Kinesiology Commons^™

Surface, But Not Age, Impacts Lower Limb Joint Work During Walking And Stair Ascent, Thomas A. Wenzel, Nicholas L. Hunt, Amy E. Holcomb, Clare K. Fitzpatrick, Tyler N. Brown

Kinesiology Faculty Publications and Presentations

Older adults often suffer an accidental fall when navigating challenging surfaces during common locomotor tasks, such as walking and ascending stairs. This study examined the effect of slick and uneven surfaces on lower limb joint work in older and younger adults while walking and ascending stairs. Fifteen young (18–25 years) and 12 older (>65 years) adults had stance phase positive limb and joint work quantified during walking and stair ascent tasks on a normal, slick, and uneven surface, which was then submitted to a two-way mixed model ANOVA for analysis. The stair ascent required greater limb, and hip, knee, …

Age-Related Differences In Motor Performance, Jessica Anne Prebor

Rehabilitation Sciences Theses & Dissertations

The purpose of this work was to study the age effects on average performance and variability of movement responses in children, young adults, and older adults across multiple motor tasks. Optimal motor performance is observed in healthy young adults with declines observed at either end of the lifespan. This pattern has been represented as a U-shaped/inverted U-shaped curve. Little is known about if this pattern persists in chewing dynamics. While chewing has been found to improve aspects of attention, a cognitive function, research is limited on the relationship between chewing and other motor tasks.

The first aim of this research …

The Influence Of Knee Position And Sex On Ultrasound Imaging Of Femoral Cartilage Characteristics, Harry Battersby

Electronic Thesis and Dissertation Repository

The purpose was to examine (1) the effect of measurement position and sex on femoral cartilage outcomes, and (2) the association between gait biomechanics and cartilage outcomes. Fifty individuals participated (25 males, 25 females; Age=20.62±1.80years). Ultrasound measured femoral cartilage thickness and echo-intensity (EI) at 90º, 115º, and 140º of knee flexion. Gait outcomes included the external knee adduction and knee flexion moments. Cartilage outcomes were compared using 2(sex) x 3(position) repeated measures ANOVA. Gait and cartilage associations were assessed using stepwise regression. Cartilage was thicker when measured at 90° compared with 140°, but mainly in males. Males had thicker cartilage …

Obstacle Crossing In Healthy Young And Older Individuals, Hope M. Hanson, Ashlyn M. Jendro, Abigail C. Schmitt

Health, Human Performance and Recreation Undergraduate Honors Theses

Introduction: In the United States, the average population age is rising and will continue to increase in the coming years.With an older population comes increased risk of injury associated with falls. Falls are considered a leading cause of injury and death in older individuals, and many falls are caused by body imbalance or obstacle collision due to a clearly visible stationary object (e.g., rug, chair, branch). Older adults tend to cross obstacles with increased toe clearance in order to prevent tripping, but much of what is known about obstacle crossing in older adults is limited to artificial obstacles that are …

Investigate Effects Of Different Step Lengths At A Preferred Walking Speed On Forefoot And Hindfoot Motion, Emily Lovekin

WWU Graduate School Collection

Hindfoot and forefoot motion during the stance phase of walking provide insights into the forward progression of the body over the feet via the rocker mechanisms. These segmental motions are affected by walking speed. Increases in walking speed are accomplished by increasing step length, cadence, or both. It is unknown if taking short, medium, and long steps at the same speed would also increase hindfoot and forefoot motion similarly to walking speed. We examined effects of different step lengths at the same preferred walking speed on peak forefoot and hindfoot motions related to the foot rocker mechanisms. Twelve young healthy …

Biomechanics Associated With Tibial Stress Fracture In Runners: A Systematic Review And Meta-Analysis, Clare E. Milner, Eric Foch, Joseph M. Gonzales, Drew Peterson

All Faculty Scholarship for the College of Education and Professional Studies

Background

Tibial stress fracture (TSF) is an overuse running injury with a long recovery period. While many running studies refer to biomechanical risk factors for TSF, only a few have compared biomechanics in runners with TSF to controls. The aim of this systematic review and meta-analysis was to evaluate biomechanics in runners with TSF compared to controls.

Methods

Electronic databases PubMed, Web of Science, SPORTDiscus, Scopus, Cochrane, and CINAHL were searched. Risk of bias was assessed and meta-analysis conducted for variables reported in 3 or more studies.

Results

The search retrieved 359 unique records, but only the 14 that compared …

A Biomechanical Approach To Prevent Falls In Ergonomic Settings, Sachini Kodithuwakku Arachchige

Theses and Dissertations

Introduction: Fall-related injuries are exceptionally prevalent in occupational settings. While endangering the workers’ health, falls cause poor productivity and increased economic burden in the workplace. Hence, identifying these threats and training workers to achieve proper postural control is crucial. Purpose: Study 1: To investigate the ankle joint kinematics in unexpected and expected trip responses during single-tasking (ST), dual-tasking (DT), and triple-tasking (TT), before and after a physically fatiguing exercise. Study 2: To investigate the impact of virtual heights, DT, and training on static postural stability and cognitive processing. Methods: Study 1: Twenty collegiate volunteers (10 males and females, one left …

Electromechanical Fatigue Properties Of Dielectric Elastomer Stretch Sensors Under Orthopaedic Loading Conditions, Andrea Karen Persons

Theses and Dissertations

Fatigue testing of stretch sensors often focuses on high amplitude, low-cycle fatigue (LCF) behavior; however, when used for orthopaedic, athletic, or ergonomic assessments, stretch sensors are subjected to low amplitude, high-cycle fatigue (HCF) conditions. As an added layer of complexity, the fatigue testing of stretch sensors is not only focused on the life of the material comprising the sensor, but also on the reliability of the signal produced during the extension and relaxation of the sensor. Research into the development of a smart sock that can be used to measure the range of motion (ROM) of the ankle joint during …

Full-Body Biomechanical Characterization Of Children With Hypermobile Ehlers-Danlos Syndrome During Gait And Activities Of Daily Living, Anahita Alahmoradiqashqai

Theses and Dissertations

Hypermobile Ehlers-Danlos syndrome (hEDS) is an inherited connective tissue disorder, often under-diagnosed, and presenting with frequent chronic pain and severe musculoskeletal symptoms that can drastically reduce the quality of life during one’s life span. While there are limited quantitative approaches in the literature on adult movements, the biomechanics of movements during activities of daily living (ADLs) in children have not been investigated comprehensively. Therefore, the primary purpose of this dissertation was to characterize the biomechanics of the musculoskeletal system and investigate the biomechanics of hEDS by quantifying joint dynamics and muscle activations during ADLs and gait in the pediatric population. …

Characterizing Locomotor Disturbance Perception In Young Adults, Daniel James Liss

Graduate Theses, Dissertations, and Problem Reports

Falls during walking are a leading cause of injuries across aging. Many of these falls are due to slips and trips. The ability to perceive disturbances to ongoing motion may play an important role in the control of walking balance. However, disturbance perception has been investigated in standing balance, but its role in walking balance due to slip- and trip-like disturbances remains largely unknown. Characterizing locomotor disturbance perception in young adults may lead to a more comprehensive understanding of sensorimotor walking balance control.

This work defined locomotor disturbance perception in response to slip and trip-like disturbances in young adults. We …

A Mechanistic View Of Mental Fatigue And Motor Performance: Implications Of Sex, Physical Activity And Sleep Quality, Katie L. Kowalski

Electronic Thesis and Dissertation Repository

Sustained attention on a task leads to the development of mental fatigue, which is characterized by increases in perceived fatigue and associated with declines in submaximal exercise performance. However, the neuromuscular mechanisms underlying the relationship between mental fatigue and declines in motor performance are unclear and it is unknown if there are sex-specific responses to mental fatigue. Accordingly, the overall objective of this dissertation was to examine sex-specific differences in the impact of mental fatigue on neuromuscular function and motor performance in young adults. This objective was achieved through three studies by investigating neuromuscular function of the tibialis anterior (electrophysiological …

Description, Reliability And Validation Of A Novel Ground-Reaction-Force-Triggered Protocol For Simulation Of Tripping Perturbations During Gait, James Anderson, Samuel Hadley, Denise Ng, Catrina Fabian

UNLV Theses, Dissertations, Professional Papers, and Capstones

Tripping is a common cause of falls across different age populations particularly in older adults. Concerns regarding the validity of simulated-fall research protocols reside in the current literature. The purpose of this study was to develop a novel treadmill-based tripping protocol that allowed researchers to deliver unanticipated tripping perturbations during walking with a high level of timing precision. The protocol utilized a side-by-side split-belt treadmill instrumented with force platforms. Treadmill belt acceleration profiles (two levels of perturbation severity: small perturbation vs large perturbation) were delivered unilaterally when the tripped leg bore 20% of the body weight during early stance. Peak …

An Emg Optimization Model Of The Kinetic Demands On The Lower Back During Asymmetrical Gait And Load Carriage, Jacob J. Banks

Doctoral Dissertations

Gait asymmetries are associated with a high incidence of lower back pain (LBP). Although there are several causes of gait asymmetry (i.e. amputation, injury, or deformities), lower back kinetic demands have not been quantified and suitably compared due to experimental limitations in these clinical populations. Further, the impact of gait asymmetry on lower back demands during carrying tasks has not been established. This dissertation addressed these issues by artificially and safely inducing gait asymmetry in healthy able-bodied participants during walking and carrying tasks. LBP risk was assessed by L5/S1 vertebral joint force levels estimated with an OpenSim musculoskeletal model of …

Identification Of Chronic Postural Stability Impairments Associated With History Of Concussion, Nicholas Reilly

Rehabilitation Sciences Theses & Dissertations

Concussion is the most common form of traumatic brain injury (TBI). However, there is a disproportionate level of understanding between the acute and chronic impairments associated with traumatic brain injury. Specifically, problems maintaining balance during standing and walking are cardinal signs of acute concussion, but the temporal extent to which postural control deficits remain following the initial injury are not well defined or understood. The purpose of the projects composing this dissertation was to examine the long-term effects of a prior history of concussion on static (i.e. standing) and dynamic (i.e. gait) postural control. To address this, healthy adults aged …

Beauty That Moves: Dance For Parkinson’S Effects On Affect, Self-Efficacy, Gait Symmetry, And Dual Task Performance, Cecilia Fontanesi, Joseph F. X. Desouza

Publications and Research

Background: Previous studies have investigated the effects of dance interventions on Parkinson’s motor and non-motor symptoms in an effort to develop an integrated view of dance as a therapeutic intervention. This within-subject study questions whether dance can be simply considered a form of exercise by comparing a Dance for Parkinson’s class with a matched-intensity exercise session lacking dance elements like music, metaphorical language, and social reality of art-partaking.

Methods: In this repeated-measure design, 7 adults with Parkinson’s were tested four times; (i) before and (ii) after a Dance for Parkinson’s class, as well as (iii) before and (iv) after a …

A Vicious Cycle Of Fear Of Falling Avoidance Behavior In Parkinson’S Disease: A Path Analysis, Merrill R. Landers, Kameron M. Jacobson, Nicole E. Matsunami, Hannah E. Mccarl, Michelle T. Regis, Jason K. Longhurst

Integrated Health Sciences Faculty Publications

Background: Postural instability (PI) in Parkinson's disease (PD) is associated with several negative downstream consequences. Objective: The purpose was to explore the validity of a theoretical model of these downstream consequences arranged in a vicious cycle wherein PI leads to decreased balance confidence, which in turn leads to increased fear of falling (FOF) avoidance behavior, which in turn leads to decreased physical conditioning, which then feeds back and negatively affects PI. Methods: A path analysis of cross-sectional data from 55 participants with PD was conducted. The four constructs in the model connected in succession were: 1. PI (principal components analysis …

Current Recommendations For Lower Body Aerobic Exercise In Chronic Unilateral Stroke - A Systematic Review, Jordan N. Brown

Electronic Theses and Dissertations

Background: Chronic stroke patients (i.e., > six months since the onset of stroke) continue to experience persistent gait complications. Once formal physical therapy concludes, exercise professionals can implement exercise interventions designed to improve quality of life and reduce risk of secondary stroke. This systematic review aimed to evaluate whether lower-body aerobic exercise transferred to gait improvements in chronic unilateral stroke. Methods: An electronic search of the following databases were undertaken: MEDLINE, CINHAL, Ovid, and SPORTdiscus. Two independent reviewers selected articles using predetermined inclusion criteria: adults (i.e., >18 years old) who suffered from a chronic unilateral stroke. Additionally, all included studies were …

Laboratory Versus Daily Life Gait Characteristics In Patients With Multiple Sclerosis, Parkinson’S Disease, And Matched Controls, Vrutangkumar V. Shah, James Mcnames, Martina Mancini, Patricia Carlson-Kuhta, Rebecca I. Spain, John G. Nutt, Mahmoud El-Gohary, Carolin Curtze, Fay B. Horak

Journal Articles

Background and purpose

Recent findings suggest that a gait assessment at a discrete moment in a clinic or laboratory setting may not reflect functional, everyday mobility. As a step towards better understanding gait during daily life in neurological populations, we compared gait measures that best discriminated people with multiple sclerosis (MS) and people with Parkinson’s Disease (PD) from their respective, age-matched, healthy control subjects (MS-Ctl, PD-Ctl) in laboratory tests versus a week of daily life monitoring.

Methods

We recruited 15 people with MS (age mean ± SD: 49 ± 10 years), 16 MS-Ctl (45 ± 11 years), 16 people with …

Impact Of Parity On Gait Biomechanics, Bekah P. Stein

Masters Theses

Background: Symptomatic knee osteoarthritis (OA) is an incurable condition that affects nearly 50% of adults, and women are twice as likely as men to develop OA. Throughout pregnancy, women experience large changes in morphology and gait mechanics, as well as changes in joint loading. It is possible these adaptations could cause lasting changes postpartum, which may potentially contribute to initiation of OA, thereby increasing the overall risk of OA for women.

Purpose: This exploratory study looked to identify differences between lower limb gait mechanics of healthy nulliparous women and healthy parous women.

Methods: 28 healthy female participants (14 parous, 14 …

To Walk Or To Run – A Question Of Movement Attractor Stability, Peter C. Raffalt, Jenny A. Kent, Shane R. Wurdeman, Nicholas Stergiou

Journal Articles

During locomotion, humans change gait mode between walking and running as locomotion speed is either increased or decreased. Dynamical systems theory predicts that the self-organization of coordinated motor behaviors dictates the transition from one distinct stable attractor behavior to another distinct attractor behavior (e.g. walk to run or vice versa) as the speed is changed. To evaluate this prediction, the present study investigated the attractor stability of walking and running across a range of speeds evoking both self-selected gait mode and non-self-selected gait mode. Eleven subjects completed treadmill walking for 3 min at 0.89, 1.12, 1.34, 1.56, 1.79, 2.01, 2.24 …

Features Of Acceleration And Angular Velocity Using Thigh Imus During Walking In Water, Koichi Kaneda, Yuji Ohgi, Mark Mckean, Brendan Burkett

International Journal of Aquatic Research and Education

Ten participants were assessed while walking in water and on land with wearable inertial measurement units (IMUs) attached to the right thigh. Longitudinal acceleration, anterior-posterior acceleration, and frontal axis angular velocity were measured at 100 Hz, matched with video analysis sampled at 25 Hz during the walking trials. The longitudinal acceleration showed almost 1 g from initial heel contact to 70% of one cycle, and the anterior-posterior acceleration showed a sinusoidal pattern, synchronizing the approximate posture of the thigh in water. The frontal axis angular velocity fluctuated less while walking in water compared with on land, because thigh motion speed …

An Investigation Of The Effect Of Chewing On Rhythmic Motor Tasks, Brittany S. Samulski

Rehabilitation Sciences Theses & Dissertations

Chewing gum and walking has traditionally been cited as the quintessentially difficult dual task, but little is known regarding chewing effects on motor control. The aims of this dissertation include describing chewing patterns across adulthood, describing chewing’s influence on secondary motor tasks, and investigate entrainment patterns of chewing and gait per established patterns of coupled oscillators. Three experiments were conducted to describe chewing patterns and to examine the effect chewing has on other motor tasks, particularly walking, in young and old adults. The first experiment used a metronome to manipulate chewing rates and measured associated gait parameters. This experiment established …

Step Width Variability As A Discriminator Of Age-Related Gait Changes, Andreas Skiadopoulos, Emily E. Moore, Harlan Sayles, Kendra K. Schmid, Nicholas Stergiou

Journal Articles

Background

There is scientific evidence that older adults aged 65 and over walk with increased step width variability which has been associated with risk of falling. However, there are presently no threshold levels that define the optimal reference range of step width variability. Thus, the purpose of our study was to estimate the optimal reference range for identifying older adults with normative and excessive step width variability.

Methods

We searched systematically the BMC, Cochrane Library, EBSCO, Frontiers, IEEE, PubMed, Scopus, SpringerLink, Web of Science, Wiley, and PROQUEST databases until September 2018, and included the studies that measured step width variability …

The Influence Of Over-Ground Versus Treadmill Walking On Gait Mechanics In Children With Autism Spectrum Disorder, Emily Ann Chavez

Open Access Theses & Dissertations

Treadmill (TM) walking may be a way to combat obesity and socio-behavioral barriers associated with children with Autism Spectrum disorder (ASD), though tripping-risk has not yet been assessed for this population through use of spatial-temporal gait analysis. The aim of this project/study was to examine spatial-temporal walking mechanics and lower extremity tripping descriptors between over ground (OG) and TM gait conditions in children with ASD compared to children with neurotypical development (NT). Kinematics data were obtained through tridimensional motion analysis where participants, 10 children with ASD and 9 age- and sexmatched NT controls, were outfitted with retroreflective markers on their …

Biomechanics And Neural Control Of Movement: Cmi's Effects On Downstream Motor Processing And Gait In Forwards And Backwards Walking, Christopher Choi

CMC Senior Theses

Analyzing the effects of cognitive motor interferences (CMI) on walking is usually done in patients with neurological comorbidity or during forward walking (FW). However, there are few studies that examine gait differences between FW and backward walking (BW) under the presence of CMI when speed is kept constant on a treadmill. In this study we examined how CMI would disrupt sensory feedback and affect the descending motor pathway. We hypothesized that subjects that walked backwards and were given a cognitive task would show the greatest differences in gait due to a lack of visual input and the presence of CMI. …

Differences In Falls And Recovery From A Slip Based On An Individual's Lower Extremity Corrective Response, Samuel J. Wilson, Paul T. Donahue, Charles C. Williams, Christopher M. Hill, Jeffrey D. Simpson, Dwight E. Waddell, Jeremy P. Loenneke, Harish Chander, Chip Wade, John C. Garner

Faculty Publications

Background: Slips and falls account for high rates of injury and mortality in multiple populations. The corrective responses during the slip perturbation have been well documented. However, when a fall results from a slip, it is unclear which of these responses were inadequate.

Objective: The purpose of this study was to examine differences in lower extremity corrective responses of the slip recovery response between individuals who fall and those who recover.

Methodology: Sixty-four participants completed this study (32 males & 32 females). Participant’s gait kinematics and kinetics were collected during normal gait (NG) and an unexpected slip …

Locomotor Patterns Change Over Time During Walking On An Uneven Surface, Jenny A. Kent, Joel H. Sommerfeld, Mukul Mukherjee, Kota Z. Takahashi, Nicholas Stergiou

Journal Articles

During walking, uneven surfaces impose new demands for controlling balance and forward progression at each step. It is unknown to what extent walking may be refined given an amount of stride-to-stride unpredictability at the distal level. Here, we explored the effects of an uneven terrain surface on whole-body locomotor dynamics immediately following exposure and after a familiarization period. Eleven young, unimpaired adults walked for 12 min on flat and uneven terrain treadmills. The whole-body center of mass excursion range (COM_exc) and peak velocity (COM_vel), step length and width were estimated. On first exposure to uneven terrain, …

Walking For Object Transport: An Examination Of The Coordinative Adaptations To Locomotor, Perceptual, And Manual Task Constraints, Avelino Amado

Doctoral Dissertations

The goal of this dissertation was to understand how the intrinsic dynamics of gait adapt to support the performance of an ecologically relevant object transport task. A common object transport task is walking with a cup of water. Because the water can move relatively independent of the cup, the cup and water system is classified as a complex object. To model this task participants carried a cup with a wooden lid placed on top. On the lid there was a circular region with the same circumference as the cup and a ball. The object of the task was to keep …

The Impact Of Anterior Cruciate Ligament Reconstructive Surgery On Neuromotor Function, Cortney Noel Armitano

Rehabilitation Sciences Theses & Dissertations

The purpose of this dissertation was to examine the systemic neuromechanical implications in individuals who have had an ACL reconstruction (ACLR) compared to healthy controls. The specific aims addressed were to: 1) examine differences in inter-limb coordination during walking at different speeds, 2) examine differences in trunk, neck and head acceleration during gait, and 3) investigate whether the reaction time responses assessed during stepping are negatively affected by ACLR.

The findings of study 1 revealed that maximal coordination stability was achieved when walking at the person’s preferred gait speed. However, individuals with a previous ACLR exhibited reduced coordination stability between …

An Altered Spatiotemporal Gait Adjustment During A Virtual Obstacle Crossing Task In Patients With Diabetic Peripheral Neuropathy, Chun-Kai Huang, Vijay Shivaswamy, Pariwat Thaisetthawatkul, Lynn Mack, Nicholas Stergiou, Ka-Chun Siu

Journal Articles

This study investigates spatiotemporal gait adjustments that occur while stepping over virtual obstacles during treadmill walking in people with/without diabetic peripheral neuropathy (DPN). Eleven adults with Type 2 diabetes mellitus, ten DPN, and 11 age-matched healthy adults (HTY) participated in this study. They stepped over forthcoming virtual obstacles during treadmill walking. Outcomes such as success rate, spatiotemporal gait characteristics during obstacle crossing, and correlations between these variables were evaluated. The results partially supported our hypotheses that when comparing with HTY and DM, people with DPN adopted a crossing strategy which decreased obstacle crossing success rate and maximal toe elevation, …