Steps to Take to Enhance Gait Stability: The Effect of Stride Frequency, Stride Length, and Walking Speed on Local Dynamic Stability and Margins of Stability

被引:170
作者
Hak, Laura [1 ]
Houdijk, Han [1 ,2 ]
Beek, Peter J. [1 ]
van Dieen, Jaap H. [1 ]
机构
[1] Vrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, Netherlands
[2] Heliomare Rehabil Ctr, Wijk Aan Zee, Netherlands
关键词
VARIABILITY; BALANCE; SENSITIVITY; STRATEGIES; WIDTH;
D O I
10.1371/journal.pone.0082842
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The purpose of the current study was to investigate whether adaptations of stride length, stride frequency, and walking speed, independently influence local dynamic stability and the size of the medio-lateral and backward margins of stability during walking. Nine healthy subjects walked 25 trials on a treadmill at different combinations of stride frequency, stride length, and consequently at different walking speeds. Visual feedback about the required and the actual combination of stride frequency and stride length was given during the trials. Generalized Estimating Equations were used to investigate the independent contribution of stride length, stride frequency, and walking speed on the measures of gait stability. Increasing stride frequency was found to enhance medio-lateral margins of stability. Backward margins of stability became larger as stride length decreased or walking speed increased. For local dynamic stability no significant effects of stride frequency, stride length or walking speed were found. We conclude that adaptations in stride frequency, stride length and/or walking speed can result in an increase of the medio-lateral and backward margins of stability, while these adaptations do not seem to affect local dynamic stability. Gait training focusing on the observed stepping strategies to enhance margins of stability might be a useful contribution to programs aimed at fall prevention.
引用
收藏
页数:8
相关论文
共 50 条
[41]   Assessment of Local Dynamic Stability in Gait Based on Univariate and Multivariate Time Series [J].
Josinski, Henryk ;
Switonski, Adam ;
Michalczuk, Agnieszka ;
Grabiec, Piotr ;
Pawlyta, Magdalena ;
Wojciechowski, Konrad .
COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE, 2019, 2019
[42]   Local dynamic stability and gait variability during attentional tasks in young adults [J].
Magnani, Rina Marcia ;
Lehnen, Georgia Cristina ;
Rodrigues, Fabio Barbosa ;
de Sa e Souza, Gustavo Souto ;
Andrade, Adriano de Oliveira ;
Vieira, Marcus Fraga .
GAIT & POSTURE, 2017, 55 :105-108
[43]   Local dynamic stability of treadmill walking: Intrasession and week-to-week repeatability [J].
Reynard, Pabienne ;
Terrier, Philippe .
JOURNAL OF BIOMECHANICS, 2014, 47 (01) :74-80
[44]   Does visual augmented feedback reduce local dynamic stability while walking? [J].
Hamacher, Daniel ;
Hamacher, Dennis ;
Schega, Lutz .
GAIT & POSTURE, 2015, 42 (04) :415-418
[45]   The reliability of local dynamic stability in walking while texting and performing an arithmetical problem [J].
Hamacher, Dennis ;
Hamacher, Daniel ;
Toerpel, Alexander ;
Krowicki, Martin ;
Herold, Fabian ;
Schega, Lutz .
GAIT & POSTURE, 2016, 44 :200-203
[46]   Voluntarily changing step length or step width affects dynamic stability of human walking [J].
Young, Patricia M. McAndrew ;
Dingwell, Jonathan B. .
GAIT & POSTURE, 2012, 35 (03) :472-477
[47]   The effect of walking with reduced trunk motion on dynamic stability in healthy adults [J].
Buurke, Tom J. W. ;
van de Venis, Lotte ;
Keijsers, Noel ;
Nonnekes, Jorik .
GAIT & POSTURE, 2023, 103 :113-118
[48]   Influence of neuromuscular noise and walking speed on fall risk and dynamic stability in a 3D dynamic walking model [J].
Roos, Paulien E. ;
Dingwell, Jonathan B. .
JOURNAL OF BIOMECHANICS, 2013, 46 (10) :1722-1728
[49]   Dynamic stability during split-belt walking and the relationship with step length symmetry [J].
Darter, Benjamin J. ;
Labrecque, Bethany A. ;
Perera, Robert A. .
GAIT & POSTURE, 2018, 62 :86-91
[50]   To What Extent Does Not Wearing Shoes Affect the Local Dynamic Stability of Walking?: Effect Size and lntrasession Repeatability [J].
Terrier, Philippe ;
Reynard, Fabienne .
JOURNAL OF APPLIED BIOMECHANICS, 2014, 30 (02) :305-309