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Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder
Published on: March 4, 2018
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Modification of the locomotor pattern when deviating from the characteristic heel-to-toe rolling pattern during
Raphael M Mesquita1, Giovanna Catavitello1, Patrick A Willems1
1Laboratoire de Physiologie et Biomécanique de La Locomotion, IoNS Université Catholique de Louvain, 1348, Louvain-La-Neuve, Belgium.
European Journal of Applied Physiology
|March 4, 2023
Summary
Altering foot strike patterns during walking increases mechanical work and alters spinal motor activity. This heel-to-toe rolling pattern likely evolved to optimize human gait and posture.
Area of Science:
- Biomechanics
- Human Locomotion
- Neuromuscular Control
Background:
- Humans exhibit a unique heel-to-toe foot rolling pattern during walking, which provides an energetic advantage.
- The impact of varying foot contact strategies on the neuromuscular control of adult walking gaits remains underexplored.
Purpose of the Study:
- To investigate how deviating from the typical heel-to-toe rolling pattern affects energy transfer and gait phases.
- To examine the modifications in spinal motor activity associated with altered foot contact strategies.
Main Methods:
- Ten participants walked on a treadmill under three conditions: normal heel-to-toe rolling, flat-foot contact, and ball-of-foot contact.
- Measurements likely included kinematic and kinetic data, as well as electromyography to assess neuromuscular activity.
Main Results:
- Deviating from the heel-to-toe rolling pattern significantly increased mechanical work by 85%, primarily due to reduced propulsion in late stance.
- This mechanical alteration correlated with changes in lumbar and sacral segment activation, showing a 65% smaller delay between major activation bursts compared to normal walking.
Conclusions:
- The observed changes in gait mechanics and neuromuscular control when deviating from heel-to-toe rolling resemble patterns seen in plantigrade animals and early human toddlers.
- These findings suggest that the heel-to-toe rolling pattern in human locomotion has evolved to optimize gait efficiency and stability, driven by evolutionary pressures related to bipedalism.

