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Sit-to-stand-and-walk from 120% Knee Height: A Novel Approach to Assess Dynamic Postural Control Independent of Lead-limb
Published on: August 30, 2016
Time-integrated propulsive and braking impulses do not depend on walking speed
Joan E Deffeyes1, Denise M Peters1
1University of Vermont, Department of Rehabilitation and Movement Science, USA.
Walking speed does not affect propulsion when analyzed using time integration of the anterior-posterior ground reaction force (AP-GRF). Different calculation methods yield varied conclusions on gait propulsion and braking.
Area of Science:
- Biomechanics
- Human Movement Analysis
- Physical Therapy
Background:
- Assessing gait propulsion and braking is crucial in physical therapy for impaired gait.
- Current literature lacks consensus on standardized methods for measuring propulsion and braking.
- Anterior-posterior ground reaction force (AP-GRF) is commonly used, but normalization techniques vary.
Purpose of the Study:
- To investigate the effect of walking speed on propulsion and braking.
- To determine how different calculation methods impact conclusions regarding propulsion and braking.
- To compare findings in healthy adults and individuals with lower limb impairments.
Main Methods:
- Investigated three methods: BW-TimeIntegration, BW-%StanceIntegration, and BW-Peak.
- Applied methods to AP-GRF data from healthy controls (n=203) across various walking speeds.
- Included a dataset of subjects with lower limb orthopedic injuries.
Main Results:
- BW-TimeIntegration showed no effect of walking speed on propulsion in healthy controls.
- Time integration balanced lower AP-GRF magnitudes with longer stance times at slower speeds.
- Non-time integration methods indicated increased propulsion with faster walking speeds.
- Analysis method choice influenced results in the gait pathology dataset.
Conclusions:
- The choice of analysis method significantly impacts the interpretation of gait propulsion and braking.
- Time integration of AP-GRF is recommended for studies relating impulse to changes in momentum.
- Standardized methods are needed for accurate gait analysis in clinical and research settings.
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