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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
Dynamic postural control during (in)visible curb descent at fast versus comfortable walking velocity
Soran AminiAghdam1, Eric Griessbach2, Johanna Vielemeyer3
1Department of Motion Science, Institute of Sport Science, Friedrich-Schiller-University Jena, Jena, Thuringia, Germany; Department of Neurology/Department of Orthopedic Surgery, Bayreuth Hospital, Bayreuth, Bavaria, Germany.
Navigating camouflaged curbs at faster speeds challenges postural control, especially with higher curbs. Increased walking velocity independently reduces stability, limiting compensatory base-of-support adjustments.
Area of Science:
- Biomechanics
- Human locomotion
- Postural control
Background:
- Unexpected ground-contact onset during gait, like with camouflaged curbs, challenges postural control.
- These challenges may worsen at faster walking velocities.
Purpose of the Study:
- To investigate if traversing camouflaged curbs at fast speeds induces greater postural instability compared to visible curbs.
- To assess changes in the margin of stability (MoS) during curb negotiation and recovery steps.
Main Methods:
- Twelve healthy participants walked over visible and camouflaged curbs (0 and 10 cm) at comfortable and fast velocities.
- Margin of stability (MoS) was measured at foot touchdown during descent and the first recovery step.
- Repeated-measurement ANOVAs analyzed the effects of velocity, elevation, and visibility on MoS.
Main Results:
- No increased instability for camouflaged vs. visible curbs at faster speeds during descent (no 3-way interaction).
- A significant decrease in MoS occurred when descending 10-cm camouflaged curbs due to greater center-of-mass displacement and velocity.
- Faster walking velocity independently reduced MoS and shifted the center-of-mass forward.
- Recovery steps showed reduced stability when walking faster or from camouflaged curbs.
Conclusions:
- While walking velocity significantly impacts postural control, the increased instability from camouflaged curbs is not solely velocity-dependent in young adults.
- The ability to widen the base of support to compensate for increased center-of-mass velocity is limited at higher walking speeds.
- Further research including elderly populations is recommended.
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