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Related Experiment Video

Updated: Feb 2, 2026

Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder
06:54

Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder

Published on: March 4, 2018

14.8K

Gait.

Anat Mirelman1, Shirley Shema2, Inbal Maidan1

  • 1Center for the Study of Movement, Cognition, and Mobility, Neurology Division, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; Sagol School of Neuroscience, Tel Aviv University, Israel; Department of Neurology, Sackler School of Medicine, Tel Aviv University, Israel; Laboratory of Early Markers of Neurodegeneration, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Handbook of Clinical Neurology
|November 29, 2018
PubMed
Summary

Walking is a complex cognitive process, not just automatic movement. Advanced brain pathways control gait, impacting functional independence and requiring new clinical assessment methods.

Keywords:
brain pathwayscognitionexecutive functiongaitgait analysislocomotionposturespatiotemporal measurements

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Area of Science:

  • Neuroscience
  • Biomechanics
  • Rehabilitation Science

Background:

  • Gait, essential for functional independence, was traditionally viewed as an automatic motor process.
  • Emerging research highlights gait as a cognitive function demanding higher-level executive control and attention, particularly in challenging conditions.
  • Two primary locomotor pathways, dorsal (cognitive) and ventral (emotional), have been identified for posture and gait control, involving multiple brain areas.

Purpose of the Study:

  • To explore the cognitive aspects of gait control.
  • To discuss the identified dorsal and ventral locomotor pathways and their potential differential impact in pathologies.
  • To review the evolution of gait analysis from basic assessments to long-term, real-world monitoring.

Main Methods:

  • Literature review on cognitive control of gait.
  • Discussion of neuroanatomical pathways involved in locomotion.
  • Analysis of the shift in gait assessment methodologies.

Main Results:

  • Gait requires significant higher-level cognitive input, involving executive functions and attention.
  • Distinct dorsal and ventral locomotor pathways are implicated in gait control.
  • Pathologies may affect these pathways differently, influencing therapeutic strategies.
  • Gait analysis has advanced to long-term monitoring using body-fixed sensors in natural environments.

Conclusions:

  • Gait is a sophisticated cognitive process influenced by distinct neural pathways.
  • Understanding these pathways is crucial for targeted rehabilitation and therapy.
  • The evolution towards long-term, real-world gait monitoring offers richer insights into functional independence.