Department of Physical Therapy, Chapman University, 9401 Jeronimo Road, Irvine, CA, 92618, United States.
Department of Physical Therapy, Chapman University, 9401 Jeronimo Road, Irvine, CA, 92618, United States.
Gait Posture. 2021 Feb;84:1-7. doi: 10.1016/j.gaitpost.2020.11.019. Epub 2020 Nov 18.
During walking, variability in how movement is coordinated between body segments from stride to stride facilitates adaptation to changing environmental or task constraints. Magnitude of this inter-segmental coordination variability is reduced in patient populations and may also decrease in response to muscle fatigue. Previously, stride-to-stride variability has been quantified with the Vector Coding (VC) method, however recent research introduced a new Ellipse Area Method (EAM) to avoid statistical artifacts associated with VC.
Determine changes in trunk-pelvis coordination variability during walking turns in response to fatiguing exercise and to compare coordination variability quantified with VC to the EAM method.
15 young adults (mean age: 23.7 (±3.2) years) performed 15 trials of a 90-degree walking turn before and after fatiguing paraspinal muscle exercise. Angular kinematics of the trunk and pelvis segments in the axial plane were quantified using three-dimensional motion capture. Stride to stride variability of axial coordination between the trunk and pelvis pre- and post-fatigue was calculated using both VC and EAM methods. Magnitudes of pre- and post-fatigue variability for VC and EAM were compared with paired t-tests and relationship between the magnitude of variability for the two methods was calculated using Pearson correlation coefficients.
Using both analytical approaches, trunk-pelvis coordination variability decreased significantly post-fatiguing exercise across the stride cycle and within the stance phase of the turn (p < 0.034 for all comparisons). Average magnitudes of variability calculated with VC and EAM were highly correlated. Time series cross correlations pre-post fatigue ranged from 0.81 to 0.98.
In healthy individuals, magnitude of trunk-pelvis stride-to-stride coordination variability is reduced following fatiguing exercise but the temporal distribution of variability across the stride cycle is maintained. This finding is robust to the method used to quantify coordination variability.
在行走过程中,身体各节段之间的运动协调性在步与步之间的变化有助于适应不断变化的环境或任务约束。在患者群体中,这种节段间协调性变化的幅度会降低,并且在肌肉疲劳时也可能会降低。以前,通过矢量编码(VC)方法来量化步与步之间的变化性,但是最近的研究引入了一种新的椭圆面积方法(EAM)来避免与 VC 相关的统计伪影。
确定在疲劳运动过程中,在行走转弯时躯干-骨盆协调变化的变化,并比较 VC 和 EAM 方法定量的协调变化性。
15 名年轻成年人(平均年龄:23.7(±3.2)岁)在疲劳脊柱旁肌肉运动前后进行了 15 次 90 度行走转弯试验。使用三维运动捕捉技术对轴向平面中的躯干和骨盆节段的角度运动学进行了量化。使用 VC 和 EAM 方法分别计算了疲劳前后轴向协调的步与步之间的变化性。使用配对 t 检验比较了 VC 和 EAM 前后疲劳的变异性幅度,并使用 Pearson 相关系数计算了两种方法之间的变异性幅度的关系。
使用两种分析方法,在整个步周期和转弯的站立阶段,躯干-骨盆协调变化性在疲劳后显著降低(所有比较均为 p <0.034)。VC 和 EAM 计算的变异性幅度平均值高度相关。疲劳前后的时间序列互相关范围为 0.81 至 0.98。
在健康个体中,疲劳后躯干-骨盆步与步之间协调变化的幅度降低,但跨步周期的变化性的时间分布得以维持。这一发现对于定量协调变化的方法具有稳健性。