Gait speed and individual characteristics are related to specific gait metrics in neurotypical adults

Abstract Gait biofeedback is a well-studied strategy to reduce gait impairments such as propulsion deficits or asymmetric step lengths. With biofeedback, participants alter their walking to reach the desired magnitude of a specific parameter (the biofeedback target) with each step. Biofeedback of an...

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Main Authors: Maryana Bonilla Yanez, Sarah A. Kettlety, James M. Finley, Nicolas Schweighofer, Kristan A. Leech
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-35317-y
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author Maryana Bonilla Yanez
Sarah A. Kettlety
James M. Finley
Nicolas Schweighofer
Kristan A. Leech
author_facet Maryana Bonilla Yanez
Sarah A. Kettlety
James M. Finley
Nicolas Schweighofer
Kristan A. Leech
author_sort Maryana Bonilla Yanez
collection DOAJ
description Abstract Gait biofeedback is a well-studied strategy to reduce gait impairments such as propulsion deficits or asymmetric step lengths. With biofeedback, participants alter their walking to reach the desired magnitude of a specific parameter (the biofeedback target) with each step. Biofeedback of anterior ground reaction force and step length is commonly used in post-stroke gait training as these variables are associated with self-selected gait speed, fall risk, and the energy cost of walking. However, biofeedback targets are often set as a function of an individual’s baseline walking pattern, which may not reflect the ideal magnitude of that gait parameter. Here we developed prediction models based on speed, leg length, mass, sex, and age to predict anterior ground reaction force and step length of neurotypical adults as a possible method for personalized biofeedback. Prediction of these values on an independent dataset demonstrated strong agreement with actual values, indicating that neurotypical anterior ground reaction forces can be estimated from an individual’s leg length, mass, and gait speed, and step lengths can be estimated from individual’s leg length, mass, age, sex, and gait speed. Unlike approaches that rely on an individual’s baseline gait, this approach provides a standardized method to personalize gait biofeedback targets based on the walking patterns exhibited by neurotypical individuals with similar characteristics walking at similar speeds without the risk of over- or underestimating the ideal values that could limit feedback-mediated reductions in gait impairments.
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spelling doaj.art-8ee42423eab8473ca4850e76505687de2023-05-21T11:15:07ZengNature PortfolioScientific Reports2045-23222023-05-0113111010.1038/s41598-023-35317-yGait speed and individual characteristics are related to specific gait metrics in neurotypical adultsMaryana Bonilla Yanez0Sarah A. Kettlety1James M. Finley2Nicolas Schweighofer3Kristan A. Leech4Division of Biokinesiology and Physical Therapy, University of Southern CaliforniaDivision of Biokinesiology and Physical Therapy, University of Southern CaliforniaDivision of Biokinesiology and Physical Therapy, University of Southern CaliforniaDivision of Biokinesiology and Physical Therapy, University of Southern CaliforniaDivision of Biokinesiology and Physical Therapy, University of Southern CaliforniaAbstract Gait biofeedback is a well-studied strategy to reduce gait impairments such as propulsion deficits or asymmetric step lengths. With biofeedback, participants alter their walking to reach the desired magnitude of a specific parameter (the biofeedback target) with each step. Biofeedback of anterior ground reaction force and step length is commonly used in post-stroke gait training as these variables are associated with self-selected gait speed, fall risk, and the energy cost of walking. However, biofeedback targets are often set as a function of an individual’s baseline walking pattern, which may not reflect the ideal magnitude of that gait parameter. Here we developed prediction models based on speed, leg length, mass, sex, and age to predict anterior ground reaction force and step length of neurotypical adults as a possible method for personalized biofeedback. Prediction of these values on an independent dataset demonstrated strong agreement with actual values, indicating that neurotypical anterior ground reaction forces can be estimated from an individual’s leg length, mass, and gait speed, and step lengths can be estimated from individual’s leg length, mass, age, sex, and gait speed. Unlike approaches that rely on an individual’s baseline gait, this approach provides a standardized method to personalize gait biofeedback targets based on the walking patterns exhibited by neurotypical individuals with similar characteristics walking at similar speeds without the risk of over- or underestimating the ideal values that could limit feedback-mediated reductions in gait impairments.https://doi.org/10.1038/s41598-023-35317-y
spellingShingle Maryana Bonilla Yanez
Sarah A. Kettlety
James M. Finley
Nicolas Schweighofer
Kristan A. Leech
Gait speed and individual characteristics are related to specific gait metrics in neurotypical adults
Scientific Reports
title Gait speed and individual characteristics are related to specific gait metrics in neurotypical adults
title_full Gait speed and individual characteristics are related to specific gait metrics in neurotypical adults
title_fullStr Gait speed and individual characteristics are related to specific gait metrics in neurotypical adults
title_full_unstemmed Gait speed and individual characteristics are related to specific gait metrics in neurotypical adults
title_short Gait speed and individual characteristics are related to specific gait metrics in neurotypical adults
title_sort gait speed and individual characteristics are related to specific gait metrics in neurotypical adults
url https://doi.org/10.1038/s41598-023-35317-y
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