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Articles 31 - 60 of 174
Full-Text Articles in Biomechanics
Obstacle Crossing In Healthy Young And Older Individuals, Hope M. Hanson, Ashlyn M. Jendro, Abigail C. Schmitt
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 …
Attentional Focus Effects On Motor Variability, Charlend Kenneth Howard
Attentional Focus Effects On Motor Variability, Charlend Kenneth Howard
LSU Doctoral Dissertations
Subtle changes in task instructions with associated changes of one’s focus of attention (FOA) can have measurable effects on performance and learning of complex motor skills (Wulf, 2013). The beneficial effects of adopting an external focus of attention (EF) have been well-documented in physical environments, and recently have also been demonstrated in virtual reality (VR) environments (Cochran, Aiken, Rhea, & Raisbeck, 2021; Yamada, Kuznetsov, Diekfuss, & Raisbeck, 2021). However, these studies primarily focused on performance outcomes (such as error and accuracy), with relatively less emphasis on movement coordination. Given that most human movements are motor abundant (more degrees of freedom …
How Some Arboreal Salamanders (Genus Aneides) Jump, Glide, And Generate Lift, Christian E. Brown
How Some Arboreal Salamanders (Genus Aneides) Jump, Glide, And Generate Lift, Christian E. Brown
USF Tampa Graduate Theses and Dissertations
The jumping and subsequent aerial behaviors of arboreal lungless salamanders (genus Aneides) had never been investigated or described. The aims of this research were to (1) compare jumping performance within the family Plethodontidae with a special focus on arboreal species from genus Aneides, (2) describe the biomechanics and kinematics of aerial behaviors after a jump or extended fall, and (3) model airflow over the morphology of the most aerially adept salamanders to investigate if they are capable of generating lift. First, I recorded salamanders jumping, locomoting vertically, dropping, and flying in a vertical wind tunnel. Then, I laser-scanned and reconstructed …
Investigation Of Lower Extremity Neuromuscular Function In Individuals With And Without Diabetes, Roya Hoveizavi
Investigation Of Lower Extremity Neuromuscular Function In Individuals With And Without Diabetes, Roya Hoveizavi
Theses and Dissertations--Kinesiology and Health Promotion
Background: Diabetes mellitus is associated with notable neuromuscular and motor dysfunctions that could lead to an increased risk of plantar ulcers and amputations. Several contributing factors, including increased muscle-tendon stiffness and abnormal muscle activation pattern may influence the kinematics and kinetics of walking in people with diabetes and promote formation of plantar ulcers. Hyperglycemia and the resultant accelerated rate of glycation have been recognized as the leading cause of muscle and tendon degeneration, yet the precise mechanisms by which diabetes affects the biomechanical properties of the muscle-tendon unit remains unclear. Altered muscle activity during gait is observed in people with …
The Relationship Between Gluteus Maximus Activation And Running Kinematics In Recreational Distance Runners, Ricardo Sanchez
The Relationship Between Gluteus Maximus Activation And Running Kinematics In Recreational Distance Runners, Ricardo Sanchez
Cal Poly Humboldt theses and projects
Within the running community, there are strategies that a trainer will utilize to improve the performance of an athlete. One of these strategies suggests that an increase in activation of the Gluteus Maximus (GM) muscle will result in an increase in the efficiency of runners. The primary purpose of this study was to examine the relationship between GM activation and running kinematics.
Methods: Three female and seven male recreational runners (27±8 yrs) from California Polytechnic State University, Humboldt and the local community. A Pearson product-correlation was used to determine the strength of the relationship between Gluteus Maximus activation and kinematic …
Amphisbaenian Head Movement And Burrowing Forces In Damp Granular Media, Jacob Newell
Amphisbaenian Head Movement And Burrowing Forces In Damp Granular Media, Jacob Newell
Williams Honors College, Honors Research Projects
Damp granular media is a difficult environment to study because it is both practically complex and it lacks equations which fully describe its behavior. In this study, an oscillatory lateral head movement and its effects while penetrating damp granular media were tested using a robophysical model. This experimental research was inspired by the burrowing behavior of the clade Amphisbaenia, a group of usually limbless squamates that employ a variety of different burrowing behaviors, but it can apply to a wide range of burrowers. This research could help with both human burrowing technologies and the further investigation of animal behaviors.
A Comparison Of Peak Ground Reaction Forces Of Pitches From The Stretch And Windup, Richard D. Edwards
A Comparison Of Peak Ground Reaction Forces Of Pitches From The Stretch And Windup, Richard D. Edwards
Graduate Theses/Dissertations
Ground reaction forces can help coaches and players understand the lower extremity biomechanics of pitching in baseball. Research has told us that there are repeatable characteristics of ground reaction forces that pitchers produce during a pitch. This study examines the differences in peak ground reaction forces produced from pitching from the stretch versus pitching from the wind-up. Five variables were recorded for each pitch from the push-off leg and the landing leg. Landing forces were then compared to landing forces of the other pitching style and the same comparison was made for the push-off leg. This was achieved by altering …
The Immediate Effects Of The Nunee Patellar Support On Individuals With Patellofemoral Pain Syndrome, Nick Linn
The Immediate Effects Of The Nunee Patellar Support On Individuals With Patellofemoral Pain Syndrome, Nick Linn
Graduate Theses, Dissertations, and Problem Reports (ETD)
Patellofemoral pain syndrome (PFPS) is a common form of anterior knee pain caused by general overuse, muscular weakness or strength imbalances, and poor movement coordination leading to abnormal alignment or mal-tracking of the patella. Recent guidelines do not recommend the use of a knee orthosis due to a lack of evidence supporting their effectiveness. A new patellar support (NuNee, K-Neesio LLC.) which uses distraction force to relieve pressure placed on the patella, has been proposed. The purpose of this study was to examine the immediate effects of the NuNee patellar support on perceived pain, biomechanics, and function in individuals with …
Hip Torque Is A Mechanistic Link Between Sprint Acceleration And Maximum Velocity Performance: A Theoretical Perspective, Kenneth P. Clark, Laurence J. Ryan
Hip Torque Is A Mechanistic Link Between Sprint Acceleration And Maximum Velocity Performance: A Theoretical Perspective, Kenneth P. Clark, Laurence J. Ryan
Kinesiology Faculty Publications
Sprinting performance is critical for a variety of sports and competitive activities. Prior research has demonstrated correlations between the limits of initial acceleration and maximum velocity for athletes of different sprinting abilities. Our perspective is that hip torque is a mechanistic link between these performance limits. A theoretical framework is presented here that provides estimates of sprint acceleration capability based on thigh angular acceleration and hip torque during the swing phase while running at maximum velocity. Performance limits were calculated using basic anthropometric values (body mass and leg length) and maximum velocity kinematic values (contact time, thigh range of motion, …
The Effects Of A 6-Week Intrinsic Foot Morphology, Kinematics, And Kinetics In Individuals With Pes Planus, Rebecca Marszalek, Janet E. Simon, Robert Wayner
The Effects Of A 6-Week Intrinsic Foot Morphology, Kinematics, And Kinetics In Individuals With Pes Planus, Rebecca Marszalek, Janet E. Simon, Robert Wayner
Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association
CONTEXT
The intrinsic foot muscles are vital in supporting the medial longitudinal arch of the foot. Individuals with pes planus have poor foot morphology, strength, and biomechanics, warranting an intervention.
MAIN OUTCOME MEASURES
At pre-intervention, foot posture and arch height were assessed via the Foot Posture Index-6 and the Navicular Drop test, respectively. Cross-sectional area of the abductor hallucis was assessed using ultrasound as an indirect measure of strength. Biomechanical measures, including peak rearfoot eversion, peak tibial internal rotation, peak rearfoot eversion moment, and center of pressure excursion, were collected using 3D-motion capture and an instrumented treadmill. At post-intervention, these …
The Relationship Of Strength, Mobility, And Performance Variables On Throwing Speed In Baseball Catchers, Caleigh D. Hall
The Relationship Of Strength, Mobility, And Performance Variables On Throwing Speed In Baseball Catchers, Caleigh D. Hall
Human Movement Studies & Special Education Theses & Dissertations
Baseball is a popular sport worldwide and has thus garnered significant research focus, predominately of pitchers and hitters. However, research involving catchers is scant despite their major influence and consistent presence throughout a game. Therefore, the purpose of this study was to determine the relationship of lower body strength and mobility and performance with throwing speed in baseball catchers. We hypothesized that strength and mobility would have a positive relationship with ball speed, peak power generated while rising out of the squat position would be positively related to ball speed, shorter ascent time would be inversely related to ball speed, …
Predictors Of Peak Elbow Valgus Torque In Collegiate Baseball Pitchers, Adam Richard Nebel
Predictors Of Peak Elbow Valgus Torque In Collegiate Baseball Pitchers, Adam Richard Nebel
Graduate Theses and Dissertations
Context: The incidence of UCL tears in baseball is at an all-time high. ATs are in the position to identify those at risk and potentially prevent injury to the UCL. In baseball, research has associated elbow valgus torque as a potential predictor of injury risk. However, markerless analysis has not assessed possible predictors of injury to the UCL in baseball players. Objective: Identify the kinematic factors that influence peak elbow valgus torque through the sequence of a fastball pitch. Design: Cross-sectional study. Setting: Field study performed in university’s pitching development center. Participants: Division 1 collegiate baseball pitchers (N=21; 17RHP, 4LHP; …
Angular Momentum In Skilled Kicking Pullover Performed By Elementary School Children, Yutaka Shimizu, Saburo Nishimura, Shoichi Matsushita
Angular Momentum In Skilled Kicking Pullover Performed By Elementary School Children, Yutaka Shimizu, Saburo Nishimura, Shoichi Matsushita
Topics in Exercise Science and Kinesiology
Topics in Exercise Science and Kinesiology Volume 3: Issue 1, Article 2, 2022. This study aimed to clarify the differences in body positions and the role of the swing leg, support leg, and head-arm-trunk segment in generating and maintaining angular momentum of the whole body about a horizontal bar as well as how to improve the skill level of successful kicking pullover attempts. Two-dimensional kinematic parameters of successful kicking pullover attempts and body composition indices of 26 fifth-grade elementary school children were collected. Their techniques were classified into excellent and good groups based on the subjective evaluation of three evaluators. …
The Correlation Between Acl Injury & Concussion, Brandon Michael Phillips
The Correlation Between Acl Injury & Concussion, Brandon Michael Phillips
Theses and Dissertations--Kinesiology and Health Promotion
Concussion (also known as mild traumatic brain injury) is a neurological injury that occurs after a blow to the head or neck area and can have affects to movement based on the severity of the injury. Mild traumatic brain injury has possible linkage to an increased risk of anterior cruciate ligament (ACL) injury. The purpose of this thesis was to assess the impact of prior concussion on lower extremity mechanics that are associated with risk of ACL injury. A total of 11 individuals with prior history of concussion and 11 healthy individuals without prior history of concussion (56.5 months since …
Characterizing Locomotor Disturbance Perception In Young Adults, Daniel James Liss
Characterizing Locomotor Disturbance Perception In Young Adults, Daniel James Liss
Graduate Theses, Dissertations, and Problem Reports (ETD)
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 …
An Investigation Of Upper Extremity Motor Impairments In Children Diagnosed With Autism Spectrum Disorder: Motor Planning Vs Motor Execution, Patrick Anthony Cereceres
An Investigation Of Upper Extremity Motor Impairments In Children Diagnosed With Autism Spectrum Disorder: Motor Planning Vs Motor Execution, Patrick Anthony Cereceres
Open Access Theses & Dissertations
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder typically diagnosedwhen a child displays social and communication impairments, repetitive behaviors, and rhythmic movements like hand flapping. This disorder is unique because of the high variability of symptoms displayed between each individual who is diagnosed. Because of this, no neurological or physiological test exists to diagnose a child with ASD. Current diagnostic tests are various forms of interviews or observations which an experienced clinician must administer. While these tests have been instrumental in diagnosing children with ASD, many go undiagnosed, which can be detrimental as they transition into adulthood. Current literature indicates …
The Role Of California Sea Lion (Zalophus Californianus) Hindflippers As Aquatic Control Surfaces For Maneuverability, Ariel M. Leahy, Frank E. Fish, Sarah J. Kerr, Jenifer A. Zeligs, Stefani Skrovan, Kaitlyn L. Cardenas, Megan C. Leftwich
The Role Of California Sea Lion (Zalophus Californianus) Hindflippers As Aquatic Control Surfaces For Maneuverability, Ariel M. Leahy, Frank E. Fish, Sarah J. Kerr, Jenifer A. Zeligs, Stefani Skrovan, Kaitlyn L. Cardenas, Megan C. Leftwich
Biology Faculty Publications
California sea lions (Zalophus californianus) are a highly maneuverable species of marine mammal. During uninterrupted, rectilinear swimming, sea lions oscillate their foreflippers to propel themselves forward without aid from the collapsed hindfiippers, which are passively trailed. During maneuvers such as turning and leaping (porpoising), the hindfiippers are spread into a delta-wing configuration. There is little information defining the role of otarrid hindfiippers as aquatic control surfaces. To examine Z. califomianus hindflippers during maneuvering, trained sea lions were video recorded underwater through viewing windows performing porpoising behaviors and banking turns. Porpoising by a trained sea lion was compared with sea lions …
Use Of Pressure-Measuring Insoles To Characterize Gait Parameters In Simulated Reduced-Gravity Conditions, Christian Ison, Connor Neilsen, Jessica Deberardinis, Mohamed B. Trabia, Janet S. Dufek
Use Of Pressure-Measuring Insoles To Characterize Gait Parameters In Simulated Reduced-Gravity Conditions, Christian Ison, Connor Neilsen, Jessica Deberardinis, Mohamed B. Trabia, Janet S. Dufek
Mechanical Engineering Faculty Research
Prior researchers have observed the effect of simulated reduced-gravity exercise. However, the extent to which lower-body positive-pressure treadmill (LBPPT) walking alters kinematic gait characteristics is not well understood. The purpose of the study was to investigate the effect of LBPPT walking on selected gait parameters in simulated reduced-gravity conditions. Twenty-nine college-aged volunteers participated in this cross-sectional study. Participants wore pressure-measuring insoles (Medilogic GmBH, Schönefeld, Germany) and completed three 3.5-min walking trials on the LBPPT (AlterG, Inc., Fremont, CA, USA) at 100% (normal gravity) as well as reduced-gravity conditions of 40% and 20% body weight (BW). The resulting insole data were …
The Effects Of The Dual-Tasking: Walking While Texting On Slip Recovery Mechanics, Ileana Abril Jarquin
The Effects Of The Dual-Tasking: Walking While Texting On Slip Recovery Mechanics, Ileana Abril Jarquin
Open Access Theses & Dissertations
Introduction: The number of induced falls has increased exponentially over the last decade. Previous studies have determined that the cognitive demands of texting affect the processing of cognitive and motor tasks.Research question: What effect does the dual-tasking of texting and walking has on slip recovery mechanics? Methods: Three-dimensional kinematic data were collected while 20 participants between the ages of 18 and 30 years three different conditions; 1) baseline, 2) walking + slip perturbation, and 3) texting and walking + slip perturbation. Results: Walking speed, numbers of falls, and recovery time from the slip were not affected by the texting dual-task. …
Asymmetries In Dynamic Valgus Index After Anterior Cruciate Ligament Reconstruction: A Proof-Of-Concept Study, Kai Yu Ho, Andrew Murata
Asymmetries In Dynamic Valgus Index After Anterior Cruciate Ligament Reconstruction: A Proof-Of-Concept Study, Kai Yu Ho, Andrew Murata
Physical Therapy Faculty Research
Individuals with anterior cruciate ligament reconstruction (ACLR) are at a higher risk for subsequent anterior cruciate ligament (ACL) tears. Risk factors for ACL injuries likely involve a combination of anatomical, biomechanical, and neuromuscular factors. Dynamic knee valgus has been indicated as a possible biomechanical factor for future ACL injuries. Given that knee valgus is often accompanied by contralateral pelvic drop during single-leg activities, a dynamic valgus index (DVI) that quantifies combined kinematics of the knee and hip in the frontal plane has recently been developed. As the premise of asymmetrical DVI between limbs in the ACLR population has not been …
These Fish Were Made For Walking: Morphology And Walking Kinematics In Balitorid Loaches, Callie Hendricks Crawford
These Fish Were Made For Walking: Morphology And Walking Kinematics In Balitorid Loaches, Callie Hendricks Crawford
Dissertations
Terrestrial excursions have been observed in multiple lineages of marine and freshwater fishes. These ventures into the terrestrial environment may be used when fish are searching out new habitat during drought, escaping predation, laying eggs, or seeking food sources. The physiological demands for life under water and on land are vastly different and require different functional adaptations. Fish with terrestrial excursions must be capable of dealing with the stresses of both aquatic and terrestrial environments for varying periods of time. To deal with these stresses, amphibious fishes exhibit many morphological and behavioral adaptations. These adaptations have led to a range …
Subject-Specific Musculoskeletal Modeling Of Hip Dysplasia Biomechanics, Ke Song
Subject-Specific Musculoskeletal Modeling Of Hip Dysplasia Biomechanics, Ke Song
McKelvey School of Engineering Graduate Student Theses & Dissertations
Developmental dysplasia of the hip (DDH) is characterized by abnormal bony anatomy, causes pain and functional limitations, and is a prominent risk factor for premature hip osteoarthritis. Although the pathology of DDH is believed to be mechanically-induced, little is known about how DDH anatomy alters hip biomechanics during activities of daily living, partly due to the difficulties with measuring hip muscle and joint forces. Musculoskeletal models (MSMs) are useful for dynamic simulations of joint mechanics, but the reliability of MSMs for DDH research is limited by an accurate model representation of the unique hip anatomy. To address such challenges, this …
Swimmers’ Upper Trapezius Activation During Shoulder Abduction Compared To Non-Overhead Athletes, Kendra Graham
Swimmers’ Upper Trapezius Activation During Shoulder Abduction Compared To Non-Overhead Athletes, Kendra Graham
Senior Honors Projects
Overhead sports such as baseball, tennis, volleyball, softball and swimming are known to cause rotator cuff imbalances and injuries. These injuries are typically caused by the repeated use of “throwing motion,” where the humerus is externally rotated and shoulder abducted and elevated. Previous research has shown that the function of the upper trapezius muscle in overhead athletes is likely to have improper activation (timing, magnitude) during various shoulder motions and/or activities of daily living. Swimmers are especially susceptible to this improper activation due to the use of their upper limbs in a repeated throwing motion. The added resistance of the …
Effects Of Different Stretching Modalities On The Antagonist And Agonist Muscles On Isokinetic Strength And Vertical Jump Performance, Samuel Montalvo
Effects Of Different Stretching Modalities On The Antagonist And Agonist Muscles On Isokinetic Strength And Vertical Jump Performance, Samuel Montalvo
Open Access Theses & Dissertations
Warm-ups are essential components of all training sessions, sports, and physical activities. Warm-ups are typically composed of a variety of stretches. Two stretching modalities that are commonly performed before any physical activity are the static and dynamic stretching modalities. Historically, static stretching has been used as a preferred stretching modality during the warm-up period. However, research indicates that static stretching â?? if done prior to the training session â?? may inhibit the expression of muscular strength, muscular activation, and vertical jump height. On the contrary, dynamic stretching has been shown to improve the expression of muscular strength, muscular activation, and …
The Biomechanical Energetics Of Terrestrial Locomotion In California Sea Lions (Zalophus Californianus): Efficiency Of Quadrupedal Galloping, Sarah Kerr
West Chester University Master’s Theses
Pinnipedia, an order of semi-aquatic marine mammals, adapted a body design that allows for efficient aquatic locomotion but limited terrestrial locomotion. Phocids (true seals) have reduced forelimbs and are unable to bring their hindlimbs beneath them during terrestrial locomotion. Otariids, like the California sea lion (Zalophus californianus), have enlarged forelimbs and can bring their hindlimbs under the body to locomote quadrupedally on land. Due to these differences, phocids are expected to move on land with greater energetic costs compared to otariids. The mechanical costs of transport and power outputs of terrestrial locomotion were compared between the California sea …
Broadening The Capability Of Kinetics Analysis In Biomechanics, Nicholas Nelson
Broadening The Capability Of Kinetics Analysis In Biomechanics, Nicholas Nelson
Electronic Theses and Dissertations
Two studies are discussed in this manuscript each preceded by a literature review of the topic. The first review and study explore agility movements and the effect that alternative upper designs in shoes might have on ground reaction force measures of performance. The second review and study evaluate methods of predicting ground reaction forces without the use of a force platform. A method of using effective forces and ways of improving its accuracy are evaluated in depth.
The Role Of Spine In Causing Lameness In Horses, Raja Zabeeh Ullah Khan
The Role Of Spine In Causing Lameness In Horses, Raja Zabeeh Ullah Khan
International Programs
Lameness is one of the most important problems of horses. It influences all communities who keep horses. Recent studies have shown the significance of spinal muscles and vertebrae in inducing lameness in horses. The field has not been explored much and requires application of biomechanics to define the role of spine in inducing lameness in horses. This presentation highlights the importance of spine in inducing lameness in horses by relating the solution with biomechanics.
Effects Of Prolonged Load Carriage Of Knee Adduction Biomechanics, Micah Daniel Drew
Effects Of Prolonged Load Carriage Of Knee Adduction Biomechanics, Micah Daniel Drew
Boise State University Theses and Dissertations
Introduction: Incidence of knee osteoarthritis (OA) in service members is twice that of the general population. Yet, it is currently unknown how body borne load and duration of walking with body borne load impact knee adduction, biomechanics linked to progression and severity of OA. Purpose: This study sought to examine magnitude and variability of knee adduction joint angle and moment throughout a prolonged walking task with body borne load. Methods: Eighteen participants had knee biomechanics quantified every five minutes while they walked at 1.3 m/s during a 60-minute over-ground walking task with three body-borne loads (unloaded, 15 kg and 30 …
Filtering Affects The Calculation Of The Largest Lyapunov Exponent, Peter C. Raffalt, Ben Senderling, Nicholas Stergiou
Filtering Affects The Calculation Of The Largest Lyapunov Exponent, Peter C. Raffalt, Ben Senderling, Nicholas Stergiou
Journal Articles
The calculation of the largest Lyapunov exponent (LyE) requires the reconstruction of the time series in an N-dimensional state space. For this, the time delay (Tau) and embedding dimension (EmD) are estimated using the Average Mutual Information and False Nearest Neighbor algorithms. However, the estimation of these variables (LyE, Tau, EmD) could be compromised by prior filtering of the time series evaluated. Therefore, we investigated the effect of filtering kinematic marker data on the calculation of Tau, EmD and LyE using several different computational codes. Kinematic marker data were recorded from 37 subjects during treadmill walking and filtered using a …
Step Width Variability As A Discriminator Of Age-Related Gait Changes, Andreas Skiadopoulos, Emily E. Moore, Harlan Sayles, Kendra K. Schmid, Nicholas Stergiou
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 …