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Best, A. N.

Publications and source records attributed to Best, A. N..

2 recordsLinked to original sources

Changes in Seasonal Footwear Elicited Alterations in Gait Kinematics but Not Stability

During daily walking, humans might contend with various perturbations from slippery surfaces in the winter to uneven sidewalks in the summer. Inertial sensors enable investigations of how humans maintain balance under these natural conditions, but conducting these outdoor studies has practical considerations that might influence study results, such as the selection of footwear under different weather conditions. Our study investigates the effects of winter and summer shoe types on gait patterns, specifically whether different shoe types induce changes in gait stability measures under the same walking environment. Twelve healthy adult participants walked indoors with winter and summer shoes while their gait kinematics were recorded using an inertial sensor-based motion capture system. Spatiotemporal measures, body kinematics, stability measures (minimum margin of stability and local divergence exponent), and stepping regressions were calculated to evaluate differences between walking in summer and winter shoes. Statistical significance was determined by paired t-tests. Varying shoe types altered spatiotemporal and kinematic measures, such as increased stride time and stance time while wearing winter shoes, but increased step width and reliance on stepping were the only stability-related changes found. Our study provides insights into the influence of footwear for inertial sensor-based gait studies in real environments, aiding the analysis and interpretation of those studies to augment our understanding of natural stability behavior.

bioengineering↗

Upper body and ankle strategies compensate for reduced lateral stability at very slow walking speeds

AO_SCPLOWBSTRACTC_SCPLOWAt the typical walking speeds of healthy humans, step placement seems to be the primary strategy to maintain gait stability, with ankle torques and upper body momentum providing additional compensation. The average walking speeds of populations with an increased risk of falling, however, are much slower and may require differing control strategies. The purpose of this study was to analyze mediolateral gait stability and the contributions of the different control strategies at very slow walking speeds. We analyzed an open dataset including kinematics and kinetics from eight healthy subjects walking at speeds from 0.1 to 0.6 m/s as well as a self-selected speed. As gait speed slowed, we found that the margin of stability decreased linearly. Increased lateral excursions of the extrapolated centre of mass, caused by increased lateral excursions of the trunk, were not compensated for by an equivalent increase in the lateral centre of pressure, leading to decreased margin of stability. Additionally, both the ankle eversion torque and hip abduction torque at the minimum margin of stability event increased at the same rate as gait speed slowed. These results suggest that the contributions of both the ankle and the upper body to stability are more crucial than stepping at slow speeds, which have important implications for populations with slow gait and limited motor function.

bioengineering↗