Kokue Tomoya, Takenaka Yuma, Sugawara Kenichi
Division of Physical Therapy Science, Graduate Course of Health and Social Work, Kanagawa University of Human Services: 1-10-1 Heisei-cho, Yokosuka-shi, Kanagawa 238-8522, Japan.
J Phys Ther Sci. 2025 Aug;37(8):415-421. doi: 10.1589/jpts.37.415. Epub 2025 Aug 1.
[Purpose] To identify kinematic indices by performing acceleration/deceleration adjustment tasks and clarify the mechanism of walking speed adjustment. [Participants and Methods] Healthy adults with no history of orthopedic or central nervous system disease that could interfere with walking were included. Kinematic data with changes in walking speed were analyzed using a three-axis accelerometer, foot switches, and OptoJump Next. Two adjustment task experiments were conducted at different speeds: acceleration (Experiment 1) and deceleration (Experiment 2). The walking task constituted two conditions: walking at a comfortable speed and then shifting to the minimum speed as quickly as possible on a cue (minimum condition), and walking at a comfortable speed and then shifting to the intermediate speed as quickly as possible on a cue (intermediate condition). [Results] In Experiment 1, the step time and center-of-gravity acceleration in the front-back and left-right directions increased under the maximum condition for a longer period of time. In Experiment 2, the step length decreased earlier under the minimum condition; however, step time increased under the intermediate condition. [Conclusion] Kinematic control differs with adjustment to various target speeds. This study suggests that walking at a gait speed appropriate for a specific movement and environment can be improved through rehabilitation.
[目的] 通过执行加速/减速调整任务来识别运动学指标,并阐明步行速度调整的机制。[参与者与方法] 纳入无可能干扰步行的骨科或中枢神经系统疾病史的健康成年人。使用三轴加速度计、脚踏开关和OptoJump Next分析步行速度变化时的运动学数据。在不同速度下进行了两项调整任务实验:加速(实验1)和减速(实验2)。步行任务包括两种情况:以舒适速度行走,然后根据提示尽快转变为最低速度(最低速度情况),以及以舒适速度行走,然后根据提示尽快转变为中等速度(中等速度情况)。[结果] 在实验1中,在最高速度情况下,前后和左右方向的步时和重心加速度在较长时间内增加。在实验2中,在最低速度情况下步长更早减小;然而,在中等速度情况下步时增加。[结论] 运动学控制因对各种目标速度的调整而不同。本研究表明,通过康复训练可以改善以适合特定运动和环境的步态速度行走的能力。