Complexity of human walking: the attractor complexity index is sensitive to gait synchronization with visual and auditory cues

Background During steady walking, gait parameters fluctuate from one stride to another with complex fractal patterns and long-range statistical persistence. When a metronome is used to pace the gait (sensorimotor synchronization), long-range persistence is replaced by stochastic oscillations (anti-p...

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Main Author: Philippe Terrier
Format: Article
Language:English
Published: PeerJ Inc. 2019-08-01
Series:PeerJ
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Online Access:https://peerj.com/articles/7417.pdf
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author Philippe Terrier
author_facet Philippe Terrier
author_sort Philippe Terrier
collection DOAJ
description Background During steady walking, gait parameters fluctuate from one stride to another with complex fractal patterns and long-range statistical persistence. When a metronome is used to pace the gait (sensorimotor synchronization), long-range persistence is replaced by stochastic oscillations (anti-persistence). Fractal patterns present in gait fluctuations are most often analyzed using detrended fluctuation analysis (DFA). This method requires the use of a discrete times series, such as intervals between consecutive heel strikes, as an input. Recently, a new nonlinear method, the attractor complexity index (ACI), has been shown to respond to complexity changes like DFA, while being computed from continuous signals without preliminary discretization. Its use would facilitate complexity analysis from a larger variety of gait measures, such as body accelerations. The aim of this study was to further compare DFA and ACI in a treadmill experiment that induced complexity changes through sensorimotor synchronization. Methods Thirty-six healthy adults walked 30 min on an instrumented treadmill under three conditions: no cueing, auditory cueing (metronome walking), and visual cueing (stepping stones). The center-of-pressure trajectory was discretized into time series of gait parameters, after which a complexity index (scaling exponent alpha) was computed via DFA. Continuous pressure position signals were used to compute the ACI. Correlations between ACI and DFA were then analyzed. The predictive ability of DFA and ACI to differentiate between cueing and no-cueing conditions was assessed using regularized logistic regressions and areas under the receiver operating characteristic curves (AUC). Results DFA and ACI were both significantly different among the cueing conditions. DFA and ACI were correlated (Pearson’s r = 0.86). Logistic regressions showed that DFA and ACI could differentiate between cueing/no cueing conditions with a high degree of confidence (AUC = 1.00 and 0.97, respectively). Conclusion Both DFA and ACI responded similarly to changes in cueing conditions and had comparable predictive power. This support the assumption that ACI could be used instead of DFA to assess the long-range complexity of continuous gait signals. However, future studies are needed to investigate the theoretical relationship between DFA and ACI.
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spelling doaj.art-bdd22cc6b6744727ac55fb9b1c1c69fa2023-12-03T11:34:32ZengPeerJ Inc.PeerJ2167-83592019-08-017e741710.7717/peerj.7417Complexity of human walking: the attractor complexity index is sensitive to gait synchronization with visual and auditory cuesPhilippe Terrier0Haute Ecole Arc Santé, HES-SO University of Applied Sciences and Arts Western Switzerland, Neuchâtel, SwitzerlandBackground During steady walking, gait parameters fluctuate from one stride to another with complex fractal patterns and long-range statistical persistence. When a metronome is used to pace the gait (sensorimotor synchronization), long-range persistence is replaced by stochastic oscillations (anti-persistence). Fractal patterns present in gait fluctuations are most often analyzed using detrended fluctuation analysis (DFA). This method requires the use of a discrete times series, such as intervals between consecutive heel strikes, as an input. Recently, a new nonlinear method, the attractor complexity index (ACI), has been shown to respond to complexity changes like DFA, while being computed from continuous signals without preliminary discretization. Its use would facilitate complexity analysis from a larger variety of gait measures, such as body accelerations. The aim of this study was to further compare DFA and ACI in a treadmill experiment that induced complexity changes through sensorimotor synchronization. Methods Thirty-six healthy adults walked 30 min on an instrumented treadmill under three conditions: no cueing, auditory cueing (metronome walking), and visual cueing (stepping stones). The center-of-pressure trajectory was discretized into time series of gait parameters, after which a complexity index (scaling exponent alpha) was computed via DFA. Continuous pressure position signals were used to compute the ACI. Correlations between ACI and DFA were then analyzed. The predictive ability of DFA and ACI to differentiate between cueing and no-cueing conditions was assessed using regularized logistic regressions and areas under the receiver operating characteristic curves (AUC). Results DFA and ACI were both significantly different among the cueing conditions. DFA and ACI were correlated (Pearson’s r = 0.86). Logistic regressions showed that DFA and ACI could differentiate between cueing/no cueing conditions with a high degree of confidence (AUC = 1.00 and 0.97, respectively). Conclusion Both DFA and ACI responded similarly to changes in cueing conditions and had comparable predictive power. This support the assumption that ACI could be used instead of DFA to assess the long-range complexity of continuous gait signals. However, future studies are needed to investigate the theoretical relationship between DFA and ACI.https://peerj.com/articles/7417.pdfHuman locomotionComplexityMetronome walkingCenter of pressureInstrumented treadmillGait variability
spellingShingle Philippe Terrier
Complexity of human walking: the attractor complexity index is sensitive to gait synchronization with visual and auditory cues
PeerJ
Human locomotion
Complexity
Metronome walking
Center of pressure
Instrumented treadmill
Gait variability
title Complexity of human walking: the attractor complexity index is sensitive to gait synchronization with visual and auditory cues
title_full Complexity of human walking: the attractor complexity index is sensitive to gait synchronization with visual and auditory cues
title_fullStr Complexity of human walking: the attractor complexity index is sensitive to gait synchronization with visual and auditory cues
title_full_unstemmed Complexity of human walking: the attractor complexity index is sensitive to gait synchronization with visual and auditory cues
title_short Complexity of human walking: the attractor complexity index is sensitive to gait synchronization with visual and auditory cues
title_sort complexity of human walking the attractor complexity index is sensitive to gait synchronization with visual and auditory cues
topic Human locomotion
Complexity
Metronome walking
Center of pressure
Instrumented treadmill
Gait variability
url https://peerj.com/articles/7417.pdf
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