gait

Study of biomechanical patterns for identifying biomarkers for knee osteoarthritis

Osteoarthritis (OA) is a chronic joint disease, the most common musculoskeletal complaint worldwide, and is associated with significant health and welfare costs. Previous research indicates that co-activation of muscles may lead to the onset of knee OA. Therefore, investigation of muscle recruitment patterns and neuromuscular efficiency in healthy individuals compared to patients with knee OA in simple closed chain exercises using electromyography (EMG), motion analysis system and force plates may lead to a better understanding of how knee OA develops (6). The present studies chosen were in the frontal plane while performing lateral step up and step down tasks for a 4 inch and 8 inch step height. In the stepping tasks it was discovered that there is a greater magnitude EMG and ground reaction force (GRF) for 8 inch rather than a 4 inch step. Additionally, a higher activation of gluteus medius, gluteus maximus and quadriceps muscles (rectus femoris , vastus lateralis , vastus medius) was revealed in both the stepping tasks.


Listed In: Biomechanics, Orthopedic Research, Physical Therapy


Touching Ground: Inertial Sensors. Accuracy and precision of spatiotemporal characteristics from fetlock mounted inertial 
measurement units compared to motion capture in horses during over ground walk

Accurate distal limb spatiotemporal characteristics are useful parameters for a mobile kinematic system to quantify lameness and ataxia in horses. The objective was to compare spatial (position estimates) and temporal characteristics (hoof-on/off and stance time) from fetlock mounted inertial measurement units (IMUs) to motion capture and force plates during walk. Seven horses were walked across a 25 m runway with a central 4.8 m data collection area. We used IMUs (sampling at 200 Hz) that were placed proximal to all four fetlock joints and synchronized to a 12 camera motion capture system sampling at 200 Hz and eight force plates sampling at 500 Hz. We found the temporal characteristics were obtained with an accuracy of -0.02 to -7.38 ms and spatial characteristics with an accuracy of 0.9 to -29.79 mm with good precision for spatial and temporal characteristics, showing the potential for a reliable portable kinematic system based on IMUs.


Listed In: Biomechanics, Gait


Touching Ground: Inertial Sensors. Accuracy and precision of spatiotemporal characteristics from fetlock mounted inertial 
measurement units compared to motion capture in horses during over ground walk

Accurate distal limb spatiotemporal characteristics are useful parameters for a mobile kinematic system to quantify lameness and ataxia in horses. The objective was to compare spatial (position estimates) and temporal characteristics (hoof-on/off and stance time) from fetlock mounted inertial measurement units (IMUs) to motion capture and force plates during walk. Seven horses were walked across a 25 m runway with a central 4.8 m data collection area. We used IMUs (sampling at 200 Hz) that were placed proximal to all four fetlock joints and synchronized to a 12 camera motion capture system sampling at 200 Hz and eight force plates sampling at 500 Hz. We found the temporal characteristics were obtained with an accuracy of -0.02 to -7.38 ms and spatial characteristics with an accuracy of 0.9 to -29.79 mm with good precision for spatial and temporal characteristics, showing the potential for a reliable portable kinematic system based on IMUs.
Listed In: Biomechanics, Gait


Rehabilitation for Parkinson’s Disease with Freezing of Gait by Laser Cane: GAITRite System

Background: Freezing of Gait (FOG) is a phenomenon primarily experienced by persons with advanced Parkinson’s Disease (PD). The laser cane provides visual cues to ameliorate the gait problem. Objective: To utilize the laser cane which is a need for a training program at home to reduce the gait problems. Methods: An individual PD patient, 59-year old with H&Y stage 3 at “Off time” duration of disease 9 years. He was recruited from the CCEPDRD, Thailand, since he had been receiving treatment for PD for 9 years and had been coping with FOG for several years. Required to walk; 1. Before training (walking with preferred speed without the laser cane) 2. At T0 (start training with the laser cane) 3. At T30 (after training 30 minutes) 4. At T60 (after training 60 minutes) 5. After training 20 minutes. Getting rest after walking 2 rounds for 2 minutes. The spatio-temporal parameter was measured through GAITRite. Results: Training the patient with the laser cane until 60 minutes (T60), both of his step length was equal. Moreover, ambulation time, step length, stride length and velocity were improved when compared with the walking at T0. The effects the visual stimuli were remained after training with the cane. Conclusions: Training the PD patient with FOG about 60 minutes is suitable for modifying to be a gait training program. Since its effect prolongs for a period, we need to explore studies and find out more the efficacy of the gait training with the laser cane.


Listed In: Physical Therapy


THE EFFICACY OF LASER AND AUDITORY CANES IN PARKINSON’S DISEASE WITH FREEZING OF GAIT: GAITRITE SYSTEM

HISTORY: An idiopathic PD patient, 60-year old, male was recruited from the Chulalongkorn Parkinson’s Disease and Related Disorders Center of Excellence, since he has been receiving treatment for PD for 10 years and has been motor fluctuation by facing with FOG for several years. METHODS: The canes consisted of laser and metronome stimuli providing visual and auditory cues to solve FOG. It is important to find out which assistive device is more suitable for PD patients, since the responses to different sorts of stimuli are multifold. He was required to walk in both of “Off time” and “On time” follow the 3 conditions; 1.No cues (NC), 2.Laser cane (LC); green laser light line, 3 mm in width and 75 cm in length, the line was set at 80% of his step length recorded in “On” time. 3.Auditory cane (AC); metronome sound set at 80 % of his cadence recorded in “On” time. The data were recorded 4 rounds per each condition via the GAITRite system. OUTCOME: Both of the assistive devices with visual and auditory cues improve the patient gait in many aspects. The efficacy of laser cane is better than the auditory cane in increasing step length and reducing cadence. SUMMARY: The visual and auditory canes are useful for the PD patient in “Off time” medication. The patient can solve FOG by using the external stimuli which provided via the canes. He has more confident and able to walk alone. However choosing the visual cane is his preference.


Listed In: Gait


REDUCED VISUAL INPUT AFFECTS GAIT CHARACTERISTICS DURING TREADMILL WALKING IN A VIRTUAL ENVIRONMENT

Vision is one of the most important sensory systems in controlling locomotion [1]. Humans rely on visual information from the environment to mediate the foot-placement during walking [1,2]. It has been shown that temporal and spatial features of gait are altered by reducing visual input [3], resulting in an increase of falls. Furthermore, the reduction of lighting was recognized as a contributing factor in falls incidence [4]. However, no research has been conducted to examine the impact of the reduction of visual input on treadmill walking. This is of great interest in gait research since treadmill walking provides a means to study multiple continuous strides.The aim of this study was to investigate the effect of reduction of visual input on treadmill walking and identify how such decreased visual input interacts with the effect of a simultaneous exposure to a VR environment.The results support our hypothesis in terms of the altered step length but not step width in a dynamic VR environment. In addition, the results of this study suggest that the amount of visual input could influence control during treadmill walking. Such influence is more pronounced when the subject walks on a treadmill in a dynamic VR environment. Overall, the present study provides evidence that vision plays an essential role during not only level walking, but also treadmill walking.
Listed In: Gait


The Effects of Total Ankle Replacement on Ankle Joint Mechanics During Walking

In the past ten years, the treatment of ankle Osteoarthritis (OA) has evolved from joint arthrodesis (bone fusion) procedures to a more advantageous total ankle replacement (TAR) in order to restore ankle joint function and alleviate pain. The purpose of this study was to examine the ankle joint function and mechanics during level walking in patients with ankle OA on the following two occasions: pre and 3-month post-surgery using the Salto Talaris Anatomic Ankle (STAA) TAR. Variables examined in this study were gait temporo-spatial parameters and ankle joint mechanics. Five subjects (3 males and 2 females; aged 61-73 years) all previously diagnosed with unilateral end-stage ankle OA performed level walking across two AMTI force platforms at a self-selected pace on the two specified occasions. Paired Student t-tests (p<0.05) were used to examine if the TAR system improved gait parameters and ankle joint mechanics after three months of surgery. All patients showed significant increases (P<0.05) in stride length and walking speed and a decrease in double support time three months post-surgery. In addition, patients exhibited an increase (P=0.039) in ankle power production and range of motion (P=0.045). It was found that the patients with the TAR joint demonstrated improved gait parameters and ankle joint mechanics during walking. These findings suggest that in as little as three months post-surgery, the STAA TAR helps patients regain ankle range of motion and strength.
Listed In: Biomechanics, Gait, Orthopedic Research


Biomechancal analysis of stepping down in continuous gait following ankle evertor fatigue: a pilot study

Stepping down during continuous gait is a common functional activity. Muscle fatigue has an adverse effect on gait parameters, which may contribute to an increased risk of falling. The purpose of this pilot work is to evaluate the role of ankle evetor fatigue on lower limb biomechanics during stepping down in continuous gait. Six healthy subjects (3M/3F, 27.0±2.3 years, 1.69±0.08m, 63.88±8.49kg) were recruited for the study. A custom 8.5m long walkway was built with a 15cm step to simulate a street curb. Only kinematic, kinetic and EMG data from the leg used to step down (leading leg) were reported. Subjects were instructed to walk barefoot at self-selected speed on the elevated walkway, step down onto the lower walkway, and keep walking until the end of the platform. The evertor muscles were fatigued using an isokinetic dynamometer. Immediately after the fatigue protocol, subjects were asked to perform the step-down task in the same manner as the pre-fatigue trials. Due to the nature of the study only descriptive statistics were reported. The fatigue protocol generated a 5-8% decrease in activation of the peroneals, tibialis anterior and medial gastrocnemius muscles. Following the fatigue protocol, a decrease of dorsiflexion moment was observed after touchdown. Additionally, there was a decrease of the peak of negative power suggesting that less energy was absorbed at the ankle. It appears that the isokinetic evertor fatigue altered muscle activation and may change the biomechanics of stepping down to accommodate for the decreased muscle activity.


Listed In: Biomechanics, Gait, Previous Winners