| Literature DB >> 31792226 |
Amy R Wu1, Cole S Simpson2, Edwin H F van Asseldonk3, Herman van der Kooij3,4, Auke J Ijspeert5.
Abstract
Human walking speeds can be influenced by multiple factors, from energetic considerations to the time to reach a destination. Neurological deficits or lower-limb injuries can lead to slower walking speeds, and the recovery of able-bodied gait speed and behavior from impaired gait is considered an important rehabilitation goal. Because gait studies are typically performed at faster speeds, little normative data exists for very slow speeds (less than 0.6 ms[Formula: see text]). The purpose of our study was to investigate healthy gait mechanics at extremely slow walking speeds. We recorded kinematic and kinetic data from eight adult subjects walking at four slow speeds from 0.1 ms[Formula: see text] to 0.6 ms[Formula: see text] and at their self-selected speed. We found that known relations for spatiotemporal and work measures are still valid at very slow speeds. Trends derived from slow speeds largely provided reasonable estimates of gait measures at self-selected speeds. Our study helps enable valuable comparisons between able-bodied and impaired gait, including which pathological behaviors can be attributed to slow speeds and which to gait deficits. We also provide a slow walking dataset, which may serve as normative data for clinical evaluations and gait rehabilitative devices.Entities:
Mesh:
Year: 2019 PMID: 31792226 PMCID: PMC6889403 DOI: 10.1038/s41598-019-54271-2
Source DB: PubMed Journal: Sci Rep ISSN: 2045-2322 Impact factor: 4.379
Quantitative results for fits to gait measures with respect to speed. Fit parameters include trend value (means 95% confidence interval, CI) and offsets (means s.d.). Linear fits to speed were performed for all measures except for known nonlinear relations for step length, step period, double support period, and COM work phases (collision, rebound, reload, and push-off). values indicate the goodness of fit, and P-values indicate statistical significance of the trend (*). Fits were performed on normalized data. Quantities are reported in dimensionless form, with body mass, gravitational acceleration and leg length as base variables.
| Gait measure | Coefficient (mean | Offset (mean | ||
|---|---|---|---|---|
| Step Length | 0.577 | 1.243 | 0.949 | 7.25e-16* |
| Step Width | 0.068 | 0.132 | 0.974 | 5.27e-02 |
| Step Length RMS | 0.007 | 0.017 | 0.661 | 6.08e-01 |
| Step Width RMS | 0.049 | 0.010 | 0.921 | 9.11e-09* |
| Step Period | 1.243 | 0.914 | 5.40e-13* | |
| Double Support Period | 0.257 | 0.937 | 6.15e-15* | |
| COM Work Rate (pos) | 0.031 | 0.001 | 0.946 | 2.29e-15* |
| COM Work Rate (neg) | 0.940 | 4.52e-14* | ||
| Summed Joint Work Rate (pos) | 0.066 | 0.962 | 1.11e-16* | |
| Summed Joint Work Rate (neg) | 0.940 | 2.11e-14* | ||
| Collision | 0.896 | 4.51e-03* | ||
| Rebound | 0.003 | 0.704 | 7.76e-01 | |
| Preload | 0.889 | 5.27e-04* | ||
| Push-off | 0.507 | 0.008 | 0.966 | 4.60e-06* |
Figure 1Mean step parameters over a range of speeds. As speed decreased, (A) step length decreased with no significant changes in step width, (B) step period and double support period increased, (C) no significant change was found for step length variability, and (D) step width variability decreased. Variability is defined as root-mean-square (RMS) deviations from mean steps. Trend significance indicated by solid lines () and non-significance by dashed lines. Data at self-selected speeds not included in fit (shaded region). Vertical axes are shown in both dimensionless (left axes) and SI form (right axes); speed in horizontal axes are also shown in both dimensionless (lower axes) and SI form (upper axes).
Figure 2Mean stance and swing times across speeds. Mean stance time (colored bar) of a gait cycle for left (L) and right (R) legs as (A) percentage of stride and (B) time in seconds. As speed decreased, the percentage of single support time (white bar) decreased and double support time increased (overlap of colored bars), leading to an increase in stance phase overall. While single support decreased as a percentage of stride, single support increased in time due to longer stride times. (C) Variability in both stance time and swing time increased as speed slowed. Variability is defined as RMS deviations from mean times and shown in dimensionless units. Data shown were averaged across all subjects (N = 8).
Figure 3Mean force and power measures as a percentage of stride over a range of speeds. (A) Fore-aft, (B) mediolateral, and (C) vertical ground reaction forces (GRFs), (D) COM power, and (E) summed joint power decreased in magnitude as speed decreased. Vertical axes are shown in both dimensionless (left axes) and SI form (right axes); horizontal axes are shown as a fraction of gait cycle (% of stride) beginning with heel-strike. Data shown were averaged across all subjects (N = 8).
Figure 4Mean joint angle, moment, and power in the sagittal plane as a function of gait cycle. Left-hand axes for moment and power are in dimensionless units, and right-hand axes are SI units. Horizontal axes are shown as a fraction of gait cycle (% of stride) beginning with heel-strike. Ext: extension (plantarflexion), flx: flexion (dorsiflexion). Data shown were averaged across all subjects (N = 8).
Figure 5Mean mechanical work rates across walking speeds. Mean COM work rate per stride (C+, ) and mean summed joint work rate per stride (J+, ) decreased linearly with speed, with a steeper rate of decrease for the summed joint work rates. Different colors denote subjects’ data at each walking speed (squares for joint work rates, circles for COM work rates). Trend significance is indicated by solid lines (). Data at self-selected speeds not included in fit (shaded region). Power is shown in both dimensionless (left axis) and SI form (right axis); speed is also shown in both dimensionless (lower axis) and SI form (upper axis).
Figure 6Mean COM work against walking speed for each phase of the gait cycle. The phases are (A) collision, (B) rebound, (C) preload, and (D) push-off. Fits were performed with COM work as a function of based on dynamic walking models[15]. Three of four (collision, preload, push-off) decreased nonlinearly in magnitude as speed decreased. Different colors denote subjects’ data at each walking speed (circles). Trend significance is indicated by solid lines () and non-significance by dashed lines. COM work phases were less distinguishable at slower speeds. Trials with phases detected for less than 50% of the strides were not included in the fit (denoted by grey symbols). Data at self-selected speeds not included in fit (shaded region). Work is shown in both dimensionless (left axes) and SI form (right axes); speed is also shown in both dimensionless (lower axes) and SI form (upper axes).