Abstract:
BACKGROUND:Walking cadence has shown promise for estimating walking intensity in healthy adults. Auditory cues have been shown to improve gait symmetry in populations with movement disorders. We investigated the walking cadence-energy expenditure relationship in unilateral transtibial amputees (TTAs), and the potential of music cues for regulating walking cadence and improving gait symmetry. METHODS:Seventeen unilateral TTAs performed 2 5-min treadmill walking trials, followed by 2 5-min overground walking trials (self-regulated "brisk" intensity, and while attempting to match a moderate-tempo digital music cue). RESULTS:Walking cadence significantly (P < .001) and accurately (R(2) = .55, SEE = 0.50 METs) predicted energy expenditure, and a cadence of 86 steps·min(-1) was equivalent to a 3-MET intensity. Although most participants were able to match cadence to prescribed music tempo, gait symmetry was not improved during the music-guided condition, compared with the self-regulated condition. CONCLUSIONS:This is the first study to investigate the utility of walking cadence for monitoring and regulating walking intensity in adults with lower limb prosthesis. Cadence has similar or superior accuracy as an indicator of walking intensity in this population, compared with the general population, and adults with a unilateral TTA are capable of walking at moderate intensity and above for meaningful bouts of time.
journal_name
J Phys Act Healthjournal_title
Journal of physical activity & healthauthors
Rowe DA,McMinn D,Peacock L,Buis AW,Sutherland R,Henderson E,Hewitt Adoi
10.1123/jpah.2012-0056subject
Has Abstractpub_date
2014-02-01 00:00:00pages
320-9issue
2eissn
1543-3080issn
1543-5474pii
2012-0056journal_volume
11pub_type
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