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Influence of initial stance configuration on gait initiation

Permanent Link: http://ufdc.ufl.edu/UFE0041274/00001

Material Information

Title: Influence of initial stance configuration on gait initiation
Physical Description: 1 online resource (52 p.)
Language: english
Creator: Dalton, Elan
Publisher: University of Florida
Place of Publication: Gainesville, Fla.
Publication Date: 2009

Subjects

Subjects / Keywords: gait, parkinsons, posture, stance, stepping
Applied Physiology and Kinesiology -- Dissertations, Academic -- UF
Genre: Applied Physiology and Kinesiology thesis, M.S.
bibliography   ( marcgt )
theses   ( marcgt )
government publication (state, provincial, terriorial, dependent)   ( marcgt )
born-digital   ( sobekcm )
Electronic Thesis or Dissertation

Notes

Abstract: Gait initiation (GI) is the a task of daily living in which the body is propelled forward from a position of stable, static balance to a continuously unstable position requiring dynamic control of balance. GI requires execution of a system of complex and coordinated postural adjustments, termed Anticipator Postural Adjustments (APA), in order to maintain balance and prevent a fall from occurring. Falling and the fear of falling in elderly individuals and people with Parkinson's disease cause these individuals to scale down the APA magnitudes during GI, resulting in slower initiation of gait. Eventually, festination occurs and shuffling steps predominate gait, raising new dangers of falling (i.e. tripping) and causing disability. One potential therapeutic strategy was evaluated in which the initial starting position of the feet was staggered in the anterior and posterior directions, creating both a forward and backward staggered stance. Three groups, healthy young (HY), healthy old (HO), and Parkinson's disease (PD), consisting of twelve subjects each, initiated gait from three stance positions: back, normal, and forward. Ground reaction forces and motion analysis data were collected for five trails from each stance condition. Significant effects across stance condition were found for center of mass velocity, loading of the swing limb (corresponding to APA), and propulsive force generated by the stance limb. No significant differences were found for APA duration across stance conditions. A backward staggered starting stance appears to enable individuals from all groups to initiate gait more quickly and with greater final velocity than a normal stance, while maintaining the duration of normal postural adjustments. It is speculated that individuals are therefore able to scale the magnitude of force production within the same time frame during tasks requiring postural stability. Furthermore, posteriorly staggering the swing limb appears to counteract the impeding effects of PD when initiating gait, allowing those individuals to initiate gait as a healthy older population normally would. This effect is maintained in the elderly population compared to the young initiating gait from a normal stance.
General Note: In the series University of Florida Digital Collections.
General Note: Includes vita.
Bibliography: Includes bibliographical references.
Source of Description: Description based on online resource; title from PDF title page.
Source of Description: This bibliographic record is available under the Creative Commons CC0 public domain dedication. The University of Florida Libraries, as creator of this bibliographic record, has waived all rights to it worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law.
Statement of Responsibility: by Elan Dalton.
Thesis: Thesis (M.S.)--University of Florida, 2009.
Local: Adviser: Hass, Christopher J.

Record Information

Source Institution: UFRGP
Rights Management: Applicable rights reserved.
Classification: lcc - LD1780 2009
System ID: UFE0041274:00001

Permanent Link: http://ufdc.ufl.edu/UFE0041274/00001

Material Information

Title: Influence of initial stance configuration on gait initiation
Physical Description: 1 online resource (52 p.)
Language: english
Creator: Dalton, Elan
Publisher: University of Florida
Place of Publication: Gainesville, Fla.
Publication Date: 2009

Subjects

Subjects / Keywords: gait, parkinsons, posture, stance, stepping
Applied Physiology and Kinesiology -- Dissertations, Academic -- UF
Genre: Applied Physiology and Kinesiology thesis, M.S.
bibliography   ( marcgt )
theses   ( marcgt )
government publication (state, provincial, terriorial, dependent)   ( marcgt )
born-digital   ( sobekcm )
Electronic Thesis or Dissertation

Notes

Abstract: Gait initiation (GI) is the a task of daily living in which the body is propelled forward from a position of stable, static balance to a continuously unstable position requiring dynamic control of balance. GI requires execution of a system of complex and coordinated postural adjustments, termed Anticipator Postural Adjustments (APA), in order to maintain balance and prevent a fall from occurring. Falling and the fear of falling in elderly individuals and people with Parkinson's disease cause these individuals to scale down the APA magnitudes during GI, resulting in slower initiation of gait. Eventually, festination occurs and shuffling steps predominate gait, raising new dangers of falling (i.e. tripping) and causing disability. One potential therapeutic strategy was evaluated in which the initial starting position of the feet was staggered in the anterior and posterior directions, creating both a forward and backward staggered stance. Three groups, healthy young (HY), healthy old (HO), and Parkinson's disease (PD), consisting of twelve subjects each, initiated gait from three stance positions: back, normal, and forward. Ground reaction forces and motion analysis data were collected for five trails from each stance condition. Significant effects across stance condition were found for center of mass velocity, loading of the swing limb (corresponding to APA), and propulsive force generated by the stance limb. No significant differences were found for APA duration across stance conditions. A backward staggered starting stance appears to enable individuals from all groups to initiate gait more quickly and with greater final velocity than a normal stance, while maintaining the duration of normal postural adjustments. It is speculated that individuals are therefore able to scale the magnitude of force production within the same time frame during tasks requiring postural stability. Furthermore, posteriorly staggering the swing limb appears to counteract the impeding effects of PD when initiating gait, allowing those individuals to initiate gait as a healthy older population normally would. This effect is maintained in the elderly population compared to the young initiating gait from a normal stance.
General Note: In the series University of Florida Digital Collections.
General Note: Includes vita.
Bibliography: Includes bibliographical references.
Source of Description: Description based on online resource; title from PDF title page.
Source of Description: This bibliographic record is available under the Creative Commons CC0 public domain dedication. The University of Florida Libraries, as creator of this bibliographic record, has waived all rights to it worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law.
Statement of Responsibility: by Elan Dalton.
Thesis: Thesis (M.S.)--University of Florida, 2009.
Local: Adviser: Hass, Christopher J.

Record Information

Source Institution: UFRGP
Rights Management: Applicable rights reserved.
Classification: lcc - LD1780 2009
System ID: UFE0041274:00001


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