Hinkel-Lipsker Jacob W, Hahn Michael E
Department of Human Physiology, University of Oregon, Eugene, OR, USA.
Department of Human Physiology, University of Oregon, Eugene, OR, USA.
Hum Mov Sci. 2018 Jun;59:178-192. doi: 10.1016/j.humov.2018.04.009. Epub 2018 Apr 25.
Gait adaptation is a task that requires fine-tuned coordination of all degrees of freedom in the lower limbs by the central nervous system. However, when individuals change their gait it is unknown how this coordination is organized, and how it can be influenced by contextual interference during practice. Such knowledge could provide information about measurement of gait adaptation during rehabilitation. Able-bodied individuals completed an acute bout of asymmetric split-belt treadmill walking, where one limb was driven at a constant velocity and the other according to one of three designed practice paradigms: serial practice, where the variable limb belt velocity increased over time; random blocked practice, where every 20 strides the variable limb belt velocity changed randomly; random practice, where every stride the variable limb belt velocity changed randomly. On the second day, subjects completed one of two different transfer tests; one with a belt asymmetry close to that experienced on the acquisition day (transfer 1; 1.5:1), and one with a greater asymmetry (transfer 2; 2:1) . To reduce this inherently high-dimensional dataset, principal component analyses were used for kinematic data collected throughout the acquisition and transfer phases; resulting in extraction of the first two principal components (PCs). For acquisition, PC1 and PC2 were related to sagittal and frontal plane control. For transfer 1, PC1 and PC2 were related to frontal plane control of the base of support and whole-body center of mass. For transfer 2, PC1 did not have any variables with high enough coefficients deemed to be relevant, and PC2 was related to sagittal plane control. Observations of principal component scores indicate that variance structuring differs among practice groups during acquisition and transfer 1, but not transfer 2. These results demonstrate the main kinematic coordinative structures that exist during gait adaptation, and that control of sagittal plane and frontal plane motion are perhaps a trade-off during acquisition of a novel asymmetric gait pattern.
步态适应是一项需要中枢神经系统对下肢所有自由度进行精细协调的任务。然而,当个体改变其步态时,这种协调是如何组织的,以及在练习过程中如何受到情境干扰的影响尚不清楚。此类知识可为康复过程中步态适应的测量提供信息。健全个体完成了一次急性非对称分带跑步机行走试验,其中一条腿以恒定速度驱动,另一条腿根据三种设计的练习范式之一进行驱动:序列练习,即可变腿带速度随时间增加;随机分组练习,即每20步可变腿带速度随机变化;随机练习,即每一步可变腿带速度随机变化。在第二天,受试者完成两项不同的转移测试之一;一项测试的带不对称性与习得日相近(转移测试1;1.5:1),另一项测试的不对称性更大(转移测试2;2:1)。为了减少这个固有高维数据集,对在整个习得和转移阶段收集的运动学数据进行主成分分析;从而提取前两个主成分(PCs)。对于习得阶段,PC1和PC2与矢状面和额状面控制有关。对于转移测试1,PC1和PC2与支撑面和全身质心的额状面控制有关。对于转移测试2,PC1没有任何系数足够高的变量被认为是相关的,PC2与矢状面控制有关。主成分得分的观察结果表明,在习得阶段和转移测试1期间,不同练习组之间的方差结构不同,但在转移测试2中并非如此。这些结果证明了步态适应过程中存在的主要运动学协调结构,并且在习得新的非对称步态模式时,矢状面和额状面运动的控制可能是一种权衡。