Modulation of Vertical Ground Reaction Impulse With Real-Time Biofeedback: A Feasibility Study.

Abstract:

:Given its apparent representation of cumulative (vs peak) loads, this feasibility study investigates vertical ground reaction impulse (vGRI) as a real-time biofeedback variable for gait training aimed at reducing lower limb loading. Fifteen uninjured participants (mean age = 27 y) completed 12 2-min trials, 1 at each combination of 4 walking speeds (1.0, 1.2, 1.4, and 1.6 m/s) and 3 targeted reductions in vGRI (5, 10, and 15%) of the assigned ("target") limb, with the latter specified relative to an initial baseline (no feedback) condition at each speed. The ability to achieve targeted reductions was assessed using step-by-step errors between measured and targeted vGRI. Mean (SD) errors were 5.2% (3.7%); these were larger with faster walking speeds but consistent across reduction targets. Secondarily, we evaluated the strategy used to modulate reductions (ie, stance time or peak vertical ground reaction force [vGRF]) and the resultant influences on knee joint loading (external knee adduction moment [EKAM]). On the targeted limb, stance times decreased (P < .001) with increasing reduction target; first and second peaks in vGRF were similar (P > .104) across all target conditions. While these alterations did not significantly reduce EKAM on the target limb, future work in patients with knee pathologies is warranted.

journal_name

J Appl Biomech

authors

Golyski PR,Bell EM,Husson EM,Wolf EJ,Hendershot BD

doi

10.1123/jab.2017-0004

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

134-140

issue

2

eissn

1065-8483

issn

1543-2688

journal_volume

34

pub_type

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