The effects of gait strategy on metabolic rate and indicators of stability during downhill walking

作者: E.D. Monsch , C.O. Franz , J.C. Dean

DOI: 10.1016/J.JBIOMECH.2012.05.024

关键词: Effect of gait parameters on energetic costMetabolic rateFall riskPhysical therapyStability (probability)GaitMathematicsBalance (ability)STRIDEPreferred walking speedPhysical medicine and rehabilitation

摘要: When walking at a given speed, humans often appear to prefer gait patterns that minimize metabolic rate, thereby maximizing economy. However, recent experiments have demonstrated do not maximize economy when downhill. The purpose of this study was investigate whether non-metabolically optimal behavior is the result trade-off between and stability. We hypothesized ability modulate their strategy increase either or stability, but in one measure will be accompanied by decrease other. Subjects walked downhill using strategies ranging from risky conservative, which were prescribed verbal instructions induced threat perturbations. quantified spatiotemporal characteristics, rate several indicators stability previously associated with fall risk: stride period variability; step width Lyapunov exponents; Floquet multipliers; fractal index. subjects conservative strategies, periods lengths decreased, increased, anteroposterior maximum exponents has been interpreted as an indicator decreased These results provide clear support for proposed particularly approximated complex metrics. pattern changes linked increased risk observed our healthy strategy, suggesting these may response to, rather than cause of, risk.

参考文章(43)
Jennifer S Brach, Jaime E Berlin, Jessie M VanSwearingen, Anne B Newman, Stephanie A Studenski, Too much or too little step width variability is associated with a fall history in older persons who walk at or near normal gait speed. Journal of Neuroengineering and Rehabilitation. ,vol. 2, pp. 21- 21 ,(2005) , 10.1186/1743-0003-2-21
Brian E. Maki, Gait Changes in Older Adults: Predictors of Falls or Indicators of Fear? Journal of the American Geriatrics Society. ,vol. 45, pp. 313- 320 ,(1997) , 10.1111/J.1532-5415.1997.TB00946.X
Sjoerd M. Bruijn, Jaap H. van Dieën, Onno G. Meijer, Peter J. Beek, Statistical precision and sensitivity of measures of dynamic gait stability. Journal of Neuroscience Methods. ,vol. 178, pp. 327- 333 ,(2009) , 10.1016/J.JNEUMETH.2008.12.015
Shawn M O'Connor, Arthur D Kuo, None, Direction-Dependent Control of Balance During Walking and Standing Journal of Neurophysiology. ,vol. 102, pp. 1411- 1419 ,(2009) , 10.1152/JN.00131.2009
Li Li, Jeffrey M. Haddad, Joseph Hamill, Stability and variability may respond differently to changes in walking speed Human Movement Science. ,vol. 24, pp. 257- 267 ,(2005) , 10.1016/J.HUMOV.2005.03.003
Kevin P. Granata, Thurmon E. Lockhart, Dynamic stability differences in fall-prone and healthy adults. Journal of Electromyography and Kinesiology. ,vol. 18, pp. 172- 178 ,(2008) , 10.1016/J.JELEKIN.2007.06.008
L.C. Hunter, E.C. Hendrix, J.C. Dean, The cost of walking downhill: Is the preferred gait energetically optimal? Journal of Biomechanics. ,vol. 43, pp. 1910- 1915 ,(2010) , 10.1016/J.JBIOMECH.2010.03.030
Thurmon E. Lockhart, Jian Liu, Differentiating fall-prone and healthy adults using local dynamic stability Ergonomics. ,vol. 51, pp. 1860- 1872 ,(2008) , 10.1080/00140130802567079
M. Y. Zarrugh, F. N. Todd, H. J. Ralston, Optimization of energy expenditure during level walking. European Journal of Applied Physiology. ,vol. 33, pp. 293- 306 ,(1974) , 10.1007/BF00430237
Jonathan B. Dingwell, Joseph P. Cusumano, Re-interpreting detrended fluctuation analyses of stride-to-stride variability in human walking Gait & Posture. ,vol. 32, pp. 348- 353 ,(2010) , 10.1016/J.GAITPOST.2010.06.004