Evidence map›Paper›PMID 39180079›Full record

ArticleJournal of neuroengineering and rehabilitation2024

Healthy older adults generate transverse-plane momenta required for 90° turns while walking during the same phases of gait as used in straight-line gait.

Mitchell Tillman, Jun Ming Liu, Zahava M Hirsch, Janine Molino, Antonia M Zaferiou

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Article in Journal of neuroengineering and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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Authors and funding

5 authors.

Mitchell TillmanDepartment of Biomedical Engineering, Stevens Institute of Technology, Castle Point on the Hudson, Hoboken, NJ, 07030, USA.
Jun Ming LiuDepartment of Biomedical Engineering, Stevens Institute of Technology, Castle Point on the Hudson, Hoboken, NJ, 07030, USA.
Zahava M HirschDepartment of Biomedical Engineering, Stevens Institute of Technology, Castle Point on the Hudson, Hoboken, NJ, 07030, USA.
Janine MolinoDepartment of Orthopaedics, Warren Alpert Medical School of Brown University/Rhode Island Hospital, Providence, RI, USA.
Antonia M ZaferiouDepartment of Biomedical Engineering, Stevens Institute of Technology, Castle Point on the Hudson, Hoboken, NJ, 07030, USA. Antonia.Zaferiou@stevens.edu.

Funding

National Science Foundation 1944207
6 · The paper itself

Abstract

backgroundGeneration and regulation (control) of linear and angular momentum is a challenge during turning while walking which may be exacerbated by age-related changes. In healthy older adults, little is known about how momentum is controlled during turns, especially within each phase of gait. Each phase of gait affords unique mechanical contexts to control momenta and regulate balance. In healthy young adults, we found that the transverse-plane linear and angular momenta generation strategies observed within specific phases of gait during straight-line gait were also used during turns. Therefore, in this study, we investigated whether healthy older adults shared similar momentum control strategies specific to each gait phase during straight-line gait and turns.

methodsNine healthy older adults completed straight-line gait and 90° leftward walking turns. We compared the change in transverse-plane whole-body linear and angular momentum across gait phases (left and right single and double support). We also compared the average leftward force and transverse-plane moment across gait phases.

resultsWe found that leftward linear momentum was generated most during right single support in straight-line gait and leftward turns. However, in contrast to straight-line gait, during leftward turns, average leftward force was applied across gait phases, with left single support generating significantly less leftward average force than other gait phases. Leftward angular momentum generation and average moment were greatest during left double support in both tasks. We observed some within-participant results that diverged from the group statistical findings, illustrating that although they are common, these momenta control strategies are not necessary.

conclusionsOlder adults generated transverse-plane linear and angular momentum during consistent phases of gait during straight-line gait and 90° turns, potentially indicating a shared control strategy. Understanding momentum control within each phase of gait can help design more specific targets in gait and balance training interventions.

Indexed as

GaitWalkingAgedAged, 80 and overAgingBiomechanical PhenomenaFemaleHumansMalePostural BalanceBiomechanicsGaitLocomotionMomentumMotor controlOlder adultsRotationTurn

Identifiers

PMID39180079
PMCPMC11342545

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