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1.
Gait Posture ; 112: 46-52, 2024 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-38735092

RESUMEN

BACKGROUND: Challenges to postural stability emerge in the transition from locomotion to a standing posture as during gait termination, often accompanied by another task (e.g., opening a door), which may complicate control. However, less is known about postural control during terminating gait while engaged in a secondary manual task. RESEARCH QUESTION: What are the changes in postural control when terminating gait with and without a prehension task? METHODS: In a cross-sectional design, 15 healthy young adults (M=8, F=7; 27±2 years; 69±13 kg; 171±8 cm) underwent both a single task gait termination (GTO) and dual task (gait termination plus reaching; GTR). Postural Time-to-Contact (TtC) was measured using Center of Pressure (CoP) and the sternum position in anterior-posterior (AP) and medial-lateral (ML) directions over two different phases: preparatory phase and stabilization phase. Five successful trials were recorded to obtain a mean TtC. For statistical analysis of TtC, a two-tailed paired t-test was used (p =.05) as normality was satisfied. RESULTS: For the preparatory phase, there were no differences for the CoP, but TtC of the sternum position in AP was shorter in GTR than GTO (p =.001). Meanwhile, for the stabilization phase, TtCs of both the CoP and sternum position were longer in GTR in both AP and ML directions (p's <.001). SIGNIFICANCE: We suggest that for the preparatory phase, the shorter TtC of the sternum position with intact TtC of the CoP in GTR indicates that healthy young individuals are flexible, in that they smoothly integrate CoP control with the upper body demands required to also perform the prehension task. Meanwhile, for the stabilization phase, the longer TtC in dual termination and prehension task indicates that the perturbation imposed by the prehension movement did not result in reduced stabilization when returning to an upright posture.

2.
Front Netw Physiol ; 3: 1227861, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38073861

RESUMEN

Background: Fatigue is associated with increased injury risk along with changes in balance control and task performance. Musculoskeletal injury rates in runners are high and often result from an inability to adapt to the demands of exercise and a breakdown in the interaction among different biological systems. This study aimed to investigate whether changes in balance dynamics during a single-leg squat task following a high-intensity run could distinguish groups of recreational runners who did and did not sustain a running-related injury within 6 months. Methods: Thirty-one healthy recreational runners completed 60 s of single-leg squat before and after a high-intensity run. Six months after the assessment, this cohort was separated into two groups of 13 matched individuals with one group reporting injury within this period and the other not. Task performance was assessed by the number of repetitions, cycle time, amplitude, and speed. To evaluate balance dynamics, the regularity and temporal correlation structure of the center of mass (CoM) displacements in the transverse plane was analyzed. The interaction between groups (injury, non-injured) and time (pre, post) was assessed through a two-way ANOVA. Additionally, a one-way ANOVA investigated the percent change difference of each group across time. Results: The injured group presented more regular (reduced entropy; 15.6%) and diffusive (increased short-term persistence correlation; 5.6%) CoM displacements after a high-intensity run. No changes were observed in the non-injured group. The within-subject percent change was more sensitive in demonstrating the effects of fatigue and distinguishing the groups, compared to group absolute values. No differences were observed in task performance. Discussion: Runners who were injured in the future demonstrate changes in balance dynamics compared to runners who remain injury-free after fatigue. The single-leg squat test adopted appears to be a potential screening protocol that provides valuable information about balance dynamics for identifying a diminished ability to respond to training and exercise.

3.
Mult Scler Relat Disord ; 75: 104767, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37216882

RESUMEN

BACKGROUND: Balance and mobility impairment are two of the most common and debilitating symptoms among people with multiple sclerosis (MS). Somatosensory symptoms, including reduced plantar cutaneous sensation, have been identified in this cohort. Given the importance of the somatosensory system in gait, it is likely that impaired plantar sensation may play a role in the walking adaptations commonly observed in people with MS, including decreased stride length and increased stride width and dual support time, often described as a cautious gait strategy. Understanding the contributions of plantar sensation to these alterations may provide targets for interventions that seek to improve sensory feedback and normalize gait patterns. This cross-sectional study determined whether individuals with MS who demonstrate reduced sensitivity of the plantar surfaces also demonstrate altered plantar pressure distributions during walking compared to a control cohort. METHODS: Twenty individuals with MS and twenty age- and sex-matched control participants walked barefoot at preferred and three matched speeds. Participants walked across a walkway with an embedded pressure plate used to quantify pressures within ten plantar zones. In addition, vibration perception thresholds were assessed at four sites on the plantar surface. RESULTS: Individuals with MS demonstrated increased peak total plantar pressures compared to control participants, that increased with walking speed. For the MS group, plantar pressures were higher on the less sensitive foot, although pressures on both feet exceeded those of the control cohort. Positive correlations between vibration perception threshold and peak total pressure were evident, although generally stronger in the MS cohort. CONCLUSION: A relationship between plantar vibration sensitivity and pressure could indicate that individuals with MS seek to increase plantar sensory feedback during walking. However, because proprioception may also be impaired, increased plantar pressure could result from inaccurate foot placement. Interventions targeting improved somatosensation may have the potential to normalize gait patterns and should be investigated.


Asunto(s)
Esclerosis Múltiple , Humanos , Estudios Transversales , Pie , Esclerosis Múltiple/complicaciones , Vibración , Caminata , Masculino , Femenino
4.
Clin Biomech (Bristol, Avon) ; 100: 105818, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-36435079

RESUMEN

BACKGROUND: Gait impairment is common in people with multiple sclerosis (MS), but less is known about gait differences between MS disease progression subtypes. The objective here was to examine differences in spatiotemporal gait in MS and between relapsing-remitting and progressive subtypes during the timed-25-ft-walk test. Our specific aims were to investigate (1) spatiotemporal, (2) spatiotemporal variability, and (3) gait modulation differences between healthy controls and MS subtypes at preferred and fast walking speed. METHODS: This study included 27 controls, 18 relapsing-remitting MS, and 13 progressive MS participants. Participants wore six inertial sensors and walked overground without walking aids at preferred and fast-as-possible speeds. FINDINGS: Both MS groups had significantly lower walking speed than controls, with a trend towards lower preferred gait speed in progressive compared to relapsing-remitting MS (ES = 0.502). Although most spatiotemporal gait parameters differed between controls and MS groups, differences were not significant between MS subtypes in these parameters and their variability, with low to moderate effect sizes during preferred and fast walking. Both MS groups showed reduced modulation in gait compared to controls and no significant differences between MS subtypes. INTERPRETATION: Gait in MS is altered compared to controls. Although gait may change with progressive MS, the overall small differences in the gait parameters between the MS subtypes observed in this sample suggests that those with the progressive form of MS who are independently ambulatory and without further clinically meaningful changes in gait speed may not show gait decrements greater than the relapsing-remitting form of the disease.


Asunto(s)
Esclerosis Múltiple , Humanos , Esclerosis Múltiple/complicaciones , Caminata , Marcha , Progresión de la Enfermedad
5.
Sports Biomech ; : 1-16, 2022 Sep 27.
Artículo en Inglés | MEDLINE | ID: mdl-36164842

RESUMEN

The assessment of coordination variability in multi-joint human movements has traditionally started from angle-angle representations, and then used the angle change between subsequent time points as input for further analysis through vector coding. We propose an improvement to this approach, and suggest employing angular velocities as input data (Velocity Ellipse Method, VEM). We used experimental data and theoretical principles to contrast VEM with an existing standard (Difference Ellipse Method) and discuss its advantages and potential issues. Normalised cross-correlation was used to compare VEM and DEM in 36 angle couplings, from 20 participants running at 12 km/h on a treadmill. The hip flexion/extension-knee flexion/extension data were further investigated to discuss the robustness of the approach to measurement noise and outliers. Although DEM and VEM generally exhibited similar patterns (cross-correlation between 0.851 and 0.999), the variability curves from the two methods were noticeably different in some intervals. Also, using angular velocities as input appeared more robust to potential noise from raw data whilst retaining the following features: (a) more coherent with biomechanical conventions for calculating three-dimensional angular dynamics; (b) still suitable for coordination analysis; and, (c) more easily interpretable by practitioners when represented as relative motion plots.

6.
Entropy (Basel) ; 24(6)2022 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-35741483

RESUMEN

Postural behavior has traditionally been studied using linear assessments of stability (e.g., center of pressure ellipse area). While these assessments may provide valuable information, they neglect the nonlinear nature of the postural system and often lead to the conflation of variability with pathology. Moreover, assessing postural behavior in isolation or under otherwise unrealistic conditions may obscure the natural dynamics of the postural system. Alternatively, assessing postural complexity during ecologically valid tasks (e.g., conversing with others) may provide unique insight into the natural dynamics of the postural system across a wide array of temporal scales. Here, we assess postural complexity using Multiscale Sample Entropy in young and middle-aged adults during a listening task of varying degrees of difficulty. It was found that middle-aged adults exhibited greater postural complexity than did young adults, and that this age-related difference in postural complexity increased as a function of task difficulty. These results are inconsistent with the notion that aging is universally associated with a loss of complexity, and instead support the notion that age-related differences in complexity are task dependent.

7.
J Appl Biomech ; 37(4): 299-303, 2021 08 01.
Artículo en Inglés | MEDLINE | ID: mdl-34153941

RESUMEN

Coordination variability (CV) is commonly analyzed to understand dynamical qualities of human locomotion. The purpose of this study was to develop guidelines for the number of trials required to inform the calculation of a stable mean lower limb CV during overground locomotion. Three-dimensional lower limb kinematics were captured for 10 recreational runners performing 20 trials each of preferred and fixed speed walking and running. Stance phase CV was calculated for 9 segment and joint couplings using a modified vector coding technique. The number of trials required to achieve a CV mean within 10% of 20 strides average was determined for each coupling and individual. The statistical outputs of mode (walking vs running) and speed (preferred vs fixed) were compared when informed by differing numbers of trials. A minimum of 11 trials were required for stable mean stance phase CV. With fewer than 11 trials, CV was underestimated and led to an oversight of significant differences between mode and speed. Future overground locomotion CV research in healthy populations using a vector coding approach should use 11 trials as a standard minimum. Researchers should be aware of the notable consequences of an insufficient number of trials for overall study findings.


Asunto(s)
Carrera , Caminata , Fenómenos Biomecánicos , Marcha , Humanos , Locomoción , Extremidad Inferior
8.
Mult Scler Relat Disord ; 53: 103051, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34139463

RESUMEN

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.


Asunto(s)
Esclerosis Múltiple Crónica Progresiva , Esclerosis Múltiple Recurrente-Remitente , Esclerosis Múltiple , Humanos , Extremidad Inferior , Caminata
9.
Motor Control ; 24(4): 588-604, 2020 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-32916659

RESUMEN

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.


Asunto(s)
Marcha/fisiología , Obesidad/fisiopatología , Envío de Mensajes de Texto/normas , Velocidad al Caminar/fisiología , Adulto , Femenino , Humanos , Masculino
10.
Hum Mov Sci ; 73: 102673, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32777666

RESUMEN

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.


Asunto(s)
Adaptación Fisiológica , Cabeza/fisiología , Extremidad Inferior/fisiología , Rango del Movimiento Articular , Carrera , Adulto , Articulación del Tobillo/fisiología , Fenómenos Biomecánicos , Prueba de Esfuerzo , Retroalimentación Sensorial , Femenino , Articulación de la Cadera/fisiología , Humanos , Articulación de la Rodilla/fisiología , Masculino , Movimiento (Física)
11.
Motor Control ; 24(3): 435-456, 2020 Jun 21.
Artículo en Inglés | MEDLINE | ID: mdl-32570212

RESUMEN

The purpose of this study was to assess the establishment of dynamic marksmanship performance under different load and postural configurations. Participants quickly established two postures (forward and high targets) under head, trunk, and extremity loads during marksmanship performance. With the dynamic establishment of posture, load disrupted coordinative dynamics, resulting in reduced speed and accuracy on target. Specifically, torso loads increased segmental variability while establishing posture, and smaller head and upper extremity loads extended quieting time before firing. Increased head extension at the high target further destabilized posture, with reduced accuracy across all loads. Large torso loads reduced the adaptability to modulate postural fluctuations at the foot center of pressure while establishing postures for marksmanship, as evidenced by reductions in center of pressure variability. This study expands traditional static marksmanship research, providing insight into relations between task performance, coordinative variability, and postural control while dynamically establishing precision postures.


Asunto(s)
Postura/fisiología , Análisis y Desempeño de Tareas , Adulto , Femenino , Humanos , Masculino
12.
Mult Scler Relat Disord ; 41: 102031, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32172213

RESUMEN

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.


Asunto(s)
Movimiento/fisiología , Esclerosis Múltiple Crónica Progresiva/fisiopatología , Esclerosis Múltiple Recurrente-Remitente/fisiopatología , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Casos y Controles , Estudios Transversales , Femenino , Pie , Mano , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Adulto Joven
13.
Sports Biomech ; 19(3): 322-332, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-29912644

RESUMEN

A case study visualisation approach to examining the coordination and variability of multiple interacting segments is presented using a whole-body gymnastic skill as the task example. One elite male gymnast performed 10 trials of 10 longswings whilst three-dimensional locations of joint centres were tracked using a motion analysis system. Segment angles were used to define coupling between the arms and trunk, trunk and thighs and thighs and shanks. Rectified continuous relative phase profiles for each interacting couple for 80 longswings were produced. Graphical representations of coordination couplings are presented that include the traditional single coupling, followed by the relational dynamics of two couplings and finally three couplings simultaneously plotted. This method highlights the power of visualisation of movement dynamics and identifies properties of the global interacting segmental couplings that a more formal analysis may not reveal. Visualisation precedes and informs the appropriate qualitative and quantitative analysis of the dynamics.


Asunto(s)
Gimnasia/fisiología , Destreza Motora/fisiología , Brazo/fisiología , Fenómenos Biomecánicos , Humanos , Rodilla/fisiología , Masculino , Movimiento , Hombro/fisiología , Muslo/fisiología , Estudios de Tiempo y Movimiento , Torso/fisiología , Adulto Joven
14.
Front Physiol ; 10: 1318, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31708794

RESUMEN

Previous research indicates the correlation structure of gait parameters (i.e., fractal dynamics) decreases with age. This decrease is suggested to reflect a reduced capacity for locomotor adaptation in older adults. The purpose of this study was to investigate potential differences between physical activity-matched young and older adults' fractal dynamics and gait adaptability during unperturbed and asymmetric walking, and to determine if fractal dynamics predict adaptive capacity. Fifteen young (28.9 ± 5.6 years, nine women) and 15 older (64.7 ± 2.7, nine women) adults with similar habitual physical activity levels walked at preferred speed, half of preferred speed, and asymmetrically whereby their dominant and non-dominant legs moved at preferred and half-preferred speed, respectively. Fractal correlations (scaling exponent α) of stride times were assessed through detrended fluctuation analysis, and gait adaptation to asymmetric walking on the basis of lower limb relative phase. Both cohorts displayed similar fractal dynamics at preferred speed and asymmetric walking, while older adults exhibited greater α during slow walking. Both groups exhibited comparable gait adaptation to split-belt walking based on analysis of lower limb relative phase. Fractal dynamics during preferred speed and asymmetric walking was moderately associated with gait adaptation in the young and older adult cohorts, respectively. In these activity-matched groups, there were no age-based reductions in fractal dynamics or gait adaptation, and fractal scaling α was moderately associated with gait adaptation. These findings suggest that stride time fractal dynamics and gait adaptation may be preserved in older adults who habitually perform moderate intensity physical activity.

15.
Mult Scler Relat Disord ; 30: 63-68, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-30738874

RESUMEN

BACKGROUND: Multiple Sclerosis (MS) is a neurodegenerative and inflammatory disease that impacts both visual and postural control. It is currently unknown how the integration between visual and postural control is affected in people with MS (PwMS). It has been shown in healthy individuals that saccadic eye movements can decrease body sway as result as the integration of eye and postural movements. OBJECTIVE: Investigate the effect of saccadic eye movement on postural control in PwMS and compare with neurologically healthy people. METHODS: Thirteen mildly affected PwMS (1.53 ± 1.03 on Expanded Disability Status Scale - EDSS) and 12 healthy neurologically people participated in this study. Postural control was assessed on a force platform under two eye movement conditions: fixation on a central target and saccadic eye movement. The dependent variables assessed were the displacement, velocity, root-mean-square (RMS) and area of postural center of pressure and the number, duration, variability, fixations errors and eye response time. A mobile eye tracker was used to record eye movement. Two-way ANOVA (group and eye movement) for postural variables was performed. For the eye variables, one-way ANOVA with factor to group was performed. The p-value was maintained at 0.05 for all statistical analysis and the effect sizes were based on Cohen's d. RESULTS: No group or interaction effects (group*eye movement) were found for postural and eye variables. However, the saccadic eye movement attenuated the postural displacement in anteroposterior (AP) direction (p < 0.001, Cohen's d = 4.677), RMS AP (p < 0.001, Cohen's d = 4.399) and area (p < 0.013, Cohen's d = 2.163) in comparison with the central fixation condition in both groups. The Cohen's d showed a large effect between groups for fixation errors (d = 0.741). CONCLUSION: Both groups presented similar postural control performance in both eye movement conditions. Moreover, PwMS could attenuate body sway similarly to the control group, showing that the central integration of dynamic eye movements and postural control is preserved in mildly affected PwMS.


Asunto(s)
Fijación Ocular/fisiología , Esclerosis Múltiple Recurrente-Remitente/fisiopatología , Equilibrio Postural/fisiología , Movimientos Sacádicos/fisiología , Adulto , Medidas del Movimiento Ocular , Femenino , Humanos , Masculino , Persona de Mediana Edad , Índice de Severidad de la Enfermedad
16.
J Mot Behav ; 51(5): 551-560, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30689523

RESUMEN

This study investigated changes in postural control complexity in people with multiple sclerosis (PwMS) before and after a fatigue protocol. Thirteen minimally affected PwMS (1.53 ± 1.03- Expanded Disability Status Scale) and 12 non-MS controls. Postural test included quiet stance on a force platform under two visual conditions (saccades and fixation) before and after a fatigue protocol. Postural complexity was assessed through the multiscale entropy. A three-way ANOVA showed a main effect of fatigue in the medial-lateral direction (p <0.007), with fatigue protocol reducing postural complexity in both groups. No differences were found between groups or visual conditions. Minimally affected PwMS demonstrated similar postural complexity compared with non-MS controls under both visual tasks and showed similar decrements in postural complexity as a result of fatigue.


Asunto(s)
Fatiga/fisiopatología , Esclerosis Múltiple/fisiopatología , Equilibrio Postural/fisiología , Adulto , Femenino , Fijación Ocular/fisiología , Humanos , Masculino , Esclerosis Múltiple/diagnóstico , Movimientos Sacádicos/fisiología , Índice de Severidad de la Enfermedad
17.
Motor Control ; 23(3): 365-383, 2019 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-30678529

RESUMEN

The aim of this study was to investigate the relationship between postural regulation and tracking accuracy under static and moving visual target conditions in unipedal and bipedal standing postures. Postural time-to-contact stability boundaries decreased under more challenging visual target conditions for the unipedal posture, but this decrease was associated with lower visual tracking error. During bipedal support, there was independent control of the head and foot center of pressure, as higher frequencies at the head during the static visual task were associated with longer time-to-contact. These results demonstrate that decreased time-to-contact stability boundaries is a functional adaptation in postural tasks requiring visual control and provide evidence of the dependency of postural control on the nature of the suprapostural task.


Asunto(s)
Movimientos de la Cabeza/fisiología , Equilibrio Postural/fisiología , Desempeño Psicomotor/fisiología , Agudeza Visual/fisiología , Adulto , Femenino , Humanos , Masculino
18.
J Mot Behav ; 51(4): 394-405, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30204567

RESUMEN

The purpose of this study was to explore the extent of multifractality in unperturbed and constrained locomotion, and to determine if multifractality predicted gait adaptability. Young, healthy participants (n = 15) walked at preferred and slow speeds, as well as asymmetrically (one leg at half speed) on a split-belt treadmill. Stride time multifractality was assessed via local detrended fluctuation analysis, which evaluates the evolution of fluctuations both spatially and temporally. Unperturbed walking exhibited monofractal behavior. Asymmetric walking displayed greater multifractality in the faster moving limb, indicating more intermittent periods of extreme high or low variance. Multifractality was not associated with adaptation to asymmetric walking. These findings further suggest that unperturbed locomotion is monofractal and establish that perturbed walking yields multifractal behavior.


Asunto(s)
Lateralidad Funcional/fisiología , Locomoción/fisiología , Adaptación Fisiológica/fisiología , Adulto , Algoritmos , Fenómenos Biomecánicos/fisiología , Femenino , Fractales , Marcha , Humanos , Extremidad Inferior , Masculino , Caminata/fisiología , Adulto Joven
19.
Hum Mov Sci ; 58: 248-259, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29505917

RESUMEN

Human locomotion is an inherently complex activity that requires the coordination and control of neurophysiological and biomechanical degrees of freedom across various spatiotemporal scales. Locomotor patterns must constantly be altered in the face of changing environmental or task demands, such as heterogeneous terrains or obstacles. Variability in stride times occurring at short time scales (e.g., 5-10 strides) is statistically correlated to larger fluctuations occurring over longer time scales (e.g., 50-100 strides). This relationship, known as fractal dynamics, is thought to represent the adaptive capacity of the locomotor system. However, this has not been tested empirically. Thus, the purpose of this study was to determine if stride time fractality during steady state walking associated with the ability of individuals to adapt their gait patterns when locomotor speed and symmetry are altered. Fifteen healthy adults walked on a split-belt treadmill at preferred speed, half of preferred speed, and with one leg at preferred speed and the other at half speed (2:1 ratio asymmetric walking). The asymmetric belt speed condition induced gait asymmetries that required adaptation of locomotor patterns. The slow speed manipulation was chosen in order to determine the impact of gait speed on stride time fractal dynamics. Detrended fluctuation analysis was used to quantify the correlation structure, i.e., fractality, of stride times. Cross-correlation analysis was used to measure the deviation from intended anti-phasing between legs as a measure of gait adaptation. Results revealed no association between unperturbed walking fractal dynamics and gait adaptability performance. However, there was a quadratic relationship between perturbed, asymmetric walking fractal dynamics and adaptive performance during split-belt walking, whereby individuals who exhibited fractal scaling exponents that deviated from 1/f performed the poorest. Compared to steady state preferred walking speed, fractal dynamics increased closer to 1/f when participants were exposed to asymmetric walking. These findings suggest there may not be a relationship between unperturbed preferred or slow speed walking fractal dynamics and gait adaptability. However, the emergent relationship between asymmetric walking fractal dynamics and limb phase adaptation may represent a functional reorganization of the locomotor system (i.e., improved interactivity between degrees of freedom within the system) to be better suited to attenuate externally generated perturbations at various spatiotemporal scales.


Asunto(s)
Adaptación Fisiológica , Prueba de Esfuerzo , Extremidades/fisiología , Marcha/fisiología , Velocidad al Caminar/fisiología , Adulto , Femenino , Fractales , Humanos , Locomoción , Masculino , Modelos Estadísticos , Movimiento , Pensamiento , Adulto Joven
20.
J Biomech ; 67: 106-113, 2018 01 23.
Artículo en Inglés | MEDLINE | ID: mdl-29291890

RESUMEN

The purpose of this study was to assess the interpersonal coordination during official male tennis matches in players of different skill levels. Players' trajectories of three levels (Juvenile, ATP-Future, ATP-250) were obtained using video-based tracking system. A vector coding technique was applied to obtain players' interpersonal coordination in four coordination patterns: "anti-phase", "in-phase", "serving player phase" and "returning player phase". These patterns allowed identification of the nature of the coupling and lead/lag relations between players. In all categories, players presented higher degree of "anti-phase" and "serving player phase" (when only the serving player is moving on the court or his opponent is moving with a time lag) coordination. Young players spent more time in "serving player phase" during lateral displacements than professional players. On the other hand, professional players spent more time in "returning player phase" (when only the returning player is moving on the court or his opponent is moving with a time lag) during antero posterior displacements, than young players. Interpersonal coordination did not change from the first to the second set of the match, showing that tennis players maintain their displacement characteristics and strategy, independently of proficiency level. The vector coding technique allowed to identify new coordination patterns in tennis, providing additional information about tennis dynamics and how players from different categories and proficiency levels behave during the matches.


Asunto(s)
Rendimiento Atlético/psicología , Tenis/psicología , Adolescente , Conducta Competitiva , Humanos , Masculino
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