Kinesiology Commons^™

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 …

Walking To A Multisensory Beat, Charlotte Roy, Julien Lagarde, Dobromir Dotov, Simone Dalla Bella

Journal Articles

Living in a complex and multisensory environment demands constant interaction between perception and action. In everyday life it is common to combine efficiently simultaneous signals coming from different modalities. There is evidence of a multisensory benefit in a variety of laboratory tasks (temporal judgement, reaction time tasks). It is less clear if this effect extends to ecological tasks, such as walking. Furthermore, benefits of multimodal stimulation are linked to temporal properties such as the temporal window of integration and temporal recalibration. These properties have been examined in tasks involving single, non-repeating stimulus presentations. Here we investigate the same temporal properties …

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 Research

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 …

Biologically-Variable Rhythmic Auditory Cues Are Superior To Isochronous Cues In Fostering Natural Gait Variability In Parkinson’S Disease, Dobromir Dotov, S. Bayard, Valérie Cochen De Cock, Christian Geny, Valérie Driss, G. Garrigue, Benoit G. Bardy, Simone Dalla Bella

Journal Articles

Introduction

Method

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 …

Review Of Foot Plantar Pressure—Focus On The Development Of Foot Ulcerations, Jessica Deberardinis, Mohamed B. Trabia, Janet S. Dufek

Kinesiology and Nutrition Sciences Faculty Research

There are many causes of plantar ulceration, which is a painful sore that occurs in the plantar tissue, common in cases of diabetes, peripheral arterial disease, obesity, and even high cholesterol. By way of perspective, approximately 15% of over 29.1 million diabetics in the U.S. will develop foot ulceration [1] and [2]. These causes could be diagnosed using multiple methods with reasonable accuracy; however, ulcers will still occur due to trauma to the plantar tissue. Measurement of the pressures within the plantar tissue has been suggested to be a suitable surrogate to the measurement of trauma; thus, many methods have …

Optic Flow Improves Adaptability Of Spatiotemporal Characteristics During Split-Belt Locomotor Adaptation With Tactile Stimulation, Diderik Jan Anthony Eikema, Jung Chien, Nicholas Stergiou, Sara Myers, Melissa Scott-Pandorf, Jacob J. Bloomberg, Mukul Mukherjee

Journal Articles

Human locomotor adaptation requires feedback and feed-forward control processes to maintain an appropriate walking pattern. Adaptation may require the use of visual and proprioceptive input to decode altered movement dynamics and generate an appropriate response. After a person transfers from an extreme sensory environment and back, as astronauts do when they return from spaceflight, the prolonged period required for re-adaptation can pose a significant burden. In our previous paper, we showed that plantar tactile vibration during a split-belt adaptation task did not interfere with the treadmill adaptation however, larger overground transfer effects with a slower decay resulted. Such effects, in …

Plantar Tactile Perturbations Enhance Transfer Of Split-Belt Locomotor Adaptation, Mukul Mukherjee, Diderik Jan Anthony Eikema, Jung Hung Chien, Sara A. Myers, Melissa Scott-Pandorf, Jacob J. Bloomberg, Nikolaos Stergiou

Journal Articles

Patterns of human locomotion are highly adaptive and flexible and depend on the environmental context. Locomotor adaptation requires the use of multisensory information to perceive altered environmental dynamics and generate an appropriate movement pattern. In this study, we investigated the use of multisensory information during locomotor learning. Proprioceptive perturbations were induced by vibrating tactors, placed bilaterally over the plantar surfaces. Under these altered sensory conditions, participants were asked to perform a split-belt locomotor task representative of motor learning. Twenty healthy young participants were separated into two groups: no-tactors (NT) and tactors (TC). All participants performed an overground walking trial, followed …

The Effect Of Balance-Based Torso-Weighting On Mobility, Gait, Balance, Postural Control, And Falls Efficacy In Mobility Limited Older Adults, Jennifer L. Vincenzo

Graduate Theses and Dissertations

Exercise is a known intervention to prevent fall risk among older adults; however, adherence is poor. Therefore, it is of interest to determine if other interventions improve function and decrease fall risk among older adults. Balance-Based Torso-Weighting (BBTW) is a non-exercise intervention that improves functional measures among adults with multiple sclerosis, yet the effectiveness of BBTW has not been assessed among older adults without progressive neurological disorders. We conducted a double-blind, randomized study to analyze the effect of BBTW on functional measures and falls efficacy among community-dwelling, mobility limited older adults after 5 days of wearing BalanceWear® for 4 hours …

Mechanisms To Increase Propulsive Force For Individuals Poststroke, Haoyuan Hsiao, Brian A. Knarr, Jill S. Higginson, Stuart A. Binder-Macleod

Journal Articles

Background: Propulsive force generation is critical to walking speed. Trialing limb angle and ankle moment are major contributors to increases in propulsive force during gait. For able-bodied individuals, trailing limb angle contributes twice as much as ankle moment to increases in propulsive force during speed modulation. The aim of this study was to quantify the relative contribution of ankle moment and trailing limb angle to increases in propulsive force for individuals poststroke.

Methods: A biomechanical-based model previously developed for able-bodied individuals was evaluated and enhanced for individuals poststroke. Gait analysis was performed as subjects (N = 24) with …

The Influence Of Push-Off Timing In A Robotic Ankle-Foot Prosthesis On The Energetics And Mechanics Of Walking, Philippe Malcolm, Robert E. Quesada, Joshua M. Caputo, Steven H. Collins

Journal Articles

Background

Robotic ankle-foot prostheses that provide net positive push-off work can reduce the metabolic rate of walking for individuals with amputation, but benefits might be sensitive to push-off timing. Simple walking models suggest that preemptive push-off reduces center-of-mass work, possibly reducing metabolic rate. Studies with bilateral exoskeletons have found that push-off beginning before leading leg contact minimizes metabolic rate, but timing was not varied independently from push-off work, and the effects of push-off timing on biomechanics were not measured. Most lower-limb amputations are unilateral, which could also affect optimal timing. The goal of this study was to vary the timing …

A Neuromechanics-Based Powered Ankle Exoskeleton To Assist Walking Post-Stroke: A Feasibility Study, Kota Z. Takahashi, Michael D. Lewek, Gregory S. Sawicki

Journal Articles

Background: In persons post-stroke, diminished ankle joint function can contribute to inadequate gait propulsion. To target paretic ankle impairments, we developed a neuromechanics-based powered ankle exoskeleton. Specifically, this exoskeleton supplies plantarflexion assistance that is proportional to the user’s paretic soleus electromyography (EMG) amplitude only during a phase of gait when the stance limb is subjected to an anteriorly directed ground reaction force (GRF). The purpose of this feasibility study was to examine the short-term effects of the powered ankle exoskeleton on the mechanics and energetics of gait.

Methods: Five subjects with stroke walked with a powered ankle exoskeleton …

Effects Of Obesity On Slip-Related Falls Among Young Adults During Gait, Jae Eun Kim

Open Access Theses & Dissertations

Falls present serious medical, health, and societal challenges to not only the frail elderly or individuals with mobility disorders; but also the active and vigorous older adults. Slip-related falls account for about 40% of all falls among older adults. Individuals with obesity are subject to an elevated risk of falls associated with muscle weakness, abnormal body mass distribution, and postural instability. Dynamic gait stability has been identified as a key factor leading to falls after a slip during gait. Despite individuals with obesity suffer higher risk of falls compared to their lean counterparts, no study has investigated how the dynamic …

Alternate Foot Placement: Investigating The Role Of Gait Parameters, Planar Obstacle Complexity, And Athletic Training, Brittany A. Baxter

Theses and Dissertations (Comprehensive)

On a daily basis modifications, based upon environmental demands and the capabilities of the individual, are made to the locomotor pattern to enable avoidance of undesirable landing areas (i.e. planar obstacles). Athletes and dancers have been suggested to have superior perception-action coupling compared to non-athletes, allowing them to perform various tasks at a greater speed without a loss of precision (Federici et al., 2005; Gerin-Lajoie et al. (2007). The current study assessed non-athletes, dancers, and field athletes to investigate whether training influences the maintenance of forward progression and stability in relation to alternate foot placement during planar obstacle avoidance. Eleven …

Stride Length-Speed Relationship During Body Weight Supported Running, Carmen Chona

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to determine if body weight support influences the stride length-speed relationship. Additionally, the purpose was to determine if impact characteristics of running are influenced by body weight support and speed. Subjects (n=10; 6 female, 4 male) volunteered to participate in this study. All subjects were injury free and were comfortable running on a treadmill for 30 minutes. Subjects ran on a lower body positive (LBPP, Alter-G, G-Trainer) treadmill for 4 conditions of body weight (100, 40, 30 and 20% of body weight) and 4 running speeds (100, 110, 120 and 130% of the preferred …

Gait Initiation Mechanics In Concussed Varsity Athletes, Adam Harper

Theses and Dissertations (Comprehensive)

Concussions are a common and potentially serious injury that affects athletes across multiple sports. More than ever concussions are now at the forefront of sport-related research.

Current research indicates that in a cohort of Canadian junior hockey players examined during the 2009-2010 season showed a rate of concussion at 36.5% of all athletic injuries (Echlin et al., 2010). This rate of concussion injury indicates that proper evaluations and examination tools are key to successful management of concussions. The objective of this study was to determine whether a functional task such as gait initiation is able to quantify stability difference following …