Kinesiology Commons^™

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, …

Uneven Terrain Exacerbates The Deficits Of A Passive Prosthesis In The Regulation Of Whole Body Angular Momentum In Individuals With A Unilateral Transtibial Amputation, Jenny A. Kent, Kota Z. Takahashi, Nicholas Stergiou

Journal Articles

Background

Uneven ground is a frequently encountered, yet little-studied challenge for individuals with amputation. The absence of control at the prosthetic ankle to facilitate correction for surface inconsistencies, and diminished sensory input from the extremity, add unpredictability to an already complex control problem, and leave limited means to produce appropriate corrective responses in a timely manner. Whole body angular momentum, L, and its variability across several strides may provide insight into the extent to which an individual can regulate their movement in such a context. The aim of this study was to explore L in individuals with a transtibial amputation, …

Stride-Time Variability Is Related To Sensorimotor Cortical Activation During Forward And Backward Walking, Boman Groff, Prokopios Antonellis, Kendra K. Schmid, Brian Knarr, Nicholas Stergiou

Journal Articles

Previous research has used functional near-infrared spectroscopy (fNIRS) to show that motor areas of the cortex are activated more while walking backward compared to walking forward. It is also known that head movement creates motion artifacts in fNIRS data. The aim of this study was to investigate cortical activation during forward and backward walking, while also measuring head movement. We hypothesized that greater activation in motor areas while walking backward would be concurrent with increased head movement. Participants performed forward and backward walking on a treadmill. Participants wore motion capture markers on their head to quantify head movement and pressure …

Electronic Measurement Of Plantar Contact Area During Walking Using An Adaptive Thresholding Method For Medilogic Pressure-Measuring Insoles, Daniel E. Lidstone, Jessica Deberardinis, Janet S. Dufek, Mohamed B. Trabia

Kinesiology and Nutrition Sciences Faculty Publications

Background: Pressure-measuring insoles have the potential to measure plantar contact area (PA) during walking. However, they are not widely used for this purpose because of the need for a reliable process that can convert the insole output into PA. The purposes of this study were to: (1) develop an adaptive-threshold method for pressure-measuring insoles that can improve the accuracy of the PA measurements during walking, and (2) experimentally assess the accuracy and generalizability of this method. Methods: A sample of 42 healthy, ambulatory, young adults (age = 24.3 ± 3.2 years, mass = 67.2 ± 16.9 kg, height = 1.63 …

The Effects Of Concussion On Tandem Gait Performance With Secondary Cognitive Tasks, Angel Lomeli

Cal Poly Humboldt theses and projects

Identifying concussions occurs with a battery of cognitive and motor tests. However, these tests are performed independently as primary tasks. Research has demonstrated amplified motor differences due to concussion when performing simultaneous cognitive tasks (i.e. dual-tasks). The Tandem Gait Test (TGT) is used in concussion assessment and has only moderate sensitivity and specificity alone. The aim of this study was to determine the effect of concussion on TGT performance with secondary cognitive tasks. Six concussed participants (age 22.6 ± 2.8) and fourteen healthy participants (age 23.8 ± 2.7) were recruited through the North Coast Concussion Program within 13 days (7 …

Walking Biomechanics And Energetics Of Individuals With A Visual Impairment: A Preliminary Report, Hunter J. Bennett, Kevin A. Valenzuela, Kristina Fleenor, Steven Morrison, Justin A. Haegele

Human Movement Sciences & Special Education Faculty Publications

Purpose.

Although walking gait in sighted populations is well researched, few studies have investigated persons with visual impairments (VIs). Given the lack of physical activity in people with VIs, it is possible that reduced efficiency in walking could adversely affect activity. The purposes of this preliminary study were to (1) examine the biomechanics and energetics utilized during independent and guided walking in subjects with VIs, and (2) compare gait biomechanics between people with VIs and sighted controls.

Methods.

Three-dimensional motion capture and force platforms were used during independent and guided walking at self-selected speeds. Joint angles, moments, external work, and …

Walking With A Robotic Exoskeleton Does Not Mimic Natural Gait: A Within-Subjects Study, Chad Swank, Sharon Wang-Price, Fan Gao, Sattam Almutairi

Kinesiology and Health Promotion Faculty Publications

Background: Robotic exoskeleton devices enable individuals with lower extremity weakness to stand up and walk over ground with full weight-bearing and reciprocal gait. Limited information is available on how a robotic exoskeleton affects gait characteristics.

Objective: The purpose of this study was to examine whether wearing a robotic exoskeleton affects temporospatial parameters, kinematics, and muscle activity during gait.

Methods: The study was completed by 15 healthy adults (mean age 26.2 [SD 8.3] years; 6 males, 9 females). Each participant performed walking under 2 conditions: with and without wearing a robotic exoskeleton (EKSO). A 10-camera motion analysis system synchronized with 6 …

Sampling Frequency Influences Sample Entropy Of Kinematics During Walking, Peter C. Raffalt, John D. Mccamley, William Denton, Jennifer M. Yentes

Journal Articles

Sample entropy (SaEn) has been used to assess the regularity of lower limb joint angles during walking. However, changing sampling frequency and the number of included strides can potentially affect the sample entropy. The present study investigated the effect of sample frequency and the number of included strides on the calculations of SaEn in joint angle signals recorded during treadmill walking. Eleven subjects walked at their preferred walking speed for 10 minutes, and SaEn was calculated on sagittal plane hip, knee and ankle angle signals extracted from 50, 100, 200, 300 and 400 strides at sampling frequencies of 60, 120, …

On The Calculation Of Sample Entropy Using Continuous And Discrete Human Gait Data, John D. Mccamley, William Denton, Peter C. Raffalt, Jennifer M. Yentes

Journal Articles

Sample entropy (SE) has relative consistency using biologically-derived, discrete data >500 data points. For certain populations, collecting this quantity is not feasible and continuous data has been used. The effect of using continuous versus discrete data on SE is unknown, nor are the relative effects of sampling rate and input parameters m (comparison vector length) and r(tolerance). Eleven subjects walked for 10-minutes and continuous joint angles (480 Hz) were calculated for each lower-extremity joint. Data were downsampled (240, 120, 60 Hz) and discrete range-of-motion was calculated. SE was quantified for angles and range-of-motion at all sampling rates and multiple combinations …

Gait Alterations And Plantar Pressure In Diabetic Peripheral Neuropathy: A Preliminary Study, Adrienne Dora Henderson

Theses and Dissertations

Background: Despite a lack of consensus on its utility, clinicians have traditionally relied on plantar pressure (PP) to predict ulcer risk and prescribe interventions in individuals with diabetic peripheral neuropathy (DPN). Joint kinematics and kinetics have the potential to contribute to DPN assessment and treatment, however previous studies have not accounted for walking speed nor integrated a full-body analysis with a detailed foot model. Purpose: To assess PP and gait alterations in DPN by controlling walking speed and incorporating a multisegment foot model into a full-body gait analysis. We hypothesize that hip and ankle kinetics will be altered consistent with …

Knee Joint Kinematics And Kinetics During Walking And Running After Surgical Achilles Tendon Repair, Daniel Jandacka, Jan Plesek, Jiri Skypala, Jaroslav Uchytil, Julia Freedman Silvernail, Joseph Hamill

Kinesiology and Nutrition Sciences Faculty Publications

Background: Despite the increasing incidence of Achilles tendon (AT) ruptures, there is a lack of information on the possible risks associated with regular running and walking for exercise after an injury. There are some known kinematic gait changes after an AT rupture, especially at the knee. However, it is not clear whether runners with AT ruptures may be at risk for secondary knee injuries during shod or barefoot running/walking. Purpose/Hypothesis: The purpose of this study was to compare the kinematics and kinetics of barefoot walking and barefoot and shod running between athletes with a history of AT ruptures and a …

Gait Asymmetry In People With Parkinson’S Disease Is Linked To Reduced Integrity Of Callosal Sensorimotor Regions, Brett W. Fling, Carolin Curtze, Fay B. Horak

Journal Articles

Background: Individuals with Parkinson’s disease (PD) often manifest significant temporal and spatial asymmetries of the lower extremities during gait, which significantly contribute to mobility impairments. While the neural mechanisms underlying mobility asymmetries within this population remain poorly understood, recent evidence points to altered microstructural integrity of white matter fiber tracts within the corpus callosum as potentially playing a substantial role.

Objectives: The purpose of this study was to quantify spatial and temporal gait asymmetries as well as transcallosal microstructural integrity of white matter fiber tracts connecting the primary and secondary sensorimotor cortices in people with PD and age-matched control participants. …

The Effect Of Treadmill Vs. Nustep Recumbent Cross Trainer On Gait And Lower Extremity Electromyography After Chronic Stroke, Nicholas Joseph Siekirk

Wayne State University Dissertations

Pilot Part 1: The purpose was to investigate the effect of a perceived exertion based cadence on lower extremity muscle activation, as measured by surface electromyography (EMG) on a recumbent cross trainer. The purpose of this investigation was to study the EMG activity of 12 lower extremity muscles during five different stepping protocols; perceived exertion based self-selected (SS) cadence with level 1 resistance (SSL1), SS cadence with level 8 resistance (SSL8), +20% SS cadence (SS+20), -20% SS cadence (SS-20), and at a set 80 steps per minute at resistance level 1 (80L1). In order to determine SS cadence each participant …

The Slippery Slope Between Falling And Recovering: An Examination Of Sensory And Somatic Factors Influencing Recovery After A Slip, Samuel J. Wilson

Electronic Theses and Dissertations

Background: Slips and falls account for large rates of injury and mortality in multiple populations. During an unexpected slip, sensory mechanisms are responsible for signaling the slip to the central nervous system, and a series of corrective responses is generated to arrest the slip and prevent a fall. While previous research has examined the corrective responses elicited, the answer of how these systems break down during a fall remains elusive. Purpose: To examine differences in postural control (slip detection), lower extremity corrective responses (slip recovery), and cortical control of the slip recovery response between individuals who fall and those who …

Prosthetic Energy Return During Walking Increases After 3 Weeks Of Adaptation To A New Device, Samuel F. Ray, Shane R. Wurdeman, Kota Z. Takahashi

Journal Articles

Background: There are many studies that have investigated biomechanical differences among prosthetic feet, but not changes due to adaptation over time. There is a need for objective measures to quantify the process of adaptation for individuals with a transtibial amputation. Mechanical power and work profiles are a primary focus for modern energystorage- and-return type prostheses, which strive to increase energy return from the prosthesis. The amount of energy a prosthesis stores and returns (i.e., negative and positive work) during stance is directly influenced by the user’s loading strategy, which may be sensitive to alterations during the course of an adaptation …

Differences In Walking Mechanics Between A Traditional Walker And The Kb Balance Trainer, Silvia Zanini

Electronic Theses and Dissertations

INTRODUCTION: Millions of individuals with ambulatory difficulties rely on walking aids to maintain independence and mobility. However, users of traditional walkers typically exhibit increased forward lean of their trunk while using the assistive device. The KB Balance Trainer is a new posterior walker designed to facilitate a more erect position during gait. PURPOSE: To compare gait mechanics across three walking conditions: unassisted, using a traditional walker, and using the KB Balance Trainer. METHODS: Seven adults with experience using walkers due to ambulatory difficulties participated in the study. The study consisted of one training session and one gait analysis session. The …

Changes In Gait And Texting Ability During Progressively Difficult Gait Tasks, Andrew J. Strubhar, Brody Rapp, Dillon Thomas

International Journal of Exercise Science

International Journal of Exercise Science 10(5): 743-753, 2017. To investigate the effects of a cell phone texting task on an individual’s ability to perform three ambulation-based tasks, each with different and progressively more difficult demands. 36 participants (24 male/12 female, average age 23.4) performed: a Timed Up & Go (TUG), stair ambulation (STAIR), and tandem gait (TAN). Participants completed each gait-based task under four conditions: as a practice, while holding their cellular device (baseline), while texting a message, and while reading a message. Statistically significant differences were found within the following variables: 1) mean time to complete a gait task …

Dynamic Balance Changes Within Three Weeks Of Fitting A New Prosthetic Foot Component, Jenny A. Kent, Nicholas Stergiou, Shane R. Wurdeman

Journal Articles

Balance during walking is of high importance to prosthesis users and may affect walking during baseline observation and evaluation. The aim of this study was to determine whether changes in walking balance occurred during an adaptation period following the fitting of a new prosthetic component.

Margin of stability in the medial-lateral direction (MOSML) and an anterior instability margin (AIM) were used to quantify the dynamic balance of 21 unilateral transtibial amputees during overground walking. Participants trialled two prosthetic feet presenting contrasting movement/balance constraints; a Higher Activity foot similar to that of their own prosthesis, and a Lower Activity foot. Participants …

Patients With Chronic Obstructive Pulmonary Disease Walk With Altered Step Time And Step Width Variability As Compared With Healthy Control Subjects, Jennifer M. Yentes, Stephen I. Rennard, Kendra K. Schmid, Daniel Blanke, Nikolaos Stergiou

Journal Articles

Rationale: Compared with control subjects, patients with chronic obstructive pulmonary disease (COPD) have an increased incidence of falls and demonstrate balance deficits and alterations in mediolateral trunk acceleration while walking. Measures of gait variability have been implicated as indicators of fall risk, fear of falling, and future falls.

Objectives: To investigate whether alterations in gait variability are found in patients with COPD as compared with healthy control subjects.

Methods: Twenty patients with COPD (16 males; mean age, 63.6 ± 9.7 yr; FEV1/FVC, 0.52 ± 0.12) and 20 control subjects (9 males; mean age, 62.5 ± 8.2 yr) walked for 3 …

Gait Changes In A Line Of Mice Artificially Selected For Longer Limbs, Leah M. Sparrow, Emily Pellattt, Sabrina S. Yu, David A. Raichlen, Herman Pontzer, Campbell Rolian

Publications and Research

In legged terrestrial locomotion, the duration of stance phase, i.e., when limbs are in contact with the substrate, is positively correlated with limb length, and negatively correlated with the metabolic cost of transport. These relationships are well documented at the interspecific level, across a broad range of body sizes and travel speeds. However, such relationships are harder to evaluate within species (i.e., where natural selection operates), largely for practical reasons, including low population variance in limb length, and the presence of confounding factors such as body mass, or training. Here, we compared spatiotemporal kinematics of gait in Longshanks, a long-legged …

A Comparative Evaluation Of Gait Between Children With Autism And Typically Developing Matched Controls, Janet S. Dufek, Jeffrey D. Eggleston, John R. Harry, Robbin Hickman

Integrated Health Sciences Faculty Publications

Anecdotal reports suggest children with autism spectrum disorder (ASD) ambulate differently than peers with typical development (TD). Little empirical evidence supports these reports. Children with ASD exhibit delayed motor skills, and it is important to determine whether or not motor movement deficits exist during walking. The purpose of the study was to perform a comprehensive lower-extremity gait analysis between children (aged 5–12 years) with ASD and age- and gender-matched-samples with TD. Gait parameters were normalized to 101 data points and the gait cycle was divided into seven sub-phases. The Model Statistic procedure was used to test for statistical significance between …

The Effects Of An Inclined And Declined Slope On Backward Locomotion: A Kinematic And Electromyographic Analysis Of Retrowalking, Song Dan Vo

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to investigate the effects of an inclined and declined slopeon kinematic properties and muscle activation magnitudes. This purpose was achieved by using a +10% grade for inclined backward walking (IBW) and -10% grade for declined backwardwalking (DBW) on a treadmill. Eleven participants (24.6 ± 4.1 yrs, 68.5 ± 14.6 kg, 1.7 ± 0.1 m) were recruited from the UNLV student body and were subject to a three day adaptation protocol to allow them to choose a preferred walking speed and to familiarize themselves with such a novel task. Two consecutive practice days included a …

Dynamic Perception Of Dynamic Affordances: Walking On A Ship At Sea, Hannah Walter, Jeffrey B. Wagman, Nicholas Stergiou, Nurtekin Erkmen, Thomas A. Stoffregen

Journal Articles

Motion of the surface of the sea (waves, and swell) causes oscillatory motion of ships at sea. Generally, ships are longer than they are wide. One consequence of this structural difference is that oscillatory ship motion typically will be greater in roll (i.e., the ship rolling from side to side) than in pitch (i.e., the bow and stern rising and falling). For persons on ships at sea, affordances for walking on the open deck should be differentially influenced by ship motion in roll and pitch. Specifically, the minimum width of a walkable path should be greater when walking along the …

Biomechanical Analysis Of Gait Termination In 11–17 Year Old Youth At Preferred And Fast Walking Speeds, Sarah T. Ridge, John Henley, Kurt Manal, Freeman Miller, James G. Richards

Faculty Publications

In populations where walking and/or stopping can be difficult, such as in children with cerebral palsy, the ability to quickly stop walking may be beyond the child’s capabilities. Gait termination may be improved with physical therapy. However, without a greater understanding of the mechanical requirements of this skill, treatment planning is difficult. The purpose of this study was to understand how healthy children successfully terminate gait in one step when walking quickly, which can be challenging even for healthy children. Lower extremity kinematic and kinetic data were collected from 15 youth as they performed walking, planned, and unplanned stopping tasks. …

Sagittal Plane Gait Kinematics In Individuals With Chronic Ankle Instability, Matthew C. Hoch, David R. Mullineaux, Kyoungkyu Jeon, Patrick O. Mckeon

Rehabilitation Sciences Faculty Publications

Single joint kinematic alterations have been identified during gait in those with chronic ankle instability (CAI). The purpose of this study was to compare sagittal plane hip, knee, and ankle kinematics during walking in participants with and without CAI. Twelve individuals with CAI and 12 healthy individuals walked on a treadmill at 1.5 m/s. Three-dimensional kinematics were analyzed using mean ensemble curves and independent t tests. Participants with CAI demonstrated less lower extremity flexion during the absorption phase of stance and the limb placement phase of swing, which may have implications for limb placement at initial contact.

Effects Of Aging On The Relationship Between Cognitive Demand And Step Variability During Dual-Task Walking, Leslie M. Decker, Fabien Cignetti, Nathaniel Hunt, Jane F. Potter, Nicholas Stergiou, Stephanie A. Studenski

Journal Articles

A U-shaped relationship between cognitive demand and gait control may exist in dual-task situations, reflecting opposing effects of external focus of attention and attentional resource competition. The purpose of the study was twofold: to examine whether gait control, as evaluated from step-to-step variability, is related to cognitive task difficulty in a U-shaped manner and to determine whether age modifies this relationship. Young and older adults walked on a treadmill without attentional requirement and while performing a dichotic listening task under three attention conditions: non-forced (NF), forced-right (FR), and forced-left (FL). The conditions increased in their attentional demand and requirement for …

Mobility Of Individuals With Multiple Sclerosis And The Influence Of Physical Therapy, Brenda L. Davies

Theses & Dissertations

One main purpose was to explore the compensatory gait strategies of individuals with multiple sclerosis (MS). To address this purpose, we quantified the mechanical work generated by the lower extremity joints during walking. The outcomes from this investi­gation suggested that individuals with MS redistribute positive mechanical work during walking to the hip in order to compensate for a reduced ability of the ankle to generate positive mechanical work. Additionally, we also explored the motor control of the ankle as a potential contributing factor to the mobility limitations of individuals with MS. The outcomes from this investigation indicated that individuals with …

Failures In Adaptive Locomotion In Healthy Young Adults, Michel J. H. Heijnen

Open Access Dissertations

Young adults fall most frequently when walking, and trips account for 25% of these falls (Heijnen & Rietdyk, 2016). Common approaches to understanding tripping include the examination of behavior when a stationary obstacle is crossed successfully, or to deliberately trip the participant with a covert obstacle. However, these approaches do not establish the underlying cause of failure; examining inadvertent failures does, as this occurs most often in the field (Heijnen & Rietdyk, 2016). In order to identify the behavior that results in obstacle contact, this dissertation examined gait characteristics during inadvertent failures and manipulated the sensory information available to guide …

Gait Kinematics And Kinetics Are Affected More By Peripheral Arterial Disease Than By Age, Sara A. Myers, Bryon Applequist, Jessie M. Huisinga, Iraklis Pipinos, Jason M. Johanning

Journal Articles

—Peripheral arterial disease (PAD) produces abnormal gait and disproportionately affects older individuals. The current study investigated PAD gait biomechanics in younger (<65 yr) and older (>/=65 yr) subjects. The study included 61 patients with PAD (31 younger, age: 57.4 +/– 5.3 yr, and 30 older, age: 71.9 +/– 5.2 yr) and 52 nondisabled age-matched control subjects. Patients with PAD were tested during pain-free walking and compared with control subjects. Joint kinematics and kinetics (torques) were compared using a 2 x 2 analysis of variance (groups: patients with PAD vs control subjects, age: younger vs older). Patients with PAD had significantly increased ankle and …