stability in the stance phase of walking and to control mediolateral motion. (J Am Podiatr Med Assoc 95(3): 247–253, 2005)

2013 ◽  
Vol 9 (1) ◽  
pp. 13-21 ◽  
Author(s):  
J. Sinclair ◽  
S.J. Hobbs ◽  
G. Currigan ◽  
P.J. Taylor

This study examined differences in kinetics and kinematics between barefoot and shod running, as well as between several barefoot inspired footwear models. Fifteen participants ran at 4.0 m/s ±5% in each footwear condition. Lower extremity kinematics in the sagittal, coronal and transverse planes were measured using an eight camera motion analysis system alongside ground reaction force parameters. Impact parameters and joint kinematics were subsequently compared using repeated measures ANOVAs. The kinetic analysis revealed that, compared to the conventional footwear, impact parameters were significantly greater in the barefoot and more minimal in barefoot inspired footwear. Running barefoot and in the minimal barefoot inspired footwear was associated with increases in flexion parameters of the knee and ankle at footstrike in relation to the conventional footwear. Finally, the results indicated that the barefoot and minimal barefoot inspired footwear were associated with greater peak eversion magnitude when compared to the conventional footwear. This study suggests that in barefoot and more minimalist barefoot inspired footwear running is associated with impact kinetics and rearfoot eversion parameters, previously linked to an increased risk of overuse injury, when compared to conventional shod running.


Author(s):  
F Yazdani ◽  
M Razeghi ◽  
S Ebrahimi

Background: Excessive range of adductory free moment of the ground reaction force may potentially increase the risk of lower extremity injuries by applying a higher torsional load transmitted to the proximal parts.Objective: It was hypothesized that the free moment pattern might be different between hyper-pronated and normal feet subjects. Moreover, a correlation would exist between peak adduction free moment and peak ankle-foot complex abduction at the stance phase of walking.Methods: Thirty female participants were divided into two groups of asymptomatic hyper-pronated and normal feet. Kinetic and kinematic data were collected using a single force plate and a six-camera motion analysis system during three successful free speed walking trials. Ensemble average curves were extracted from the time normalized individual trials of the stance phase for both free moment and peak ankle-foot complex abduction parameters.Results: Significant differences in peak adductory free moment, peak ankle-foot complex eversion and peak ankle-foot complex abduction were found between normal and hyper-pronated groups (4.90±0.97Vs. 5.94±0.88, P < 0.01), (3.30±0.95Vs. 6.28±1.47, P < 0.01) and (4.52±1.16Vs. 8.23±2.52, P < 0.01, respectively).A significant positive correlation was found between the peak adduction free moment and peak ankle-foot complex abduction in both groups, which was more strongly positive in hyper-pronated group (r = 0.745, p < 0.01, normal group, r = 0.900, p < 0.01, hyper-pronated group).Conclusion: As a good measure of torque which is transmitted to the lower extremity, may free moment be a useful biomechanical indicator for both clinical and research purposes.


2019 ◽  
Vol 2019 ◽  
pp. 1-14 ◽  
Author(s):  
Zlatko Matjačić ◽  
Matjaž Zadravec ◽  
Andrej Olenšek

Background. Common understanding is that adequate foot placement (stepping strategy) is crucial in maintaining stability during walking at normal speed. The aim of this study was to investigate strategies that humans use to cope with lateral perturbations during very slow walking. Methods. Ten healthy individuals underwent an experimental protocol whereby a set of perturbations directed inward (medially to a stance leg) and outward (laterally to a stance leg) of three intensities (F1=5%, F2=10%, and F3=15% of body weight), applied at three instances of a stance phase, were delivered in random order to the pelvis using a balance assessment robot while walking on a treadmill at three walking speeds (S1=0.4, S2=0.6, and S3=0.8 m/s). We analyzed the peak center of mass displacements; step length, step width, and step times; and the lateral component of ground reaction force for perturbations that were delivered at the beginning of the gait cycle. Results. Responses after inward perturbations were similar at all tested speeds and consistently employed stepping strategy that was further facilitated by a shortened stance. Wider and shorter steps were applied with increased perturbation intensity. Responses following outward perturbations were more complex. At S1, hip strategy (impulse-like increase of mediolateral ground reaction force) augmented with ankle strategy (mediolateral shift of the center of pressure) mainly contributed to responses already during the stance phase. The stance duration was significantly longer for all perturbation intensities. At S2, the relative share of hip strategy was reduced while with increased perturbation intensity, stepping strategy was gradually added. The stance duration was significantly longer for F1 and F2. At S3, stepping strategy was mainly used while the duration of stance was similar to the one in unperturbed walking. Responses following both inward and outward perturbations at all speeds were characterized by temporary slowing down movement in a sagittal plane that was more pronounced with increased perturbation intensity. Conclusions. This study provides novel insights into balancing strategies used at slower walking speeds which may be more relevant to understand the challenges of gait stability following perturbations in the frontal plane in clinical populations.


2021 ◽  
Vol 11 (10) ◽  
pp. 4562
Author(s):  
Chien-Chung Kuo ◽  
Hsing-Po Huang ◽  
Hsuan-Yu Lu ◽  
Tsan-Yang Chen ◽  
Ting-Ming Wang ◽  
...  

Impaired motor control and musculotendon tightness in the lower extremities are characteristic features of patients with diplegic cerebral palsy (CP). Tendon release surgery (TRS) helps improve joint and leg stiffness, but the effects of TRS on inter-limb coordination in terms of the total leg stiffness, and the bilateral symmetry in leg stiffness during gait, remain unknown. Ten children with spastic diplegic CP scheduled for TRS and ten healthy controls participated in this study. The inter-limb sharing of total leg stiffness during double-limb support phase and bilateral leg stiffness symmetry during stance phase of gait were calculated using the kinematic and ground reaction force data measured by a motion analysis system. Before TRS, the patients with diplegic CP walked with a decreased share of total leg stiffness during weight-acceptance (p < 0.05) and with increased bilateral leg stiffness asymmetry during single-limb support and weight-transfer during gait (p < 0.05) when compared to healthy controls. After TRS, the bilateral leg stiffness asymmetry was significantly reduced in the CP group, especially in the terminal stance phase, with inter-limb sharing of total leg stiffness becoming similar to that in controls (p > 0.05). The surgery seemed to improve the lower limb control and increased the bilateral limb symmetry during gait.


Author(s):  
Seobin Choi ◽  
Jieon Lee ◽  
Gwanseob Shin

Stiff-knee, which indicates reduced range of knee flexion, may decrease gait stability. Although it is closely related to an increase in fall risk, the effect of limited knee flexion on the balance capacity during walking has not been well studied. This study aimed at examining how walking with limited knee flexion would influence the center of pressure (COP) trajectory and spatiotemporal gait parameters. Sixteen healthy young participants conducted four different walking conditions: normal walking and walking with limited knee flexion of their left knee up to 40 and 20 degrees, respectively. Results show that the participants walked significantly (p<0.05) slower with shorter stride length, wider step width, less cadence, and decreased stance phase when walking with limited knee flexion, compared to normal walking. The increase in the asymmetry and variability of the COP was also observed. It indicates that limited knee flexion during walking might affect the dynamic balance.


2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Fabian Horst ◽  
Djordje Slijepcevic ◽  
Marvin Simak ◽  
Wolfgang I. Schöllhorn

AbstractThe Gutenberg Gait Database comprises data of 350 healthy individuals recorded in our laboratory over the past seven years. The database contains ground reaction force (GRF) and center of pressure (COP) data of two consecutive steps measured - by two force plates embedded in the ground - during level overground walking at self-selected walking speed. The database includes participants of varying ages, from 11 to 64 years. For each participant, up to eight gait analysis sessions were recorded, with each session comprising at least eight gait trials. The database provides unprocessed (raw) and processed (ready-to-use) data, including three-dimensional GRF and two-dimensional COP signals during the stance phase. These data records offer new possibilities for future studies on human gait, e.g., the application as a reference set for the analysis of pathological gait patterns, or for automatic classification using machine learning. In the future, the database will be expanded continuously to obtain an even larger and well-balanced database with respect to age, sex, and other gait-specific factors.


2021 ◽  
Author(s):  
Andrej Olenšek ◽  
Matjaž Zadravec ◽  
Helena Burger ◽  
Zlatko Matjačić

Abstract BackgroundDue to disrupted motor and proprioceptive function lower limb amputation imposes considerable challenges associated with balance and greatly increases risk of falling in case of perturbations during walking. The aim of this study was to investigate dynamic balancing responses in unilateral transtibial amputees when they were subjected to perturbing pushes to the pelvis in outward direction at the time of foot strike on non-amputated and amputated side during slow walking.MethodsFourteen subjects with unilateral transtibial amputation and nine control subjects participated in the study. They were subjected to perturbations that were delivered to the pelvis at the time of foot strike of either the left or right leg. We recorded trajectories of center of pressure and center of mass, durations of in-stance and stepping periods as well as ground reaction forces. Statistical analysis was performed to determine significant differences in dynamic balancing responses between control subjects and subjects with amputation when subjected to outward-directed perturbation upon entering stance phases with non-amputated or amputated side.ResultsWhen outward-directed perturbations were delivered at the time of foot strike of the non-amputated leg, subjects with amputation were able to modulate center of pressure and ground reaction force similarly as control subjects which indicates application of in-stance balancing strategies. On the other hand, there was a complete lack of in-stance response when perturbations were delivered when the amputated leg entered the stance phase. Subjects with amputations instead used the stepping strategy and adjusted placement of the non-amputated leg in the ensuing stance phase to make a cross-step. Such response resulted in significantly higher displacement of center of mass. ConclusionsResults of this study suggest that due to the absence of the COP modulation mechanism, which is normally supplied by ankle motor function, people with unilateral transtibial amputation are compelled to choose the stepping strategy over in-stance strategy when they are subjected to outward-directed perturbation on the amputated side. However, the stepping response is less efficient than in-stance response. To improve their balancing responses to unexpected balance perturbation people fitted with passive transtibial prostheses should undergo perturbation-based balance training during clinical rehabilitation.


2014 ◽  
Vol 30 (1) ◽  
pp. 154-159 ◽  
Author(s):  
Hiroaki Hobara ◽  
Koh Inoue ◽  
Yoshiyuki Kobayashi ◽  
Toru Ogata

Despite the presence of several different calculations of leg stiffness during hopping, little is known about how the methodologies produce differences in the leg stiffness. The purpose of this study was to directly compareKlegduring hopping as calculated from three previously published computation methods. Ten male subjects hopped in place on two legs, at four frequencies (2.2, 2.6, 3.0, and 3.4 Hz). In this article, leg stiffness was calculated from the natural frequency of oscillation (method A), the ratio of maximal ground reaction force (GRF) to peak center of mass displacement at the middle of the stance phase (method B), and an approximation based on sine-wave GRF modeling (method C). We found that leg stiffness in all methods increased with an increase in hopping frequency, butKlegvalues using methods A and B were significantly higher than when using method C at all hopping frequencies. Therefore, care should be taken when comparing leg stiffness obtained by method C with those calculated by other methods.


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