Evidence map›Paper›PMID 29494819›Full record

ArticleGait & posture2018

Healthy individuals are more maneuverable when walking slower while navigating a virtual obstacle course.

Katherine L Hsieh, Riley C Sheehan, Jason M Wilken, Jonathan B Dingwell

Abstract read
In one paragraph

Article in Gait & posture, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Katherine L HsiehHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA; Military Performance Lab, Center for the Intrepid, JBSA Ft. Sam Houston, TX, USA.
Riley C SheehanHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA; Military Performance Lab, Center for the Intrepid, JBSA Ft. Sam Houston, TX, USA; Department of Kinesiology & Health Education, The University of Texas at Austin, Austin, TX, USA.
Jason M WilkenMilitary Performance Lab, Center for the Intrepid, JBSA Ft. Sam Houston, TX, USA; DoD-VA Extremity Trauma and Amputation Center of Excellence (EACE), USA.
Jonathan B DingwellDepartment of Kinesiology & Health Education, The University of Texas at Austin, Austin, TX, USA. Electronic address: dingwell@psu.edu.

Funding

Improving Dynamic Walking Stability in Traumatic AmputeesR01HD059844 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI DINGWELL, JONATHAN B · 2010 to 2014
$1.3M
NICHD NIH HHS R01 HD059844
6 · The paper itself

Abstract

introductionMaintaining stability, especially in the mediolateral direction, is important for successful walking. Navigating in the community, however, may require people to reduce stability to make quick lateral transitions, creating a tradeoff between stability and maneuverability. Walking slower can improve stability during steady state walking, but there remains a need to better understand how walking speed influences maneuverability. This study investigated how walking at different speeds influenced how individuals modulate both stability and maneuverability in a virtual obstacle course.

methodsFifteen healthy adults walked on a treadmill in a virtual environment for 6 trials each at typical and slower speed. Participants made repeated transitions between virtual sets of arches displayed in any of 4 lanes. Participants were instructed to walk under the arches and hit as few arches as possible. To quantify stability, mean step width and mean lateral margin of stability (Mean MOS) were calculated and averaged for ipsilateral and contralateral steps. To quantify maneuverability, the number of arches hit when entering or exiting each arch set was calculated and averaged for each condition.

resultsParticipants exhibited high levels of variability in their stepping patterns. Mean MOS and mean step width were significantly greater for the typical speed than slower speed for the ipsilateral steps (p < 0.001). Participants hit more arches during the typical speed than during the slow speed (p = 0.039).

conclusionWhen walking at the slower speed, healthy individuals exhibited decreased stability of ipsilateral steps, but increased maneuverability and better transition performance.

Indexed as

AdultExercise TestFemaleGaitHealthy VolunteersHumansMaleVirtual RealityWalkingWalking SpeedLateral transitionsManeuverabilityMargin of stabilityWalking speed

Identifiers

PMID29494819
PMCPMC5866787

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.