Gait & posture最新文献

{"title":"Standardizing head movements in gait assessment through augmented reality, a cross-sectional study","authors":"Eugénie Lambrecht ,&nbsp;Jakob Struye ,&nbsp;David Beckwée ,&nbsp;Luc Vereeck ,&nbsp;Willem De Hertogh ,&nbsp;Elissa Embrechts ,&nbsp;Ann Hallemans","doi":"10.1016/j.gaitpost.2025.08.001","DOIUrl":"10.1016/j.gaitpost.2025.08.001","url":null,"abstract":"<div><h3>Background</h3><div>Head movements challenge human balance during locomotion, but their exact impact remains unclear due to non-standardized experimental setups. This study validates an augmented reality (AR) cueing setup for head movements during gait assessment, investigating its task performance accuracy, hardware impact, ability for standardization and the effects of head movements on gait.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 25 healthy adults underwent a 3D-motion capture gait protocol. Participants walked overground under three conditions: 1) auditory-cued head turns wearing a headband, 2) auditory-cued head turns wearing an AR head mounted display (AR-HMD), 3) AR-cued (hologram) head turns wearing AR-HMD. Head kinematics (angles and velocity) and eye movements were recorded during horizontal and vertical head movements. Task performance accuracy was measured as the coherency (gain,%) in head and eye with the hologram. Hardware impact on head kinematics was assessed using linear mixed models. Standardization of an AR-HMD versus traditional auditory cueing was measured by head kinematics variance and kinematic profiles.</div></div><div><h3>Results</h3><div>Task performance accuracy was high (eyes-hologram: 99.5 ± 0.8 %; head-hologram 98.8 ± 1.6 %). Hardware impacted angular head velocity (p &lt; 0.001) but not range of motion (p = 0.700). Standardization of the head movement was better in AR with lower variances in kinematic profiles, standard deviations (p &lt; 0.05) and coefficients of variance (p &gt; 0.05) compared to auditory cueing.</div></div><div><h3>Conclusion</h3><div>In conclusion, an AR-HMD setup elicits more standardized head movements shown by lower variance in head kinematics with excellent task performance accuracy. This offers a proof of concept for AR elicited head movements as a method in gait assessment in healthy individuals.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"122 ","pages":"Pages 292-299"},"PeriodicalIF":2.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obesity as a moderator of lumber spine posture change during pregnancy","authors":"Robert D. Catena ,&nbsp;Shenghai Dai ,&nbsp;Brett T. Allaire ,&nbsp;Amy Occhino ,&nbsp;Jacob J. Banks ,&nbsp;Dennis E. Anderson","doi":"10.1016/j.gaitpost.2025.08.063","DOIUrl":"10.1016/j.gaitpost.2025.08.063","url":null,"abstract":"<div><h3>Background</h3><div>Low back pain is one of the most common orthopedic issues during pregnancy, sometimes linked to a “gestational lordosis” spine posture. The aims in this study were to explore how the lumbar spine changes, establish the relationship of lumbar curvature to torso anthropometry, and determine if anthropometry can be used to predict lumbar angle changes during pregnancy.</div></div><div><h3>Methods</h3><div>Anthropometry and comfortable standing spine curvature were measured longitudinally during the last seven months of pregnancy of eleven pregnant participants. Multiple regression analyses were used to determine correlates at each time point. Auto- and cross-correlations were used to determine predictors of lumbar spine curvature.</div></div><div><h3>Results</h3><div>Comfortable standing lumbar spine curvature was not correlated with gestational time (r² ≤ 0.031) and did not have a high autocorrelation indicating the inappropriateness to assume a single lumbar spine postural change during pregnancy. However. lumbar curvature was correlated with individual anthropometry (r² = 0.489) and those same measures can be used to predict lumbar posture change between the 1st trimester and the 3rd trimester of pregnancy.</div></div><div><h3>Significance</h3><div>Findings from this study can be applied to better predict pregnancy spine posture based on unique abdominal size increases relative to body size. Clinicians can use measures related to pre-pregnancy body mass index and torso mass gains to plan for ergonomic device use and work accommodation plans. Musculoskeletal models should consider that lower and higher BMI individuals may present with different loading patterns due to differences in lumbar spine posture change.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"122 ","pages":"Pages 320-325"},"PeriodicalIF":2.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postural control imbalance in individuals with a minor lower extremity amputation: A scoping review","authors":"Maxime Acien ,&nbsp;Ahmed Dami ,&nbsp;Virginie Blanchette ,&nbsp;Gabriel Moisan","doi":"10.1016/j.gaitpost.2025.08.064","DOIUrl":"10.1016/j.gaitpost.2025.08.064","url":null,"abstract":"<div><h3>Background</h3><div>Minor lower extremity amputations (LEA) compromise postural control and increase the risk of falls. This issue is exacerbated by conditions such as diabetes, which affect proprioception and sensorimotor mechanisms. While orthopedic devices, including prostheses and orthoses, are frequently prescribed, their specific role in restoring postural control remains underexplored. This scoping review aimed to synthesize current research on postural control in individuals with a minor LEA and to evaluate the interventions that may improve balance.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across databases (MEDLINE, CINAHL, SPORTDiscus, Cochrane) and grey literature, targeting studies employing biomechanics (e.g., kinetics, kinematics), functional tests (e.g., Functional Reach Test, Timed Up and Go) and self-reported assessments of balance confidence, fall risk, and physical performance.</div></div><div><h3>Results</h3><div>Fifteen articles involving 288 individuals with various levels of minor LEA were included. Increased risk of falling were evidenced by lower scores on functional balance tests, with postural deficits confirmed by biomechanical measurements in both static and dynamic conditions. Custom orthotic devices improved functional performance and biomechanical outcomes, suggesting their effectiveness in restoring balance. Prosthetic devices, such as custom prosthetic shoes, enhanced postural stability and facilitated smoother weight transitions during tasks. However, small sample sizes and inconsistent evaluation protocols, complicate understanding of their effectiveness in rehabilitation.</div></div><div><h3>Conclusion</h3><div>This scoping review highlights the underestimated postural challenges experienced by individuals with a minor LEA and supports the role of orthotic and prosthetic interventions in restoring balance. High-quality research to guide clinical decision-making in this population is needed.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"122 ","pages":"Pages 339-351"},"PeriodicalIF":2.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144880279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in postural control and muscle activation in individuals with bilateral and unilateral chronic ankle instability","authors":"Minsub Oh ,&nbsp;Hyunwook Lee ,&nbsp;Seunguk Han ,&nbsp;J. Ty Hopkins","doi":"10.1016/j.gaitpost.2025.07.332","DOIUrl":"10.1016/j.gaitpost.2025.07.332","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with chronic ankle instability (CAI) exhibit deficits in postural control and muscle activation, with bilateral changes suggesting central alterations in sensorimotor function. However, differences in postural control and muscle activation between bilateral and unilateral CAI remain unclear. Understanding these differences is crucial for developing targeted rehabilitation strategies.</div></div><div><h3>Research question</h3><div>Do individuals with bilateral CAI, unilateral CAI, and healthy controls have differences in postural control and muscle activation?</div></div><div><h3>Methods</h3><div>18 individuals with bilateral CAI (bilateral), 18 individuals with unilateral CAI (unilateral), and 18 healthy controls (control) were recruited. To assess center of pressure (COP) and integrated electromyography (iEMG), participants performed 3 trials of single-leg stance tasks and lower extremity muscle activation was recorded simultaneously. One-way ANOVA was used to assess differences in the self-reported functional outcomes, postural control, and muscle activation among the three groups.</div></div><div><h3>Results</h3><div>The bilateral group showed worse postural control in COP mediolateral velocity and COP anteroposterior velocity compared to the unilateral and control groups. However, the unilateral group showed similar postural control with the control group. The bilateral group showed greater iEMG in the tibialis anterior compared to the unilateral and control groups. The unilateral group showed lower iEMG in the tibialis anterior compared to the control group.</div></div><div><h3>Significance</h3><div>Individuals with bilateral and unilateral CAI show significant differences in postural control and muscle activation during single-leg stance, suggesting that the central nervous system may process sensorimotor function differently. Understanding these differences can guide personalized treatments, which may enhance patient outcomes and reduce recurrent sprain risk.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"122 ","pages":"Pages 255-259"},"PeriodicalIF":2.4,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Walking faster or more is associated with better physical fitness among community-dwelling older Chinese women: A cross-sectional study","authors":"Qiang He ,&nbsp;Qingxu Wu ,&nbsp;Shuang Wu ,&nbsp;Xianliang Zhang ,&nbsp;Si Chen ,&nbsp;Yang Pan","doi":"10.1016/j.gaitpost.2025.07.330","DOIUrl":"10.1016/j.gaitpost.2025.07.330","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study is to examine the association between the daily steps, step intensity and physical fitness (PF) of community-dwelling older Chinese women.</div></div><div><h3>Methods</h3><div>Cross-sectional data were derived from baseline survey of the Physical Activity and Health in Older Women Study. Participants' daily steps and intensity were objectively measured using wGT3X-BT accelerometers. PF levels was determined through the National Physical Fitness Test (Elderly Section). To evaluate the associations of step counts and intensity with PF, logistic regression analyses were performed. Furthermore, receiver operating characteristic (ROC) curve analysis was employed to determine the optimal cut-off values of step counts and intensity for discriminating high PF levels.</div></div><div><h3>Results</h3><div>A total of 1122 participants were included in this study with a mean age of 64.9 ± 2.8 years. Logistic regression results showed that an increase of 1000 steps/day in incidental, purposeful, and moderate-vigorous steps, and an increase of 10 steps/min in peak cadence (defined as the highest average step rate over 1/5/10/30/60 min for Peak-1/5/10/30/60, respectively), were significantly associated with higher PF levels (P &lt; 0.05). ROC analysis results showed that the AUC values for total daily steps, incidental steps, purposeful steps, and moderate-vigorous intensity steps are 0.62, 0.60, 0.60, and 0.67, respectively. In addition, the corresponding optimal cut-off values for distinguishing between high and low PF are 6882 steps/day, 3596 steps/day, 4395 steps/day, and 1537 steps/day, respectively. The AUC values for Peak-1, Peak-5, Peak-10, Peak-30, and Peak-60 are 0.61, 0.62, 0.62, 0.61 and 0.61, respectively. The areas under the curves are all greater than or equal to 0.60. In addition, the corresponding optimal cut-off values for distinguishing high vs. low PF are 116 steps/min, 108 steps/min, 101 steps/min, 82 steps/min, and 67 steps/min, respectively.</div></div><div><h3>Conclusions</h3><div>Both higher step intensity and greater step accumulation were associated with better physical fitness in older women.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"122 ","pages":"Pages 264-271"},"PeriodicalIF":2.4,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stepping forward in recognising activities of daily living: Sharing labelled datasets between individuals for identifying unsupervised clustering","authors":"Jacob Beesley * ,&nbsp;Milad Khedr ,&nbsp;Gabor Barton","doi":"10.1016/j.gaitpost.2025.07.032","DOIUrl":"10.1016/j.gaitpost.2025.07.032","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"121 ","pages":"Pages 26-27"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144987830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical Analysis of Single-Leg Drop Landing in Individuals with Joint Hypermobility","authors":"Irem Opan ,&nbsp;Adnan Apti * ,&nbsp;Nadir Kuchimov Sevket Shavkat ,&nbsp;Burcu Semin Akel ,&nbsp;Nazif Ekin Akalan","doi":"10.1016/j.gaitpost.2025.07.024","DOIUrl":"10.1016/j.gaitpost.2025.07.024","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"121 ","pages":"Pages 18-19"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute effects of insoles on trunk-pelvis and hip kinematics during jumping in athletes with flexible pes planus: A pilot study","authors":"Nazif Ekin Akalan * ,&nbsp;Shavkat Nadir Kuchimov ,&nbsp;Kevser Burma ,&nbsp;Umut Şener ,&nbsp;Melih Bayın ,&nbsp;Dilara Durmaz ,&nbsp;Tuana Keçoğlu ,&nbsp;Eyyub Gece","doi":"10.1016/j.gaitpost.2025.07.014","DOIUrl":"10.1016/j.gaitpost.2025.07.014","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"121 ","pages":"Pages 8-9"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kinematic adaptations during trunk movements in adolescent idiopathic scoliosis with different types of curvature","authors":"Maria Asmar * ,&nbsp;Emmanuelle Wakim ,&nbsp;Maria Karam ,&nbsp;Rami Rachkidi ,&nbsp;Abir Massaad ,&nbsp;Mohamad Karam ,&nbsp;Marc Mrad ,&nbsp;Maria Rassam ,&nbsp;Ismat Ghanem ,&nbsp;Ayman Assi","doi":"10.1016/j.gaitpost.2025.07.026","DOIUrl":"10.1016/j.gaitpost.2025.07.026","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"121 ","pages":"Pages 20-21"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Muscle fat infiltration in the lumbar spine is related to functional impairment in patients with adult spinal deformity","authors":"Nabil Nassim ,&nbsp;Ayman Assi * ,&nbsp;Elio Mekhael ,&nbsp;Moustapha Rteil ,&nbsp;Ibrahim Hamati ,&nbsp;Marc Boutros ,&nbsp;Georges El Haddad ,&nbsp;Abir Massaad ,&nbsp;Ismat Ghanem ,&nbsp;Rami Rachkidi","doi":"10.1016/j.gaitpost.2025.07.027","DOIUrl":"10.1016/j.gaitpost.2025.07.027","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"121 ","pages":"Pages 21-22"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}