Evidence map›Paper›PMID 40258019›Full record

ArticlePloS one2025

Effects of step width and gait speed on the variability of mediolateral control in the head and trunk during gait.

Yu Takada, Tomoaki Atomi, Takayuki Yagi, Shoma Yamamoto, Masao Tomita, Miho Shimizu, Yoriko Atomi

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Alterations in Spatiotemporal Parameters in Patients With Lower-Limb Amputation: A Systematic Review With Meta-Analysis.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Article
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

7 authors.

Yu TakadaDepartment of Rehabilitation, Uno Hospital, Okazaki, Aichi, Japan.
Tomoaki AtomiDepartment of Physical Therapy, Faculty of Health Sciences, Kyorin University, Mitaka, Tokyo, Japan.
Takayuki YagiDepartment of Rehabilitation, Uno Hospital, Okazaki, Aichi, Japan.
Shoma YamamotoDepartment of Rehabilitation, Uno Hospital, Okazaki, Aichi, Japan.
Masao TomitaDepartment of Rehabilitation, Faculty of Health Sciences, Fujita Health University, Toyoake, Aichi, Japan.
Miho ShimizuMaterial Health Science, Graduate School of Engineering, Tokyo University of Agriculture and Technology, Koganei, Tokyo, Japan.
Yoriko AtomiMaterial Health Science, Graduate School of Engineering, Tokyo University of Agriculture and Technology, Koganei, Tokyo, Japan.ORCID 0009-0005-7941-930X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Step width is a parameter that determines the size of the base of support (BOS) during gait. Further, it is related to the control of center of mass (COM) and trunk movements and gait speed. The current study aimed to validate the effect of conditioning using combined step width (narrow and wide) and gait speed (normal [4.5 km/h] and slow [2.2 km/h]) on the segmental control of the head, thorax, and pelvis with respect to the BOS. The behavior of the head, thorax, and pelvis of 17 healthy adult participants were measured during treadmill walking using a three-dimensional motion analysis system. If the step width was narrow, the whole body segment with a high contribution to COM under narrow BOS conditions was more likely to have a high variability. However, the mediolateral direction behavior was small. On the contrary, if the step width was wide, the whole body segment with a high contribution to COM under wide BOS conditions was more likely to have a low variability. Nevertheless, the mediolateral direction behavior was large. Regarding the intersegmental association, particularly if the step width was narrow and the gait speed was normal, the head showed highly controlled movements with minimal displacement and increased fine-tuning. The thorax displayed significant importance in maintaining trunk stability, operating within a larger range of mediolateral displacement compared to the head and pelvis, under three conditions, except if the step width was narrow and the gait speed was normal. The study underscores the significant impact of both step width and gait speed on the control and stability of high-mass body segments during gait. It suggests that narrow step widths necessitate advanced control strategies, while wide step widths promote simpler, compensatory mechanisms, especially relevant in clinical contexts.

Indexed as

GaitHeadTorsoWalking SpeedAdultBiomechanical PhenomenaFemaleHumansMalePelvisPostural BalanceThoraxWalkingYoung Adult

Identifiers

PMID40258019
PMCPMC12011241

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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.