Onset timing of treadmill belt perturbations influences stability during walking

Split-belt treadmills have become popular tools for investigating stability during walking by using belt accelerations to induce slip-like perturbations. While the onset timing of destabilizing perturbations is a critical determinant of an individual's stabilizing response, previous studies have predominantly delivered belt acceleration perturbations at heel strike or have not explicitly controlled onset as a percentage of the gait cycle. To address this gap, we 1) developed an algorithm to target transient increases in unilateral belt speed to begin at specific percentages of the walking gait cycle, 2) validated the algorithm's accuracy and precision, and 3) investigated the influence of different onset timings on spatial stability measures. We evaluated desired onset timings of 10, 15, 20, and 30% of the gait cycle during walking at 1.25 m/s and measured step lengths and widths, as well as anteroposterior and mediolateral margins of stability during the perturbed and four recovery steps in 10 able-bodied participants. From 800 perturbations, we found a mean (standard deviation) delay in onset timing of 5.2% (0.9%) of the gait cycle, or 56 (9) ms. We hypothesized later onset timings would elicit more stabilizing responses due to the less stable configuration of the body during late vs. early single stance. Our data generally supported this hypothesis - in comparison to earlier onset timings, later onset timings precipitated greater stabilizing responses, including larger step lengths, step widths, and anteroposterior/mediolateral margins of stability on the perturbed step, in addition to shorter step lengths and wider step widths on the first step post-perturbation.