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Updated: May 25, 2026

Experimental Methods to Study Human Postural Control
Published on: September 11, 2019
Dynamic margins of stability during human walking in destabilizing environments
Patricia M McAndrew Young1, Jason M Wilken, Jonathan B Dingwell
1Department of Biomedical Engineering, University of Texas, Austin, TX 78712, USA.
Understanding dynamic walking stability is crucial for fall prevention. This study found that step-to-step changes in margins of stability (MOS) better reveal how individuals adapt to walking perturbations than average MOS.
Area of Science:
- Biomechanics
- Human locomotion
- Gait analysis
Background:
- Maintaining dynamic walking stability is essential for preventing falls, especially when facing external disturbances.
- Previous research has focused on average measures of stability, but dynamic, step-to-step control mechanisms remain less understood.
Purpose of the Study:
- To quantify the effects of continuous anterior-posterior (AP) and mediolateral (ML) oscillations on dynamic walking stability control.
- To investigate whether step-to-step changes in margins of stability (MOS) provide a more sensitive measure of stability control during perturbations than mean MOS.
Main Methods:
- Twelve subjects walked in a controlled environment (CAREN system) under five conditions: no perturbation, AP platform/visual oscillations, and ML platform/visual oscillations.
- Calculated anterior-posterior (AP) and mediolateral (ML) margins of stability (MOS) for each step.
- Utilized first-return plots to analyze step-to-step dynamics of MOS.
Main Results:
- Mediolateral MOS (MOS(ml)) was slightly larger during all perturbations compared to no perturbation.
- Anterior-posterior MOS (MOS(ap)) was significantly smaller during AP and ML oscillations.
- Variability of both MOS(ap) and MOS(ml) increased significantly under ML perturbations.
- Step-to-step MOS(ml) dynamics changed significantly across conditions, suggesting adaptive control strategies.
Conclusions:
- Continuous AP and ML oscillations alter dynamic walking stability control.
- Step-to-step analysis of margins of stability reveals more about adaptive control strategies during perturbations than mean MOS.
- This approach may offer a more sensitive method for assessing walking stability and fall risk.
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