Novel methodology for assessing total recovery time in response to unexpected perturbations while walking.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2020
Historique:
received: 13 11 2019
accepted: 06 05 2020
entrez: 4 6 2020
pubmed: 4 6 2020
medline: 25 8 2020
Statut: epublish

Résumé

Walking stability is achieved by adjusting the medio-lateral and anterior-posterior dimensions of the base of support (step length and step width, respectively) to contain an extrapolated center of mass. We aimed to calculate total recovery time after different types of perturbations during walking, and use it to compare young and older adults following different types of perturbations. Walking trials were performed in 12 young (age 26.92 ± 3.40 years) and 12 older (age 66.83 ± 1.60 years) adults. Perturbations were introduced at different phases of the gait cycle, on both legs and in anterior-posterior or medio-lateral directions, in random order. A novel algorithm was developed to determine total recovery time values for regaining stable step length and step width parameters following the different perturbations, and compared between the two participant groups under low and high cognitive load conditions, using principal component analysis (PCA). We analyzed 829 perturbations each for step length and step width. The algorithm successfully estimated total recovery time in 91.07% of the runs. PCA and statistical comparisons showed significant differences in step length and step width recovery times between anterior-posterior and medio-lateral perturbations, but no age-related differences. Initial analyses demonstrated the feasibility of comparisons based on total recovery time calculated using our algorithm.

Identifiants

pubmed: 32492029
doi: 10.1371/journal.pone.0233510
pii: PONE-D-19-31620
pmc: PMC7269230
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0233510

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Uri Rosenblum (U)

Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel.
Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Lotem Kribus-Shmiel (L)

Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel.

Gabi Zeilig (G)

Department of Neurological Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel.
Department of Physical and Rehabilitation Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Yotam Bahat (Y)

Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel.

Shani Kimel-Naor (S)

Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel.

Itshak Melzer (I)

Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Meir Plotnik (M)

Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel.
Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.

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