Non-consecutive versus consecutive footstrikes as an equivalent method of assessing gait asymmetry

Asymmetry of gait is often studied to characterize populations and assess the efficacy of treatment protocols. However, despite the continuous nature of gait, many studies have made comparisons between data from non-consecutive footstrikes. This is typically considered a limitation of these studies. However, if gait characteristics are sufficiently repeatable within a side, consecutive footstrikes may not be necessary to properly describe the asymmetry between sides. Therefore, one purpose of this study was to compare asymmetry values calculated from consecutive and non-consecutive footstrikes. Additionally, the variability of gait within and between sides was compared to assess the repeatability and distinctiveness of the characteristics on each side. The results suggest that kinetic and kinematic asymmetry can be assessed from either consecutive or non-consecutive footstrikes. Further, the patterns of movement tend to be sufficiently consistent within a side, such that the variability within a side is much lower than the variability between sides. However, there may be some variables, or populations, that exhibit high within-side variability. Several trials of consecutive footstrikes may be a better way to characterize asymmetry of those variables.