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Updated: Feb 13, 2026

Walk with Me Hybrid Virtual/In-Person Walking for Older Adults with Neurodegenerative Disease
Published on: June 16, 2023
Healthy individuals are more maneuverable when walking slower while navigating a virtual obstacle course
Katherine L Hsieh1, Riley C Sheehan2, Jason M Wilken3
1Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA; Military Performance Lab, Center for the Intrepid, JBSA Ft. Sam Houston, TX, USA.
Slower walking speeds enhance maneuverability and transition performance in obstacle courses, despite slightly decreasing mediolateral stability. This suggests a trade-off between stability and agility during dynamic walking tasks.
Area of Science:
- Biomechanics
- Human locomotion
- Gait analysis
Background:
- Maintaining mediolateral stability is crucial for walking.
- Community navigation requires balancing stability and maneuverability for lateral transitions.
- Understanding the impact of walking speed on maneuverability is essential.
Purpose of the Study:
- To investigate how different walking speeds influence stability and maneuverability during obstacle navigation.
- To examine the trade-off between stability and maneuverability in a virtual obstacle course.
Main Methods:
- Fifteen healthy adults walked in a virtual reality obstacle course at typical and slower speeds.
- Stability was quantified using mean step width and lateral margin of stability (Mean MOS).
- Maneuverability was assessed by the number of obstacles hit during transitions.
Main Results:
- Slower walking speeds resulted in decreased Mean MOS and step width for ipsilateral steps.
- Participants hit fewer obstacles at slower walking speeds compared to typical speeds.
- Increased variability in stepping patterns was observed across conditions.
Conclusions:
- Walking at slower speeds enhances maneuverability and transition performance in obstacle courses.
- A trade-off exists between stability and maneuverability, with slower speeds favoring maneuverability.
- Findings suggest that individuals modulate gait parameters to optimize performance in dynamic environments.
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