Gait & posture最新文献

{"title":"Anticipatory postural adjustments for reaching and lifting an object from the floor","authors":"P. Di Florio , M. Sicbaldi , L. Palmerini , A. Silvani , L. Chiari","doi":"10.1016/j.gaitpost.2024.08.041","DOIUrl":"10.1016/j.gaitpost.2024.08.041","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Page S21"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142551845","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":"Physiological rotation patterns of the thoracolumbar spine across different ages: A detailed analysis using upright CT","authors":"Ryo Mizukoshi ,&nbsp;Mitsuru Yagi ,&nbsp;Yoshitake Yamada ,&nbsp;Yoichi Yokoyama ,&nbsp;Minoru Yamada ,&nbsp;Kota Watanabe ,&nbsp;Masaya Nakamura ,&nbsp;Takeo Nagura ,&nbsp;Masahiro Jinzaki","doi":"10.1016/j.gaitpost.2024.10.005","DOIUrl":"10.1016/j.gaitpost.2024.10.005","url":null,"abstract":"<div><h3>Background</h3><div>The rotational motion of the spine plays a crucial role in daily activities. Understanding the mechanisms of spinal rotation is essential for evaluating normal spinal function, especially in standing positions due to the influence of gravity. However, previous studies on spinal rotation have been limited.</div></div><div><h3>Research Question</h3><div>What are the differences in thoracolumbar rotation during trunk rotation in a standing position among different age and gender groups?</div></div><div><h3>Methods</h3><div>This cross-sectional study involved 49 healthy volunteers without back pain, including 24 younger participants (13 males, 11 females) and 25 elderly participants (12 males, 13 females). Upright and trunk-rotated CT (right-rotated standing positions) scans were taken. Vertebral rotation was measured using the femoral head center as an axis.</div></div><div><h3>Results</h3><div>Analysis of spinal alignment in the standing position revealed mild rotation from the lumbar to thoracic vertebrae. The lumbar spine exhibited left rotation at apex of L3 (L3: −1.3±3.8°, p=0.01), while the lower thoracic spine showed right rotation at apex of T8 (T8: 1.9±2.4°, p&lt;0.001) and the upper thoracic spine showed left rotation at apex of T3 (T3: −2.6±2.9°, p&lt;0.001). The lumbar spine showed minimal rotation during maximum trunk rotation, with significant rotation noted above T10 (16 % vs 84 %). The total thoracolumbar spinal rotation at T1 showed significant differences by gender and age (male vs. female: 23.9±° vs. 30.3±°, p=0.001; young vs. elderly: 29.2±° vs. 25.0±°, p=0.028; elderly male vs. elderly female: 19.2±° vs. 30.4±°, p&lt;0.001). Younger participants did not show significant gender differences, while elderly females retained more rotation compared to males.</div></div><div><h3>Significance</h3><div>This pioneering study provides the first detailed report on the range of spinal rotation in a physiological standing situation, highlighting significant differences by gender and age. These findings offer new insights into the natural patterns of spinal rotation and their potential implications for diagnosing and treating spinal disorders.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages 305-312"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515278","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":"The Gait Outcomes Assessment List (GOAL) questionnaire: Test-retest reliability and validity in children with cerebral palsy in Türkiye","authors":"Umut Apaydın ,&nbsp;Unni Narayanan ,&nbsp;Rabia Zorlular ,&nbsp;Hatice Adıgüzel ,&nbsp;Ramazan Yıldız ,&nbsp;Ayşe Yıldız ,&nbsp;Erkan Erol ,&nbsp;Yasemin Apaydın ,&nbsp;Bülent Elbasan","doi":"10.1016/j.gaitpost.2024.10.009","DOIUrl":"10.1016/j.gaitpost.2024.10.009","url":null,"abstract":"<div><h3>Background</h3><div>Most questionnaires provide little information about children's or parents' views on functioning and do not attempt to understand their priorities or expectations. The Gait Outcomes Assessment List (GOAL) questionnaire was developed to fill this gap by identifying the most important goals of the patient and family for a gait intervention.</div></div><div><h3>Research question</h3><div>To investigate the test-retest reliability and concurrent and discriminant validity of the GOAL questionnaire in children with cerebral palsy (CP) in Türkiye.</div></div><div><h3>Methods</h3><div>In this study, we included 81 children with CP aged 5–18 years and their families. The parent and child version 5.0 of the GOAL was used. Standardized item, domain and total (across all domains) GOAL scores were calculated for each participant. Test-retest reliability was assessed with the intraclass correlation coefficient (ICC). The Gillette Functional Assessment Questionnaire (FAQ) was used for validation.</div></div><div><h3>Results</h3><div>The mean age of the children was 10.4 ± 3.3 years (range 5–18), and 64.2 % were boys. The test–retest reliability was excellent for the GOAL-Child and GOAL-Parent total GOAL scores (ICC: 0.97 for the child and ICC: 0.96 for the parent). All standard errors of measurement (SEMs) for domain scores and total scores were fewer than 20 points. The children's total scores on the GOAL questionnaire showed a significant difference between the GMFCS levels (p &lt;0.001). The parents’ total scores on the GOAL questionnaires also showed a significant difference between the GMFCS levels (p &lt;0.001). There were moderate positive correlations between the GOAL child and parent questionnaire total scores and the FAQ walking level according to Spearman’s rho (GOAL child and FAQ walking rho: 0.66, p&lt;0.001; GOAL parent and FAQ walking rho: 0.58, p&lt;0.001).</div></div><div><h3>Significance</h3><div>The results demonstrate that the child and parent versions of the GOAL 5.0 are valid and reliable for the comprehensive assessment of Turkish children with CP.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages 290-296"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515280","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":"Within-session variability of different gait quality indices in neurological disorders","authors":"A.S. Orejel Bustos ,&nbsp;M. Tramontano ,&nbsp;P. Brasiliano ,&nbsp;V. Belluscio ,&nbsp;S. Vasta ,&nbsp;G. Marangon ,&nbsp;E. Bergamini ,&nbsp;G. Vannozzi","doi":"10.1016/j.gaitpost.2024.08.054","DOIUrl":"10.1016/j.gaitpost.2024.08.054","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages S30-S31"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552336","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":"Mechanisms of gait speed changes in middle-aged adults: Simultaneous analysis of magnitude and temporal effects","authors":"Vinayak Vijayan ,&nbsp;Shanpu Fang ,&nbsp;Timothy Reissman ,&nbsp;Allison L. Kinney ,&nbsp;Megan E. Reissman","doi":"10.1016/j.gaitpost.2024.09.017","DOIUrl":"10.1016/j.gaitpost.2024.09.017","url":null,"abstract":"<div><h3>Background</h3><div>Middle-aged adults represent the transition between younger and older adults, where some of the characteristic gait differences due to aging begins to surface. However, the gait characteristics of middle-aged adults across the whole gait cycle remains an understudied topic. As speed is a sensitive indicator of health, characterizing the effects of speed on the gait of middle-aged adults and differentiating it from the response of young adults will provide insights into the effects of aging on gait speed modulation mechanisms.</div></div><div><h3>Research question</h3><div>What are the mechanisms of gait speed changes that are employed by middle-aged adults, and how are they different from younger adults?</div></div><div><h3>Methods</h3><div>A cohort of healthy young and middle-aged adults completed 60 second trials at three different speeds. Joint kinematics, kinetics, and surface electromyography data were analyzed and compared between the speed levels and age groups. Statistical Parametric Mapping along with a nonlinear curve registration algorithm was used to simultaneously assess the changes in both magnitude and timing of different metrics.</div></div><div><h3>Results</h3><div>When compared to the younger cohort, the middle-aged cohort had significantly lower ankle range of motion, dorsiflexion moment during loading response and plantarflexion moment during push-off. At the knee joint, the middle-aged adults had significantly lower knee flexion moment during stance. At the hip joint, the middle-aged adults had lower extension moment during terminal stance.</div></div><div><h3>Significance</h3><div>Time-continuous analysis showed that primary differences due to age were related to decreased joint range of motion and joint moment production capability in the middle-aged adults. Faster walking appears a safe method for middle-aged adults to increase joint range of motion and joint moment expression. However, targeted interventions that focus on improving capability are likely also needed. Suggested targets being improving ankle and knee joint moment capability, and increased range of motion at all joints.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages 193-201"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368021","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":"Influence of medial longitudinal arch flexibility on lower limb joint coupling coordination and gait impulse","authors":"Xuanzhen Cen ,&nbsp;Peimin Yu ,&nbsp;Yang Song ,&nbsp;Dong Sun ,&nbsp;Minjun Liang ,&nbsp;István Bíró ,&nbsp;Yaodong Gu","doi":"10.1016/j.gaitpost.2024.10.002","DOIUrl":"10.1016/j.gaitpost.2024.10.002","url":null,"abstract":"<div><h3>Background</h3><div>A causal link exists between structural differences in the foot and alterations in the lower limb biomechanics, which might predispose an individual to develop characteristic musculoskeletal disorders.</div></div><div><h3>Research question</h3><div>This study aimed to determine how the foot structural characteristics, as represented by the medial longitudinal arch flexibility, affect lower limb joint coupling coordination and anterior-posterior ground reaction impulses (GRIs) during walking and running.</div></div><div><h3>Methods</h3><div>Following the calculation of arch height flexibility, a total of fifty-four physically active males were grouped and completed gait experiments to collect kinematic and kinetic data synchronously. Inter-joint coordination and variability were calculated from the angle-angle plots of knee-hip, ankle-knee, and metatarsophalangeal (MTP)-ankle couplings based on an optimized vector coding technique.</div></div><div><h3>Results</h3><div>Our results indicate that coupling coordination of interest and its variability, as well as anterior-posterior GRIs, could potentially be influenced due to differences in arch height flexibility. Notably, the individuals with stiff arches exhibited significantly greater coordination variabilities during the early stance for both ankle-knee and MTP-ankle coordination yet significantly smaller for MTP-ankle coordination variabilities during the mid-stance phase. Furthermore, combining the statistical parametric mapping analysis results, the flexible arches experienced a greater proportion of GRIs in the anterior-posterior direction.</div></div><div><h3>Significance</h3><div>In conclusion, these observations demonstrated that variations in arch flexibility led to differences in lower limb joint coordination variabilities and GRIs during gait. This fresh insight into inter-joint coordinative function may be useful for enhancing foot motion strategies based on arch structural characteristics.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages 208-214"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142383060","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":"Post-mechanotherapy differences in postural control in patients with Achilles tendinopathy - A randomized controlled trial","authors":"Piotr Król,&nbsp;Kajetan Jacek Słomka,&nbsp;Grzegorz Juras,&nbsp;Wojciech Marszałek,&nbsp;Magdalena Stania","doi":"10.1016/j.gaitpost.2024.09.009","DOIUrl":"10.1016/j.gaitpost.2024.09.009","url":null,"abstract":"<div><h3>Background</h3><div>Neuromuscular deficits affecting functional ability can occur in patients with Achilles tendinopathy during difficult balance activities. This study aimed to assess postural control in patients with Achilles tendinopathy after shockwave and sonotherapy, using advanced analytical methods, including rambling-trembling signal decomposition and sample entropy.</div></div><div><h3>Research question</h3><div>What are the differences in postural control between patients with Achilles tendinopathy after shockwave therapy, ultrasound therapy, and placebo ultrasound?</div></div><div><h3>Methods</h3><div>Thirty-nine patients were included in the study, and randomly assigned to 3 groups, i.e., shockwave therapy, ultrasound therapy and placebo ultrasound. Postural sway was assessed during quiet standing with eyes open and closed, with two force platforms, one for the affected and the other for the non-affected limb, at baseline and at weeks 1 and 6 after treatment. Rambling-trembling trajectories and sample entropy were calculated for the antero-posterior and medio-lateral directions.</div></div><div><h3>Results</h3><div>The parameters of trembling trajectory in both directions were significantly smaller for the affected compared to non-affected limb. The ultrasound group had significantly larger rambling-trembling trajectories in the antero-posterior and medio-lateral sway directions than the shockwave therapy group. Also, all patients had more difficulty controlling their postural sway while standing with eyes closed compared to eyes open. Sample entropy was not significantly affected by the therapy type, timepoint and limb condition.</div></div><div><h3>Significance</h3><div>As opposed to sample entropy, rambling-trembling decomposition can complement or replace traditional linear measures of COP time series in functional assessment of the Achilles tendon.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages 180-192"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357877","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":"Comparison of inertial-based filters for orientation estimation in indoor and outdoor running","authors":"A. Machetti ,&nbsp;R. Rossanigo ,&nbsp;M. Caruso ,&nbsp;G. Martinez ,&nbsp;L. Ventura ,&nbsp;A. Manca ,&nbsp;F. Deriu ,&nbsp;A. Cereatti","doi":"10.1016/j.gaitpost.2024.08.051","DOIUrl":"10.1016/j.gaitpost.2024.08.051","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages S28-S29"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552031","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":"Using textile sensors to assess electromyographic activation patterns during gait","authors":"F. Colelli Riano ,&nbsp;F. Amitrano ,&nbsp;A. De Rosa ,&nbsp;G. Iaselli ,&nbsp;A. Biancardi ,&nbsp;A. Coccia ,&nbsp;G. D’Addio","doi":"10.1016/j.gaitpost.2024.08.037","DOIUrl":"10.1016/j.gaitpost.2024.08.037","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Page S18"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142551841","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":"The effects of subsensory electrical noise stimulation on the reactive control of balance during support surface perturbations","authors":"Zahra Bassiri ,&nbsp;Oluwasegun Akinniyi ,&nbsp;Nathan Humphrey ,&nbsp;Dario Martelli","doi":"10.1016/j.gaitpost.2024.10.006","DOIUrl":"10.1016/j.gaitpost.2024.10.006","url":null,"abstract":"<div><h3>Background</h3><div>The ability to respond effectively to balance perturbations is crucial for fall prevention. Subsensory electrical stimulation (SES) applied to the skin leads to improved proactive balance control but there is limited evidence on the SES effect on reactive balance control.</div></div><div><h3>Research Questions</h3><div>To test the efficiency of SES in improving reactive balance control against unpredictable support surface perturbations and to compare the effects of SES applied to the trunk and the lower legs.</div></div><div><h3>Methods</h3><div>Twenty-three young adults stood on a treadmill while recovering from 15 forward and 15 backward surface translations of increasing magnitude to determine the backward and forward stepping thresholds (<em>BSTh</em> and <em>FSTh</em>). Then, they recovered from three repetitions of forward and backward perturbations of fixed magnitude to determine the characteristic of the compensatory step (i.e., step time, step length, step delay and Margin of Stability - <em>MOS</em>). Each test was conducted with no stimulation (NS), leg stimulation (LS), or trunk stimulation (TS) equal to 90 % of the sensory threshold. Repeated-measures ANOVA and Tukey post-hoc tests were used to analyze the main and interaction effects of stimulation and repetition.</div></div><div><h3>Results</h3><div>TS and LS increased the <em>BSTh</em> by 31.5 % (p=0.002) and 16.4 % (p=0.028), respectively, with greater effects of TS; (ii) during backward perturbations, TS reduced compensatory step time by 9.0 %, step length by 17.1 %, and MOS at compensatory heel strike by 17.7 % (p&lt;0.016); and (iii) during forward perturbations, LS and TS reduced the step time by 4.5 % and 3.5 % (p&lt;0.017), and increased the minimum MOS by 7.8 % and 4.5 %, respectively (p&lt;0.048).</div></div><div><h3>Significance</h3><div>This is the first study that showed how the application of SES affects reactive balance control during support surface perturbations. TS was more effective than LS during backward perturbations. TS may be an effective strategy to enhance balance control during reactive postural tasks, thus potentially reducing fall risk.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages 297-304"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515279","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}