Non-ambulatory measures of lower extremity sensorimotor function are associated with walking function in Multiple Sclerosis.

BACKGROUND: Disease progression of multiple sclerosis (MS) is often monitored by ambulatory measures, but how non-ambulatory sensorimotor measures differentially associate to walking measures in MS subtypes is unknown. We determined whether there are characteristic differences between relapsing-remitting MS (RRMS), progressive MS (PMS), and non-MS controls in lower extremity sensorimotor function and clinical walking tasks and the sensorimotor associations with walking function in each group. METHODS: 18 RRMS, 13 PMS and 28 non-MS control participants were evaluated in their plantar cutaneous sensitivity (vibration perception threshold, Volts), proprioception during ankle joint position-matching (|∆°| in dorsiflexion), motor coordination (rapid foot-tap count/10 s), and walking function with three tests: Timed 25-foot walk (T25FW) at preferred and fast speeds (s), and timed-up-and-go (TUG, s). RESULTS: Foot-tapping (p = 0.039, Mean difference (MD)= 5.65 taps) and plantar cutaneous sensation (p = 0.026, MD= -10.30 V) differed between the MS subtypes. For the RRMS group faster walking was related to better proprioceptive function (preferred T25FW: p = 0.019, Root mean square error (RMSE)=1.94; fast T25FW: p = 0.004, RMSE=1.65; TUG: p = 0.001, RMSE=2.12) and foot-tap performance (preferred T25FW: p = 0.033, RMSE = 2.74; fast T25FW: p = 0.010, RMSE=2.02). These associations were not observed in the PMS group. CONCLUSIONS: Foot-tap performance and plantar cutaneous sensitivity but not ankle proprioception differed between MS subtypes. Lower walking performance was associated with lower foot-tapping and plantar cutaneous sensitivity in the RRMS but not the PMS group. This result suggests a change in the relationship of lower extremity sensorimotor function to walking performance in the PMS subtype.

Visual cues two-steps ahead are adequate to grasp an object while walking without compromising stability.

In our prior studies, participants walked and grasped a dowel using an anticipatory mode of control. However, it is unknown how this combined task would change in a less predictable environment. We investigated the online control aspects involved in the combined task of walking and grasping under different coordination patterns between upper- and lower-limbs in young adults. Fifteen young adults walked and grasped a dowel under several experimental conditions combining the instant of visual cue appearance and coordination pattern of upper and lower limbs used to grasp the dowel. Visual cues provided two steps ahead or earlier were enough for executing the combined task of walking and prehension appropriately. Visual cues provided within this window impacted both walking stability and the execution of the prehension movement. Although an ipsilateral arm-leg coordination pattern increased mediolateral stability, a contralateral pattern significantly decreased mediolateral center of mass stability when the visual cue appeared one-step before grasping the object. These results imply that acquiring information to plan the combined task of walking and reaching for an object two steps ahead allows the maintenance of the general movement characteristics present when the decision to reach out for the object is defined two or more steps ahead. These results indicate that the prehension movement is initiated well before heel contact on that side when given sufficient planning time, but that a disruption of the natural arm-leg coordination dynamics emerges to accomplish the task when the cue is provided one step before the object.

Application of Macro-Instrumented Indentation Test for Superficial Residual Stress and Mechanical Properties Measurement for HY Steel Welded T-Joints.

HY-80 and HY-100 steels, widely used in constructing large ocean vessels and submarine hulls, contain mixed microstructures of tempered bainite and martensite and provide high tensile strength and toughness. Weld integrity in HY steels has been studied to verify and optimize welding conditions. In this study, the T-joint weld coupons, HY80 and HY100, were fabricated from HY-80 and HY-100 steel plates with a thickness of 30 mm as base metals by submerged-arc welding. Flux-cored arc welding was performed on an additional welding coupon consisting of HY-100 to evaluate the effect of repair welds (HY100RP). Microstructures in the heat-affected zones (HAZ) were thoroughly analyzed by optical observation. Instrumented indentation testing, taking advantage of local characterization, was applied to assess the yield strength and the residual stress of the HAZ and base regions. The maximum hardness over 400 HV was found in the HAZ due to the high volume fraction of untempered martensite microstructure. The yield strength of the weld coupons was evaluated by indentation testing, and the results showed good agreement with the uniaxial tensile test (within 10% range). The three coupons showed similar indentation residual stress profiles on the top and bottom surfaces. The stress distribution of the HY100 coupon was comparable to the results from X-ray diffraction. HY100RP demonstrated increased tensile residual stress compared to the as-welded coupon due to the effect of the repair weld (323 and 103 MPa on the top and bottom surfaces). This study verifies the wide applicability of indentation testing in evaluating yield strength and residual stress.

A Transparent Method for Step Detection using an Acceleration Threshold.

Step-based metrics provide simple measures of ambulatory activity, yet device software either includes undisclosed proprietary step detection algorithms or simply do not compute step-based metrics. We aimed to develop and validate a simple algorithm to accurately detect steps across various ambulatory and non-ambulatory activities. Seventy-five adults (21-39 years) completed seven simulated activities of daily living (e.g., sitting, vacuuming, folding laundry) and an incremental treadmill protocol from 0.22-2.2ms-1. Directly observed steps were hand-tallied. Participants wore GENEActiv and ActiGraph accelerometers, one of each on their waist and on their non-dominant wrist. Raw acceleration (g) signals from the anterior-posterior, medial-lateral, vertical, and vector magnitude (VM) directions were assessed separately for each device. Signals were demeaned across all activities and bandpass filtered [0.25, 2.5Hz]. Steps were detected via peak picking, with optimal thresholds (i.e., minimized absolute error from accumulated hand counted) determined by iterating minimum acceleration values to detect steps. Step counts were converted into cadence (steps/minute), and k-fold cross-validation quantified error (root mean squared error [RMSE]). We report optimal thresholds for use of either device on the waist (threshold=0.0267g) and wrist (threshold=0.0359g) using the VM signal. These thresholds yielded low error for the waist (RMSE<173 steps, ≤2.28 steps/minute) and wrist (RMSE<481 steps, ≤6.47 steps/minute) across all activities, and outperformed ActiLife's proprietary algorithm (RMSE=1312 and 2913 steps, 17.29 and 38.06 steps/minute for the waist and wrist, respectively). The thresholds reported herein provide a simple, transparent framework for step detection using accelerometers during treadmill ambulation and activities of daily living for waist- and wrist-worn locations.

Body fat-related differences in gait parameters and physical fitness level in weight-matched male adults.

BACKGROUND: Increased body weight is associated with an increased magnitude of foot pressures. Although body mass index (BMI) has been widely used in the assessment of obesity, BMI does not differentiate between muscle and adipose tissue, which may play an important role in characterizing walking patterns. The purpose of the study was to compare gait biomechanics between obese and weight-matched control group. METHODS: Sixty male adults were assigned to a normal and obese group based on body fat percentage. Body compositions and BMI were measured by the bioelectrical impedance method. Plantar pressure and gait parameters were recorded with a force-distribution-measure treadmill system during walking at the preferred speed. Physical fitness assessment was also conducted to assess muscular strength, muscular endurance, maximum oxygen uptake, flexibility, and agility. FINDINGS: Normal group displayed greater muscle strength, flexibility, and maximum oxygen uptake compared to the obese group. Foot-pressure measures indicated significantly greater peak pressure values for the front and rear of the foot in the normal group. Greater muscle strength was correlated with higher BMI and lower body fat percentage. A significant negative correlation between body fat percent and gait variables was also exhibited. INTERPRETATION: The results demonstrated different force application patterns during walking between the obese and weight-matched control group, indicating a potential influence of body fat percent on foot pressure characteristics in walking. Therefore, a comprehensive classification of obesity, including body fat percent, should be administered for the prescription of safe physical activity.

The Effects of Mobile Texting and Walking Speed on Gait Characteristics of Normal Weight and Obese Adults.

The aim of this study was to examine how usage of mobile devices while simultaneously walking affects walking characteristics and texting performance of normal weight (NW) and obese (OB) individuals. Thirty-two OB (body mass index [BMI] = 34.4) and NW (BMI = 22.7) adults performed two 60-s walking trials at three-step frequencies along a rectangular walkway in two conditions (No Texting and Texting). Dual-task cost as well as unadjusted spatial and temporal gait characteristics were measured. Dual-task costs for the gait parameters as well as texting performance were not different between the groups, except for the lateral step variability showing a larger variability at the preferred frequency in OB individuals. For the unadjusted variables, OB exhibited longer double support, longer stance time, and lower turn velocity compared with NW. Overall, the results highlight a similar dual-task cost for the OB individuals compared with the NW individuals, in spite of underlying differences in gait mechanics.

Sensorimotor function in progressive multiple sclerosis.

BACKGROUND: A sensitive test reflecting subtle sensorimotor changes throughout disease progression independent of mobility impairment is currently lacking in progressive multiple sclerosis. OBJECTIVES: We examined non-ambulatory measures of upper and lower extremity sensorimotor function that may reveal differences between relapsing-remitting and progressive forms of multiple sclerosis. METHODS: Cutaneous sensitivity, proprioception, central motor function and mobility were assessed in 32 relapsing-remitting and 31 progressive multiple sclerosis patients and 30 non-multiple sclerosis controls. RESULTS: Cutaneous sensation differed between relapsing-remitting and progressive multiple sclerosis at the foot and to a lesser extent the hand. Proprioception function in the upper but not the lower extremity differed between relapsing-remitting and progressive multiple sclerosis, but was different for both upper and lower extremities between multiple sclerosis patients and non-multiple sclerosis controls. Foot-tap but not hand-tap speed was slower in progressive compared to relapsing-remitting multiple sclerosis, suggestive of greater central motor function impairment in the lower extremity in progressive multiple sclerosis. In addition, the non-ambulatory sensorimotor measures were more sensitive in detecting differences between relapsing-remitting and progressive multiple sclerosis than mobility assessed with the 25-foot walk test. CONCLUSION: This study provides novel information about changes in sensorimotor function in progressive compared with relapsing-remitting forms of multiple sclerosis, and in particular the importance of assessing both upper and lower extremity function. Importantly, our findings showed loss of proprioceptive function in multiple sclerosis but also in progressive compared to relapsing-remitting multiple sclerosis.

Changes in coordination and variability during running as a function of head stability demands.

The purpose of this study was to identify changes in segment/joint coordination and coordination variability in running with increasing head stability requirements. Fifteen strides from twelve recreational runners while running on a treadmill at their preferred speed were collected. Head stability demands were manipulated through real-time visual feedback that required head-gaze orientation to be contained within boxes of different sizes, ranging from 21 to 3 degrees of visual angle in 3-degree decrements. Coordination patterns and coordination variability were assessed between head and trunk segments, hip and knee joints, and knee and ankle joints in the three cardinal planes, respectively. Mean coupling angles and the standard deviation of the coupling angles at each individual point of the stance phase were calculated using a modified vector coding technique and circular statistics. As head stability demands increased, transverse plane head-trunk coordination was more anti-phase and showed increased head­leading and decreased trunk­leading patterns; for the lower extremity, there was increased in-phase and decreased anti-phase sagittal plane coordination. Increased head stability demands also resulted in an increase in coordination variability for both upper body and lower extremity couplings during the second half of the stance phase. Overall, the results provide evidence that coordinative adaptations to increasing head stability demands occur throughout the entire body: 1) through more independent control of the head relative to the trunk; 2) by increasing in-phase coordination between lower extremity joints, and 3) through increased coordination variability in the second half of stance in both upper body segmental and lower extremity joint couplings. These adaptations likely contribute to the reduction of the range of motion of the trunk in vertical direction.

Rapid foot-tapping but not hand-tapping ability is different between relapsing-remitting and progressive multiple sclerosis.

BACKGROUND: Rapid tapping tests have been shown to be reliable measures of upper motor neuron disease, and effectively examine motor function differences between multiple sclerosis (MS) and non-MS controls (CON), and between relapsing-remitting and progressive MS subtypes. To successfully perform rapid repetitive movements such as tapping, a person must be able to consistently turn on and off motor units to switch between the up and down movement phases. However, it is not clear which specific movement phase that occurs during tapping is different between MS subtypes. The objective of this study was to quantify and characterize performance differences during rapid hand- and foot-tapping tests between relapsing-remitting (RRMS) and progressive (PMS) forms of MS, as well as how both subtypes differ from non-MS controls. METHODS: Participants in this study included 30 non-MS controls, 32 RRMS, and 31 PMS. Participants wore inertial sensors on all hands and feet and were instructed to tap as fast as possible for 10 s. Angular velocity from the gyroscope was used to quantify inter-tap interval (ms), coefficient of variation of inter-tap interval (COV), and up- and down-movement characteristics (duration (ms), COV, peak angular velocity (rad/s)). Differences between groups were examined with ANOVA and independent t-tests. Inter-tap interval was examined for its ability to distinguish between RRMS and PMS by a binary logistic regression analysis. Up-down movement characteristics were further evaluated for within-group directional differences (up- vs. down-phase movement components) with paired-sample t-tests. RESULTS: Inter-tap interval for both hand- and foot-tapping differed between controls and MS, but only foot tapping was different between RRMS and PMS (RRMS = 286.7 ± 83.0 ms; PMS = 379.5 ± 170.9 ms; mean difference (d) = -92.8 ms). Logistic regression analysis showed foot-tap interval but not hand-tap interval has the potential to distinguish between RRMS and PMS (Area under the ROC = 0.71). Both up- and down-movement duration differences were consistent with the results for inter-tap interval, but up-movement duration showed larger mean group differences than down-movement differences. No significant group differences in overall inter-tap interval COV were detected for either hand- or foot-tapping; however, up-movement foot-tapping variation (CON = 18.7 ± 6.1; RRMS = 25.5 ± 11.2; PMS = 23.3 ± 8.6; CON vs RRMS d = -6.8; CON vs PMS d = -4.7), but not down-movement variation was different between controls and MS. Up- and down-peak angular velocity during foot-tapping were different between controls and PMS (CON Up = 1.4 ± 0.5 rad/s; PMS Up = 1.0 ± 0.4 rad/s; Up d = 0.4 rad/s; CON Down= 1.5 ± 0.6 rad/s; PMS Down = 1.2 ± 0.5 rad/s; Down d = 0.3 rad/s), and up-movement peak angular velocity differences showed larger mean group differences than the down-movement peak angular velocity between controls and PMS. CONCLUSION: Foot-tapping differs between MS disease subtypes and has greater potential than hand-tapping to distinguish between subtypes. Performance in the up-movement showed larger group differences than the down-movement, suggesting that the anti-gravity up-movement during tapping may be more important diagnostically. Future studies should be conducted on the nature of the physiological mechanisms underlying impairments in anti-gravity movements in people with MS.

Locomotor Coordination, Visual Perception and Head Stability during Running.

Perception and action are coupled such that information from the perceptual system is related to the dynamics of action in order to regulate behavior adaptively. Using running as a model of a cyclic behavior, this coupling involves a continuous, cyclic relationship between the runner's perception of the environment and the necessary adjustments of the body that ultimately result in a stable pattern of behavior. The purpose of this paper is to illustrate how individuals relate visual perception to rhythmic locomotor coordination patterns in conditions during which foot-ground collisions and visual task demands are altered. We review the findings of studies conducted to illustrate how humans change their behavior to maintain head stability during running with and without various degrees of visual challenge from the environment. Finally, we show that the human body adapts specific segment/joint configuration and coordination patterns to maintain head stability, both in the lower extremity and upper body segments, together with an increase in coordinative variability. These results indicate that in human locomotion, under higher speed (running) and visual task demands, systematic adaptations occur in the rhythmic coupling between the perceptual and movement systems.

Walking cadence (steps/min) and intensity in 21-40 year olds: CADENCE-adults.

BACKGROUND: Previous studies have reported that walking cadence (steps/min) is associated with absolutely-defined intensity (metabolic equivalents; METs), such that cadence-based thresholds could serve as reasonable proxy values for ambulatory intensities. PURPOSE: To establish definitive heuristic (i.e., evidence-based, practical, rounded) thresholds linking cadence with absolutely-defined moderate (3 METs) and vigorous (6 METs) intensity. METHODS: In this laboratory-based cross-sectional study, 76 healthy adults (10 men and 10 women representing each 5-year age-group category between 21 and 40 years, BMI = 24.8 ± 3.4 kg/m2) performed a series of 5-min treadmill bouts separated by 2-min rests. Bouts began at 0.5 mph and increased in 0.5 mph increments until participants: 1) chose to run, 2) achieved 75% of their predicted maximum heart rate, or 3) reported a Borg rating of perceived exertion > 13. Cadence was hand-tallied, and intensity (METs) was measured using a portable indirect calorimeter. Optimal cadence thresholds for moderate and vigorous ambulatory intensities were identified using a segmented regression model with random coefficients, as well as Receiver Operating Characteristic (ROC) models. Positive predictive values (PPV) of candidate heuristic thresholds were assessed to determine final heuristic values. RESULTS: Optimal cadence thresholds for 3 METs and 6 METs were 102 and 129 steps/min, respectively, using the regression model, and 96 and 120 steps/min, respectively, using ROC models. Heuristic values were set at 100 steps/min (PPV of 91.4%), and 130 steps/min (PPV of 70.7%), respectively. CONCLUSIONS: Cadence thresholds of 100 and 130 steps/min can serve as reasonable heuristic thresholds representative of absolutely-defined moderate and vigorous ambulatory intensity, respectively, in 21-40 year olds. These values represent useful proxy values for recommending and modulating the intensity of ambulatory behavior and/or as measurement thresholds for processing accelerometer data. TRIAL REGISTRATION: Clinicaltrials.gov ( NCT02650258 ).

Walking combined with reach-to-grasp while crossing obstacles at different distances.

BACKGROUND: Obstacle avoidance and object prehension occur regularly in real-world environments (walking up/down steps and opening a door). However, it is not known how walking and prehension change when there is an increase in the level of difficulty of the walking task. RESEARCH QUESTION: We investigated the changes in walking and reach-tograsp when performing these two motor skills concomitantly in the presence of an obstacle on the ground positioned in different locations in relation to the object-to-be-grasped. METHODS: Fifteen young adults walked and grasped a dowel placed on a support with the obstacle positioned at the step before (N-1), during (N) and after (N + 1) the prehension task. RESULTS: The prehension task did not affect leading limb obstacle negotiation. Toe clearance and maximum toe elevation were lesser at obstacle position N + 1 than at obstacle position N-1 when combining grasping and obstacle-crossing task for the trailing limb. Step width increased in the presence of the obstacle-crossing task independent of obstacle location. The correlation between foot position before the obstacle and toe clearance revealed that the addition of the prehension task disrupted the relationship between these variables for the trailing limb. Foot placement and limb elevation were unaffected by the prehension task. The reaching component was unaffected by the increased level of difficulty of the walking task. The grasping component was affected by the increased level of difficulty of the walking task, as the time to peak grip aperture occurred earlier in the presence of the obstacle at position N, and may indicate a cautious strategy to grasp the dowel successfully. SIGNIFICANCE: Our results showed that prospective control is affected after the prehension since the attention to grasping may have impaired the acquisition of visual information for planning the trailing limb elevation.

Pilot Study of Impact of a Pedal Desk on Postprandial Responses in Sedentary Workers.

Physical inactivity has been linked to rates of obesity, diabetes, and heart disease through insulin resistance and other mechanisms. Although sedentary workplace environments have unintentionally contributed to the risk for chronic diseases, innovations in the workplace environment could potentially rectify this public and occupational health problem. PURPOSE: To evaluate the effects of light-intensity physical activity using a pedal desk (PD) compared with a standard desk (STD) in a pilot study on postprandial metabolic responses and work skills. METHODS: Twelve overweight/obese full-time sedentary office workers (six men and six women; body mass index, 28.7 ± 3.6 kg·m) were tested in two conditions: 1) PD, pedaling at self-selected light-intensity pace for 2 h and 2) STD, remaining seated for 2 h in a conventional workstation setup while performing scripted computer-based work tasks. Blood samples were analyzed for plasma glucose, insulin, and free-fatty acids in response to a standardized meal and work skills were evaluated. Paired samples t-tests were used to examine the differences in metabolic responses and work performance tasks between the conditions. RESULTS: Pedal desk use required significantly less insulin to maintain glucose concentrations compared with STD condition (peak insulin concentration, 42.1 µU·mL vs 66.9 µU·mL; P = 0.03; and area under the curve, 302.6 vs 441.8 µU·min·mL; P < 0.001). No significant changes in plasma glucose and free-fatty acid concentrations were observed at any timepoints (all P > 0.05). In addition, pedaling at a self-paced rate caused no adverse effects on work skills (P > 0.05). CONCLUSIONS: The PD resulted in lower postmeal insulin concentrations without an overall negative impact on work skills. Thus, the PD could have the potential to achieve public and occupational health goals in sedentary work environments.

Effects of smartphone texting on the visual perception and dynamic walking stability.

Mobile phone use while walking can cause dual-task interference and increases safety risks by increasing attentional and cognitive demands. While the interference effect on cognitive function has been examined extensively, how perception of the environment and walking dynamics are affected by mobile phone use while walking is not well understood. The amount of visual information loss and its consequent impact on dynamic walking stability was examined in this study. Young adults (mean, 20.3 years) volunteered and walked on a treadmill while texting and attending to visual tasks simultaneously. Performance of visual task, field of regard loss, and margin of stability under dual-task conditions were compared with those of single-task conditions (i.e., visual task only). The results revealed that the size of visual field and visual acuity demand were varied across the visual task conditions. Approximately half of the visual cues provided during texting while walking were not perceived as compared to the visual task only condition. The field of regard loss also increased with increased dual-task cost of mobile phone use. Dynamic walking stability, however, showed no significant differences between the conditions. Taken together, the results demonstrate that the loss of situational awareness is unavoidable and occurs simultaneously with decrements in concurrent task performance. The study indicates the importance of considering the nature of attentional resources for the studies in dual-task paradigm and may provide practical information to improve the safe use of mobile phones while walking.

Adaptive changes in running kinematics as a function of head stability demands and their effect on shock transmission.

This study aimed to identify adaptive changes in running kinematics and impact shock transmission as a function of head stability requirements. Fifteen strides from twelve recreational runners were collected during preferred speed treadmill running. Head stability demands were manipulated through real-time visual feedback that required head-gaze orientation to maintain within boxes of different sizes, ranging from 21° to 3° of visual angle with 3° decrements. The main outcome measures were tibial and head peak accelerations in the time and frequency domains (impact and active phases), shock transmission from tibia to head, stride parameters, and sagittal plane joint kinematics. Increasing head stability requirements resulted in decreases in the amplitude and integrated power of head acceleration during the active phase of stance. During the impact portion of stance tibial and head acceleration and shock transmission remained similar across visual conditions. In response to increased head stability requirements, participants increased stride frequency approximately 8% above preferred, as well as hip flexion angle at impact; stance time and knee and ankle joint angles at impact did not change. Changes in lower limb joint configurations (smaller hip extension and ankle plantar-flexion and greater knee flexion) occurred at toe-off and likely contributed to reducing the vertical displacement of the center of mass with increased head stability demands. These adaptive changes in the lower limb enabled runners to increase the time that voluntary control is allowed without embedding additional impact loadings, and therefore active control of the head orientation was facilitated in response to different visual task constraints.

Additional helmet and pack loading reduce situational awareness during the establishment of marksmanship posture.

The pickup of visual information is critical for controlling movement and maintaining situational awareness in dangerous situations. Altered coordination while wearing protective equipment may impact the likelihood of injury or death. This investigation examined the consequences of load magnitude and distribution on situational awareness, segmental coordination and head gaze in several protective equipment ensembles. Twelve soldiers stepped down onto force plates and were instructed to quickly and accurately identify visual information while establishing marksmanship posture in protective equipment. Time to discriminate visual information was extended when additional pack and helmet loads were added, with the small increase in helmet load having the largest effect. Greater head-leading and in-phase trunk-head coordination were found with lighter pack loads, while trunk-leading coordination increased and head gaze dynamics were more disrupted in heavier pack loads. Additional armour load in the vest had no consequences for Time to discriminate, coordination or head dynamics. This suggests that the addition of head borne load be carefully considered when integrating new technology and that up-armouring does not necessarily have negative consequences for marksmanship performance. Practitioner Summary: Understanding the trade-space between protection and reductions in task performance continue to challenge those developing personal protective equipment. These methods provide an approach that can help optimise equipment design and loading techniques by quantifying changes in task performance and the emergent coordination dynamics that underlie that performance.

Allometrically Scaled Children's Clinical and Free-Living Ambulatory Behavior.

PURPOSE: This study aimed to compare clinical and free-living walking cadence in school-age children and to examine how the allometric scaling of leg length variability affects objective ambulatory activity assessment. METHODS: A total of 375 children (154 boys and 221 girls, 9-11 yr old) completed GAITRite-determined slow, normal, and fast walks and wore accelerometers for 1 wk. Dependent variables from clinical assessment included gait speed, cadence, and step length, whereas steps per day, peak 1-min cadence, and peak 60-min cadence were assessed during free living. Analogous allometrically scaled variables were used to account for leg length differences. Free-living times above clinically determined individualized slow, normal, and fast cadence values were calculated. Differences in dependent variables between sex and sex-specific leg length tertiles were assessed. RESULTS: Clinically assessed cadence (mean ± SD) was 90.9 ± 15.2 (slow), 113.8 ± 12.9 (normal), and 148.9 ± 20.9 (fast) steps per minute, respectively. During free living, participants accumulated 8651 ± 2259 steps per day. Peak 1-min cadence was 113.4 ± 12.4 steps per minute and peak 60-min cadence was 60.1 ± 11.4 steps per minute. Allometrically scaling gait variables to leg length eliminated the previously significant leg length effect observed in both clinical and free-living gait variables but did not affect the observation that girls exhibited lower levels of free-living ambulatory behavior measured by mean steps per day. On average, all groups spent <15 min·d above clinically determined slow cadence; this was unaffected by leg length. CONCLUSION: Allometrically scaling gait variables to leg length significantly affected the assessment of ambulatory behavior, such that different leg length groups appear to walk in a dynamically similar manner. Leg length effects on free-living ambulatory behavior were also eliminated by implementing estimates of time spent above individualized cadence cut points derived from clinical gait assessment.

Head and Tibial Acceleration as a Function of Stride Frequency and Visual Feedback during Running.

Individuals regulate the transmission of shock to the head during running at different stride frequencies although the consequences of this on head-gaze stability remain unclear. The purpose of this study was to examine if providing individuals with visual feedback of their head-gaze orientation impacts tibial and head accelerations, shock attenuation and head-gaze motion during preferred speed running at different stride frequencies. Fifteen strides from twelve recreational runners running on a treadmill at their preferred speed were collected during five stride frequencies (preferred, ±10% and ±20% of preferred) in two visual task conditions (with and without real-time visual feedback of head-gaze orientation). The main outcome measures were tibial and head peak accelerations assessed in the time and frequency domains, shock attenuation from tibia to head, and the magnitude and velocity of head-gaze motion. Decreasing stride frequency resulted in greater vertical accelerations of the tibia (p<0.01) during early stance and at the head (p<0.01) during early and late stance; however, for the impact portion the increase in head acceleration was only observed for the slowest stride frequency condition. Visual feedback resulted in reduced head acceleration magnitude (p<0.01) and integrated power spectral density in the frequency domain (p<0.01) in late stance, as well as overall of head-gaze motion (p<0.01). When running at preferred speed individuals were able to stabilize head acceleration within a wide range of stride frequencies; only at a stride frequency 20% below preferred did head acceleration increase. Furthermore, impact accelerations of the head and tibia appear to be solely a function of stride frequency as no differences were observed between feedback conditions. Increased visual task demands through head gaze feedback resulted in reductions in head accelerations in the active portion of stance and increased head-gaze stability.

EFFECTS OF SPATIAL AND TEMPORAL CONSTRAINTS ON INTERCEPTIVE AIMING TASK PERFORMANCE AND GAZE CONTROL.

The perceptual process of obtaining and using visual information plays a critical role in determining the quality of interception performance. Eye-movement characteristics and their association with interception accuracy where the constraints imposed on the task influence the eye-movement control are not well understood. The effects of spatial and temporal constraints were examined and associated with target motion on interception accuracy and gaze control strategy. Twenty-four (M = 28 yr., SD = 10; 10 women) inexperienced dart throwers volunteered for the study. Eye movements were measured while the participants attempted to intercept a horizontally moving target with a thrown dart. A mixed design experiment was employed with a between- (specification of interception point) and a within- (target speed) subjects factor. As target speed increased, spatial errors about the moving target increased but temporal errors decreased. Specifying a fixed location for target interception resulted in greater errors about the moving target. The point of gaze tended to center on the interception point, and this became more evident with increased target speed and the specification of a fixed interception point. The experimental findings provide support for a visual search strategy that exhibits compliance with the constraints of the task.

Dual task interference during walking: The effects of texting on situational awareness and gait stability.

Dual-task interference caused by mobile phone use while walking increases safety risks by increasing attentional and cognitive demands. Situational awareness, important for control of walking and safety, has been examined previously but measured only by the awareness of visually noteworthy objects in the environment or the number of times the person looked up from the phone. This study systematically investigated the effects of texting on situational awareness to different environments and its consequent impact on gait kinematics. Twenty healthy volunteers walked on a treadmill while texting and attending to visual tasks simultaneously. Gait parameters and situational awareness examined under dual-task conditions (walk and text or walk, text, and visual task) were compared with those of single-task conditions (text, walk or visual task only). The size of the visual field, display duration of the visual cue, and visual acuity demand were varied across the visual task conditions. About half of the visual cues provided during walking and texting were not perceived (48.3%) as compared to the visual task only condition. The magnitude of this loss of situational awareness was dependent upon the nature of visual information provided. While gait parameters were not different among visual task conditions, greater total medial-lateral excursion of the pelvis was observed in the walk and text condition compared to the walk only condition, showing the dual-task effects of texting on gait kinematics. The study provides further evidence of dual-task effects of texting on situational awareness as well as gait kinematics.