Center for Movement Studies, Kennedy Krieger Institute, Baltimore, MD, USA.
Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J Physiol. 2021 Feb;599(4):1243-1260. doi: 10.1113/JP280509. Epub 2020 Nov 24.
We hypothesized that minimization of metabolic power could drive people to walk asymmetrically when one leg is constrained We studied healthy young adults and independently constrained one or both step lengths to be markedly shorter or longer than preferred using visual feedback When one leg was constrained to take a shorter or longer step than preferred, asymmetric walking patterns were less metabolically costly than symmetric walking patterns When one leg was constrained to take a shorter or longer step than preferred and the other leg was allowed to move freely, most participants naturally adopted an asymmetric gait People may prefer to walk asymmetrically to minimize metabolic power when the function of one leg is constrained during fixed-speed treadmill walking ABSTRACT: The bilateral symmetry inherent in healthy human walking is often disrupted in clinical conditions that primarily affect one leg (e.g. stroke). This seems intuitive: with one leg constrained, gait becomes asymmetric. However, the emergence of asymmetry is not inevitable. Consider that symmetric walking could be preserved by matching the movement of the unconstrained leg to that of the constrained leg. While this is theoretically possible, it is rarely observed in clinical populations. Here, we hypothesized that minimization of metabolic power could drive people to walk asymmetrically when one leg is constrained, even when symmetric walking remains possible. We tested this hypothesis by performing two experiments in healthy adults. In Experiment 1, we constrained one step to be markedly shorter or longer than preferred. We observed that participants could significantly reduce metabolic power by adopting an asymmetric gait (one short/long step, one preferred step) rather than maintaining a symmetric gait (bilateral short/long steps). Indeed, when allowed to walk freely in this situation, participants naturally adopted a less effortful asymmetric gait. In Experiment 2, we applied a milder constraint that more closely approximated magnitudes of step length asymmetry that are observed in clinical populations. Responses in this experiment were more heterogeneous, though most participants adopted an asymmetric gait. These findings support two central conclusions: (1) symmetry is not necessarily energetically optimal in constrained human walking, and (2) people may prefer to walk asymmetrically to minimize metabolic power when one leg is constrained during fixed-speed treadmill walking, especially when the constraint is large.
我们假设,当一条腿受到限制时,代谢功率最小化可能会导致人们以不对称的方式行走。我们研究了健康的年轻人,使用视觉反馈独立地限制一条或两条步长明显短于或长于偏好。当一条腿被限制迈出短于或长于偏好的步长时,不对称的行走模式比对称的行走模式消耗的代谢能量更少。当一条腿被限制迈出短于或长于偏好的步长,而另一条腿可以自由移动时,大多数参与者自然会采用不对称的步态。当一条腿在固定速度跑步机上行走时受到限制,人们可能会为了最小化代谢功率而选择不对称行走。
健康人行走时固有的双侧对称性在主要影响一条腿的临床情况下经常被打破(例如中风)。这似乎是直观的:一条腿受到限制,步态就会变得不对称。然而,不对称的出现并非不可避免。可以考虑通过使未受限制的腿的运动与受限制的腿的运动相匹配来保持对称行走。虽然这在理论上是可能的,但在临床人群中很少观察到。在这里,我们假设当一条腿受到限制时,代谢功率最小化可能会驱使人们以不对称的方式行走,即使对称行走仍然是可能的。我们通过在健康成年人中进行两项实验来检验这一假设。在实验 1 中,我们限制一步明显短于或长于偏好。我们观察到,参与者可以通过采用不对称步态(一条短/长步,一条偏好步)而不是保持对称步态(双侧短/长步)来显著降低代谢功率。事实上,在这种情况下允许自由行走时,参与者自然会采用省力的不对称步态。在实验 2 中,我们施加了一个更温和的限制,更接近临床人群中观察到的步长不对称程度。该实验的反应更为多样化,尽管大多数参与者采用了不对称步态。这些发现支持两个核心结论:(1)在受限制的人类行走中,对称性不一定是能量最优化的;(2)当一条腿在固定速度跑步机上行走时受到限制时,人们可能会选择不对称行走以最小化代谢功率,尤其是当限制较大时。