Walking against the odds: The intricate connection between spatiotemporal characteristics, kinetic and kinematic variables, cognitive stress, and passive assistive exoskeletons in senior and young adults

IF 1.6 3区 心理学 Q4 NEUROSCIENCES
Cristina-Ioana Pîrșcoveanu , Ernst Albin Hansen , Jesper Franch , Pascal Madeleine
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Abstract

In this study, we investigated the combined effects of age, dual-tasking (DT) and a passive hip exoskeleton on gait patterns among senior (SA) and young adults (YA). It was hypothesized that SA will be more affected by DT and that wearing the exoskeleton will improve gait patterns for both groups during DT. Twenty-two SA and twenty-six YA performed a single task (normal walking) and DT walking at their preferred speed with an exoskeleton (EXO), without (noEXO), and a sham version (SHAM) in a randomized and balanced order. Speed, cadence, double support time (DST), step length, hip joint power, range of motion (ROM), and moments (mom), as well as DT performance, were extracted using mocap, force plates (1000 Hz), and a voice recorder. Three-way MANOVA with group × device × condition was conducted (p < .05, inferred significance). Results showed a predominantly significant main effect of group for step length, speed, DST, ROM, and mom (p ≤ .01), main effect of condition for cadence, DST, speed, and mom (p < .01) and a main effect of the device for ROMz and mom (p < .05). Age-related changes were seen by decreased walking speed and step length, independent of DT and use of exoskeleton. Wearing the EXO aided the SA group to maintain similar levels of cadence from single to DT and decreased the hip internal rotation mom by 65%. There was no difference in DT performance between groups. In conclusion, SA showed a decline in gait patterns during DT that was somewhat mitigated by wearing an EXO.

逆境行走:老年人和年轻人的时空特征、运动和运动变量、认知压力以及被动辅助外骨骼之间的复杂联系。
在这项研究中,我们调查了年龄、双重任务(DT)和被动髋关节外骨骼对老年人(SA)和年轻人(YA)步态的综合影响。根据假设,SA 受 DT 的影响更大,而穿戴外骨骼将改善两组人在 DT 期间的步态模式。22 名 SA 和 26 名 YA 按照随机和平衡的顺序,分别以自己喜欢的速度进行了单项任务(正常行走)和穿戴外骨骼(EXO)、不穿戴外骨骼(noEXO)和假外骨骼(SHAM)的 DT 步行。使用 mocap、力板(1000 Hz)和录音机提取了速度、步幅、双支撑时间(DST)、步长、髋关节力量、运动范围(ROM)和力矩(Mom)以及 DT 表现。进行了组别 × 设备 × 条件的三方 MANOVA(P
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来源期刊
Human Movement Science
Human Movement Science 医学-神经科学
CiteScore
3.80
自引率
4.80%
发文量
89
审稿时长
42 days
期刊介绍: Human Movement Science provides a medium for publishing disciplinary and multidisciplinary studies on human movement. It brings together psychological, biomechanical and neurophysiological research on the control, organization and learning of human movement, including the perceptual support of movement. The overarching goal of the journal is to publish articles that help advance theoretical understanding of the control and organization of human movement, as well as changes therein as a function of development, learning and rehabilitation. The nature of the research reported may vary from fundamental theoretical or empirical studies to more applied studies in the fields of, for example, sport, dance and rehabilitation with the proviso that all studies have a distinct theoretical bearing. Also, reviews and meta-studies advancing the understanding of human movement are welcome. These aims and scope imply that purely descriptive studies are not acceptable, while methodological articles are only acceptable if the methodology in question opens up new vistas in understanding the control and organization of human movement. The same holds for articles on exercise physiology, which in general are not supported, unless they speak to the control and organization of human movement. In general, it is required that the theoretical message of articles published in Human Movement Science is, to a certain extent, innovative and not dismissible as just "more of the same."
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