Evidence map›Paper›PMID 37027387›Full record

ArticlePloS one2023

Humans prioritize walking efficiency or walking stability based on environmental risk.

Ashwini Kulkarni, Chuyi Cui, Shirley Rietdyk, Satyajit Ambike

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06764290 (Neural Mechanism Changes in Stroke Patients During Challenging Environments), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT06764290 recruitingnot on this mapstarted 2024, after this paper: background citation

Neural Mechanism Changes in Stroke Patients During Challenging Environments

TypeobservationalSponsorNanjing Medical UniversityRan2024 to 2025Enrolled60ConditionsStrokeArmspedal walking, visual occlusion
3 · Its place in the literature

Who cites it

8 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.

Ashwini KulkarniDepartment of Health and Kinesiology, Purdue University, West Lafayette, Indiana, United States of America.ORCID 0000-0002-9578-1828
Chuyi CuiDepartment of Health and Kinesiology, Purdue University, West Lafayette, Indiana, United States of America.
Shirley RietdykDepartment of Health and Kinesiology, Purdue University, West Lafayette, Indiana, United States of America.
Satyajit AmbikeDepartment of Health and Kinesiology, Purdue University, West Lafayette, Indiana, United States of America.ORCID 0000-0003-0521-860X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In human gait, the body's mechanical energy at the end of one step is reused to achieve forward progression during the subsequent step, thereby reducing the required muscle work. During the single stance phase, humans rely on the largely uncontrolled passive inverted pendular motion of the body to perpetuate forward motion. These passive body dynamics, while improving walking efficiency, also indicate lower passive dynamic stability in the anterior direction, since the individual will be less able to withstand a forward external perturbation. Here we test the novel hypothesis that humans manipulate passive anterior-posterior (AP) stability via active selection of step length to either achieve energy-efficient gait or to improve stability when it is threatened. We computed the AP margin of stability, which quantifies the passive dynamic stability of gait, for multiple steps as healthy young adults (N = 20) walked on a clear and on an obstructed walkway. Participants used passive dynamics to achieve energy-efficient gait for all but one step; when crossing the obstacle with the leading limb, AP margin of stability was increased. This increase indicated caution to offset the greater risk of falling after a potential trip. Furthermore, AP margin of stability increased while approaching the obstacle, indicating that humans proactively manipulate the passive dynamics to meet the demands of the locomotor task. Finally, the step length and the center of mass motion co-varied to maintain the AP margin of stability for all steps in both tasks at the specific values for each step. We conclude that humans actively regulate step length to maintain specific levels of passive dynamic stability for each step during unobstructed and obstructed gait.

Indexed as

Postural BalanceWalkingBiomechanical PhenomenaGaitHumansMotionYoung Adult

Identifiers

PMID37027387
PMCPMC10081767

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Registered trials

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.