Frequency domain characteristics of ground reaction forces during walking of young and elderly females

Objective. To examine the frequency domain characteristics of the ground reaction forces of young and elderly females during free walking. Design. Independent t-tests were used to examine the frequency content of all three components of the ground reaction force. Background. Frequency domain analysis has the potential to assist in identifying changes in gait that may be masked in the time domain. No research has been done to identify changes in gait due to age-related impairments in the frequency domain. Methods. Ten young and ten elderly females walked at a prescribed speed while ground reaction forces were collected via a force platform. The highest frequency required to reconstruct the 99% of the signal’s power in each direction was calculated from the ground reaction forces. Results. The frequency content significantly decreased in the anterior–posterior direction for the young group. No significant differences were found for the other two directions (vertical and mediolateral) between the two groups. The elderly had a significantly higher frequency content compared with the young in the anterior–posterior direction. Conclusions. Ageing differences were detected using the frequency domain analysis for the anterior–posterior direction. It is possible that these differences were the result of the decrease in walking speed associated with the elderly group. Relevance Frequency domain analysis of the ground reaction forces is a useful addition to the gait analyst’s armamentarium especially when such changes are not obvious in the time domain

Physiological demands of competitive basketball

The aim of this study was to assess physiological demands of competitive basketball by measuring oxygen consumption (VO2) and other variables during practice games. Each of 12 players (20.4 ± 1.1 years) was monitored in a 20-min practice game, which was conducted in the same way as actual games with the presence of referees and coaches. VO2 was measured by a portable system during the game and blood lactate concentration (LA) was measured in brief breaks. Subjects were also videotaped for time-motion analysis. Female and male players demonstrated respective VO2 of 33.4 ± 4.0 and 36.9 ± 2.6 mL/kg/min and LA of 3.2 ± 0.9 and 4.2 ± 1.3 mmol/L in the practice games (P\u3e0.05). They spent 34.1% of play time running and jumping, 56.8% walking, and 9.0% standing. Pre-obtained VO2max was correlated to VO2 during play (r=0.673) and to percent of duration for running and jumping (r=0.935 and 0.962 for females and males, respectively). This study demonstrated a greater oxygen uptake for competitive basketball than that estimated based on a previous compendium. The correlation between aerobic capacity and activity level suggests the potential benefit of aerobic conditioning in basketball

A template for the exploration of chaotic locomotive patterns

Inverted pendulum and spring-mass models have been successfully used to explore the dynamics of the lower extremity for animal and human locomotion. These models have been classified as templates that describe the biomechanics of locomotion. A template is a simple model with all the joint complexities, muscles and neurons of the locomotor system removed. Such templates relate well to the observed locomotive patterns and provide reference points for the development of more elaborate dynamical systems. In this investigation, we explored if a passive dynamic double pendulum walking model, that walks down a slightly sloped surface (γγ was increased, a cascade of bifurcations were present in the model\u27s locomotive pattern that lead to a chaotic attractor. Positive Lyapunov exponents were present from 0.01839 rad \u3cγγ confirmed the presence of chaos in the model\u27s locomotive pattern. These results provide evidence that a passive dynamic double pendulum walking model can be used as a template for exploring the biomechanical control parameters responsible for chaos in human locomotion

Approximate entropy used to assess sitting postural sway of infants with developmental delay

Infant sitting postural sway provides a window into motor development at an early age. The approximate entropy, a measure of randomness, in the postural sway was used to assess developmental delay, as occurs in cerebral palsy. Parameters used for the calculation of approximate entropy were investigated, and approximate entropy of postural sway in early sitting was found to be lower for infants with developmental delay in the anterior–posterior axis, but not in the medial–lateral axis. Spectral analysis showed higher frequency features in the postural sway of early sitting of infants with typical development, suggesting a faster control mechanism is active in infants with typical development as compared to infants with delayed development, perhaps activated by near-fall events

Sensory Information Utilization and Time Delays Characterize Motor Developmental Pathology in Infant Sitting Postural Control

Sitting is one of the first developmental milestones that an infant achieves. Thus measurements of sitting posture present an opportunity to assess sensorimotor development at a young age. Sitting postural sway data were collected using a force plate, and the data were used to train a neural network controller of a model of sitting posture. The trained networks were then probed for sensitivity to position, velocity, and acceleration information at various time delays. Infants with typical development developed a higher reliance on velocity information in control in the anterior-posterior axis, and used more types of information in control in the medial-lateral axis. Infants with delayed development, where the developmental delay was due to cerebral palsy for most of the infants in the study, did not develop this reliance on velocity information, and had less reliance on short latency control mechanisms compared with infants with typical development

Step width variability as a discriminator of age-related gait changes

Background There is scientific evidence that older adults aged 65 and over walk with increased step width variability which has been associated with risk of falling. However, there are presently no threshold levels that define the optimal reference range of step width variability. Thus, the purpose of our study was to estimate the optimal reference range for identifying older adults with normative and excessive step width variability. Methods We searched systematically the BMC, Cochrane Library, EBSCO, Frontiers, IEEE, PubMed, Scopus, SpringerLink, Web of Science, Wiley, and PROQUEST databases until September 2018, and included the studies that measured step width variability in both younger and older adults during walking at self-selected speed. Data were pooled in meta-analysis, and standardized mean differences (SMD) with 95% confidence intervals (CI) were calculated. A single-decision threshold method based on the Youden index, and a two-decision threshold method based on the uncertain interval method were used to identify the optimal threshold levels (PROSPERO registration: CRD42018107079). Results Ten studies were retrieved (older adults = 304; younger adults = 219). Step width variability was higher in older than in younger adults (SMD = 1.15, 95% CI = 0.60; 1.70; t = 4.72, p = 0.001). The single-decision method set the threshold level for excessive step width variability at 2.14 cm. For the two-decision method, step width variability values above the upper threshold level of 2.50 cm were considered excessive, while step width variability values below the lower threshold level of 1.97 cm were considered within the optimal reference range. Conclusion Step width variability is higher in older adults than in younger adults, with step width variability values above the upper threshold level of 2.50 cm to be considered as excessive. This information could potentially impact rehabilitation technology design for devices targeting lateral stability during walking

Nonlinear analysis of sitting postural sway indicates developmental delay in infants

Background Upright sitting is one of the first developmental motor milestones achieved by infants, and sitting postural sway provides a window into the developing motor control system. A variety of posture sway measures can be used, but the optimal measures for infant development have not been identified. Methods We have collected sitting postural sway data from two groups of infants, one with typical development (n = 33), and one with delayed development and either diagnosed with or at risk for cerebral palsy (n = 26), when the infants had developed to the point where they could just maintain sitting for about 10 s. Postural sway data was collected while infants were sitting on a force platform, and the center of pressure was analyzed using both linear and nonlinear measures. Findings Our results showed that a nonlinear measure, the largest Lyapunov exponent, was the only parameter of postural sway that revealed significant differences between infants with typical versus delayed development. The largest Lyapunov exponent was found to be higher for typically developing infants, indicating less repeated patterning in their movement coordination. Interpretations A nonlinear measure such as largest Lyapunov exponent may be useful as an identifier of pathology and as a yardstick for the success of therapeutic interventions

Comparison of gait patterns between young and elderly women: an examination of coordination

This study investigated intralimb coordination during walking in Young and Elderly women using the theoretical model of dynamical systems. Twenty females, ten Young (M age = 24.6 yrs, SD = 3.2 yrs), and ten Elderly (M age = 73.7 yrs, SD = 4.9 yrs), were videotaped during free speed gait and gait perturbed by an ankle weight. Two parameters, one describing the phasing relationship between segments (mean absolute relative phase) and the other the variability of this relationship (deviation in phase), were calculated from the kinematics. Two-way ANOVA (age and weight) with repeated measures on weight indicated that during the braking period the weight increased the mean absolute relative phase between the shank and the thigh and decreased it between the foot and the shank. The Elderly women had significantly smaller values for the mean absolute relative phase between the shank and the thigh during the braking period. For the same period, deviation in phase increased for the segmental relationship between the shank and the thigh. The findings suggest that changes in intralimb coordination take place due to asymmetrical weighting and the aging process. These changes are mostly present during the braking period

Functional changes through the usage of 3D-printed transitional prostheses in children

Introduction: There is limited knowledge on the use of 3 D-printed transitional prostheses, as they relate to changes in function and strength. Therefore, the purpose of this study was to identify functional and strength changes after usage of 3 D-printed transitional prostheses for multiple weeks for children with upper-limb differences. Materials and methods: Gross manual dexterity was assessed using the Box and Block Test and wrist strength was measured using a dynamometer. This testing was conducted before and after a period of 24 ± 2.61 weeks of using a 3 D-printed transitional prosthesis. The 11 children (five girls and six boys; 3–15 years of age) who participated in the study, were fitted with a 3 D-printed transitional partial hand (n = 9) or an arm (n = 2) prosthesis. Results: Separate two-way repeated measures ANOVAs were performed to analyze function and strength data. There was a significant hand by time interaction for function, but not for strength. Conclusion and relevance to the study of disability and rehabilitation: The increase in manual gross dexterity suggests that the Cyborg Beast 2 3 D-printed prosthesis can be used as a transitional device to improve function in children with traumatic or congenital upper-limb differences. Implications for Rehabilitation Children’s prosthetic needs are complex due to their small size, rapid growth, and psychosocial development. Advancements in computer-aided design and additive manufacturing offer the possibility of designing and printing transitional prostheses at a very low cost, but there is limited knowledge on the function of this type of devices. The use of 3D printed transitional prostheses may improve manual gross dexterity in children after several weeks of using it

Use of information entropy measures of sitting postural sway to quantify developmental delay in infants

Background: By quantifying the information entropy of postural sway data, the complexity of the postural movement of different populations can be assessed, giving insight into pathologic motor control functioning. Methods: In this study, developmental delay of motor control function in infants was assessed by analysis of sitting postural sway data acquired from force plate center of pressure measurements. Two types of entropy measures were used: symbolic entropy, including a new asymmetric symbolic entropy measure, and approximate entropy, a more widely used entropy measure. For each method of analysis, parameters were adjusted to optimize the separation of the results from the infants with delayed development from infants with typical development. Results: The method that gave the widest separation between the populations was the asymmetric symbolic entropy method, which we developed by modification of the symbolic entropy algorithm. The approximate entropy algorithm also performed well, using parameters optimized for the infant sitting data. The infants with delayed development were found to have less complex patterns of postural sway in the medial-lateral direction, and were found to have different left-right symmetry in their postural sway, as compared to typically developing infants. Conclusion: The results of this study indicate that optimization of the entropy algorithm for infant sitting postural sway data can greatly improve the ability to separate the infants with developmental delay from typically developing infants