Horst F, Kramer F, Schäfer B, Eekhoff A, Hegen P, Nigg B M, Schöllhorn W I
Johannes Gutenberg-University Mainz, Institute of Sport Science, Albert Schweitzer Straße 22, 55128 Mainz, Germany.
Johannes Gutenberg-University Mainz, Institute of Sport Science, Albert Schweitzer Straße 22, 55128 Mainz, Germany.
Gait Posture. 2016 Sep;49:309-314. doi: 10.1016/j.gaitpost.2016.07.073. Epub 2016 Jul 29.
Despite the common knowledge about the individual character of human gait patterns and about their non-repeatability, little is known about their stability, their interactions and their changes over time. Variations of gait patterns are typically described as random deviations around a stable mean curve derived from groups, which appear due to noise or experimental insufficiencies. The purpose of this study is to examine the nature of intrinsic inter-session variability in more detail by proving separable characteristics of gait patterns between individuals as well as within individuals in repeated measurement sessions. Eight healthy subjects performed 15 gait trials at a self-selected speed on eight days within two weeks. For each trial, the time-continuous ground reaction forces and lower body kinematics were quantified. A total of 960 gait patterns were analysed by means of support vector machines and the coefficient of multiple correlation. The results emphasise the remarkable amount of individual characteristics in human gait. Support vector machines results showed an error-free assignment of gait patterns to the corresponding individual. Thus, differences in gait patterns between individuals seem to be persistent over two weeks. Within the range of individual gait patterns, day specific characteristics could be distinguished by classification rates of 97.3% and 59.5% for the eight-day classification of lower body joint angles and ground reaction forces, respectively. Hence, gait patterns can be assumed not to be constant over time and rather exhibit discernible daily changes within previously stated good repeatability. Advantages for more individual and situational diagnoses or therapy are identified.
尽管人们普遍了解人类步态模式的个体特征及其不可重复性,但对于其稳定性、相互作用以及随时间的变化却知之甚少。步态模式的变化通常被描述为围绕从群体得出的稳定平均曲线的随机偏差,这些偏差是由于噪声或实验不足而出现的。本研究的目的是通过证明个体之间以及个体在重复测量过程中的步态模式的可分离特征,更详细地研究内在会话间变异性的本质。八名健康受试者在两周内的八天里以自选速度进行了15次步态试验。对于每次试验,对时间连续的地面反作用力和下肢运动学进行了量化。通过支持向量机和多重相关系数对总共960种步态模式进行了分析。结果强调了人类步态中显著的个体特征数量。支持向量机结果显示步态模式可无误地对应到相应个体。因此,个体之间的步态模式差异在两周内似乎是持续存在的。在个体步态模式范围内,通过对下肢关节角度和地面反作用力进行八天分类,分类率分别为97.3%和59.5%,可以区分出特定日期的特征。因此,可以假设步态模式并非随时间恒定不变,而是在先前所述的良好重复性范围内呈现出明显的每日变化。确定了对更个性化和情境化诊断或治疗的优势。