Do Mechatronic Poles Change the Gait Technique of Nordic Walking in Patients with Ischemic Heart Disease?

The study aimed to compare the technique of normal gait with the Nordic walking (NW) gait with classical and mechatronic poles in patients with ischemic heart disease. It was assumed that equipping classical NW poles with sensors enabling biomechanical gait analysis would not cause a change in the g...

Full description

Bibliographic Details
Main Authors: Agnieszka Szpala, Sławomir Winiarski, Małgorzata Kołodziej, Bogdan Pietraszewski, Ryszard Jasiński, Tadeusz Niebudek, Andrzej Lejczak, Dariusz Kałka, Karolina Lorek, Krzysztof Bałchanowski, Sławomir Wudarczyk, Marek Woźniewski
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
Series:Applied Bionics and Biomechanics
Online Access:http://dx.doi.org/10.1155/2023/1135733
_version_ 1826998504548990976
author Agnieszka Szpala
Sławomir Winiarski
Małgorzata Kołodziej
Bogdan Pietraszewski
Ryszard Jasiński
Tadeusz Niebudek
Andrzej Lejczak
Dariusz Kałka
Karolina Lorek
Krzysztof Bałchanowski
Sławomir Wudarczyk
Marek Woźniewski
author_facet Agnieszka Szpala
Sławomir Winiarski
Małgorzata Kołodziej
Bogdan Pietraszewski
Ryszard Jasiński
Tadeusz Niebudek
Andrzej Lejczak
Dariusz Kałka
Karolina Lorek
Krzysztof Bałchanowski
Sławomir Wudarczyk
Marek Woźniewski
author_sort Agnieszka Szpala
collection DOAJ
description The study aimed to compare the technique of normal gait with the Nordic walking (NW) gait with classical and mechatronic poles in patients with ischemic heart disease. It was assumed that equipping classical NW poles with sensors enabling biomechanical gait analysis would not cause a change in the gait pattern. The study involved 12 men suffering from ischemic heart disease (age: 66.2 ± 5.2 years, body height: 173.8 ± 6.74 cm; body mass: 87.3 ± 10.89 kg; disease duration: 12.2 ± 7.5 years). The MyoMOTION 3D inertial motion capture system (Noraxon Inc., Scottsdale, AZ, USA) was used to collect biomechanical variables of gait (spatiotemporal and kinematic parameters). The subject’s task was to cover the 100 m distance with three types of gait-walking without poles (normal gait), walking with classical poles to NW, and walking with mechatronic poles from the so-called preferred velocity. Parameters were measured on the right and left sides of the body. The data were analyzed using two-way repeated measures analysis of variance with the between-subject factor “body side.” Friedman’s test was used when necessary. For most kinematic parameters, with the exception of knee flexion–extension (p=0.474) and shoulder flexion–extension (p=0.094), significant differences were found between normal and walking with poles for both the left and right side of the body and no differences due to the type of pole. Differences between the left and right movement ranges were identified only for the ankle inversion–eversion parameter (gait without poles p=0.047; gait with classical poles p=0.013). In the case of spatiotemporal parameters, a reduction in the cadence step value using mechatronic poles and the stance phase using classical poles compared to normal walking was observed. There was also an increase in the values for step length and step time regardless of the type of poles, stride length, and swing phase when using classical poles and stride time when using mechatronic poles. The differences between the right and left sides of the measurement occurred when walking with both types of poles for single support (gait with classical poles p=0.003; gait with mechatronic poles p=0.030), stance phase (gait with classical poles p=0.028; gait with mechatronic poles p=0.017) and swing phase (gait with classical poles p=0.028; gait with mechatronic poles p=0.017). Mechatronic poles can be used in the study of the biomechanics of gait in real-time with feedback on its regularity because no statistically significant differences were found between the NW gait with classical and mechatronic poles in the studied men with ischemic heart disease.
first_indexed 2024-03-13T06:37:59Z
format Article
id doaj.art-512dc2bdfab14346a248abb5835ab33f
institution Directory Open Access Journal
issn 1754-2103
language English
last_indexed 2025-02-18T10:15:11Z
publishDate 2023-01-01
publisher Hindawi Limited
record_format Article
series Applied Bionics and Biomechanics
spelling doaj.art-512dc2bdfab14346a248abb5835ab33f2024-11-02T05:32:13ZengHindawi LimitedApplied Bionics and Biomechanics1754-21032023-01-01202310.1155/2023/1135733Do Mechatronic Poles Change the Gait Technique of Nordic Walking in Patients with Ischemic Heart Disease?Agnieszka Szpala0Sławomir Winiarski1Małgorzata Kołodziej2Bogdan Pietraszewski3Ryszard Jasiński4Tadeusz Niebudek5Andrzej Lejczak6Dariusz Kałka7Karolina Lorek8Krzysztof Bałchanowski9Sławomir Wudarczyk10Marek Woźniewski11Department of BiomechanicsDepartment of BiomechanicsDepartment of BiomechanicsDepartment of BiomechanicsDepartment of Human BiologyDepartment of Physical Culture PedagogyDepartment of Physiotherapy in Surgical Medicine and OncologyDepartment of Physiotherapy in Internal DiseasesDepartment of KinesiologyDepartment of Fundamentals of Machine Design and Mechatronics SystemsDepartment of Fundamentals of Machine Design and Mechatronics SystemsDepartment of Physiotherapy in Surgical Medicine and OncologyThe study aimed to compare the technique of normal gait with the Nordic walking (NW) gait with classical and mechatronic poles in patients with ischemic heart disease. It was assumed that equipping classical NW poles with sensors enabling biomechanical gait analysis would not cause a change in the gait pattern. The study involved 12 men suffering from ischemic heart disease (age: 66.2 ± 5.2 years, body height: 173.8 ± 6.74 cm; body mass: 87.3 ± 10.89 kg; disease duration: 12.2 ± 7.5 years). The MyoMOTION 3D inertial motion capture system (Noraxon Inc., Scottsdale, AZ, USA) was used to collect biomechanical variables of gait (spatiotemporal and kinematic parameters). The subject’s task was to cover the 100 m distance with three types of gait-walking without poles (normal gait), walking with classical poles to NW, and walking with mechatronic poles from the so-called preferred velocity. Parameters were measured on the right and left sides of the body. The data were analyzed using two-way repeated measures analysis of variance with the between-subject factor “body side.” Friedman’s test was used when necessary. For most kinematic parameters, with the exception of knee flexion–extension (p=0.474) and shoulder flexion–extension (p=0.094), significant differences were found between normal and walking with poles for both the left and right side of the body and no differences due to the type of pole. Differences between the left and right movement ranges were identified only for the ankle inversion–eversion parameter (gait without poles p=0.047; gait with classical poles p=0.013). In the case of spatiotemporal parameters, a reduction in the cadence step value using mechatronic poles and the stance phase using classical poles compared to normal walking was observed. There was also an increase in the values for step length and step time regardless of the type of poles, stride length, and swing phase when using classical poles and stride time when using mechatronic poles. The differences between the right and left sides of the measurement occurred when walking with both types of poles for single support (gait with classical poles p=0.003; gait with mechatronic poles p=0.030), stance phase (gait with classical poles p=0.028; gait with mechatronic poles p=0.017) and swing phase (gait with classical poles p=0.028; gait with mechatronic poles p=0.017). Mechatronic poles can be used in the study of the biomechanics of gait in real-time with feedback on its regularity because no statistically significant differences were found between the NW gait with classical and mechatronic poles in the studied men with ischemic heart disease.http://dx.doi.org/10.1155/2023/1135733
spellingShingle Agnieszka Szpala
Sławomir Winiarski
Małgorzata Kołodziej
Bogdan Pietraszewski
Ryszard Jasiński
Tadeusz Niebudek
Andrzej Lejczak
Dariusz Kałka
Karolina Lorek
Krzysztof Bałchanowski
Sławomir Wudarczyk
Marek Woźniewski
Do Mechatronic Poles Change the Gait Technique of Nordic Walking in Patients with Ischemic Heart Disease?
Applied Bionics and Biomechanics
title Do Mechatronic Poles Change the Gait Technique of Nordic Walking in Patients with Ischemic Heart Disease?
title_full Do Mechatronic Poles Change the Gait Technique of Nordic Walking in Patients with Ischemic Heart Disease?
title_fullStr Do Mechatronic Poles Change the Gait Technique of Nordic Walking in Patients with Ischemic Heart Disease?
title_full_unstemmed Do Mechatronic Poles Change the Gait Technique of Nordic Walking in Patients with Ischemic Heart Disease?
title_short Do Mechatronic Poles Change the Gait Technique of Nordic Walking in Patients with Ischemic Heart Disease?
title_sort do mechatronic poles change the gait technique of nordic walking in patients with ischemic heart disease
url http://dx.doi.org/10.1155/2023/1135733
work_keys_str_mv AT agnieszkaszpala domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease
AT sławomirwiniarski domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease
AT małgorzatakołodziej domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease
AT bogdanpietraszewski domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease
AT ryszardjasinski domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease
AT tadeuszniebudek domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease
AT andrzejlejczak domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease
AT dariuszkałka domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease
AT karolinalorek domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease
AT krzysztofbałchanowski domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease
AT sławomirwudarczyk domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease
AT marekwozniewski domechatronicpoleschangethegaittechniqueofnordicwalkinginpatientswithischemicheartdisease