Short and long-term effects of gait retraining using real-time biofeedback to reduce knee hyperextension pattern in young women.

Abstract:

:The use of real-time biofeedback has been shown to enable individuals to make changes to their gait patterns. It remains unknown whether the short-term improvements reported in previous studies are retained in the longer term. In this study, the paradigm used to investigate the short and long-term effects of real-time biofeedback was modifying knee range of motion during gait to prevent knee hyperextension in women. The purpose of this study was to investigate the short-term (1-month follow up) and long-term (8-month follow up) effects of a gait retraining program using real-time biofeedback to correct knee hyperextension in young women. Seventeen healthy women, ages 18-35 years, with asymptomatic knee hyperextension underwent a three-week (6 sessions) treadmill gait retraining program. Real-time feedback of kinematic data (Visual 3D) was provided during treadmill training. Knee extension range of motion was monitored during overground gait evaluations and training sessions. Gait evaluations were performed pretraining, posttraining (2days after), and 1-month, and 8-month after the last training session. This study showed significant reduction in knee hyperextension patterns immediately following training (mean±SD, 10.9°±4°), and at 1-month (7.5°±5°) and 8-month (6.3°±3.5°) follow ups. There was an increase in knee extension between posttraining and 1-month follow up (3.4°±5°). Reduction in knee hyperextension range of motion was retained at 8-month follow up evaluation. The present study shows the effects of real-time biofeedback in facilitating the acquisition and retention of proficiency in reducing knee hyperextension gait patterns, documenting that the retention is sustained for up to 8 months.

journal_name

Gait Posture

journal_title

Gait & posture

authors

Teran-Yengle P,Cole KJ,Yack HJ

doi

10.1016/j.gaitpost.2016.08.019

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

185-189

eissn

0966-6362

issn

1879-2219

pii

S0966-6362(16)30495-7

journal_volume

50

pub_type

杂志文章
  • Between-day reliability of time-to-contact measures used to assess postural stability.

    abstract::Traditional measures of postural stability consider movement of the center of pressure (COP) or the center of mass (COM) without regard to the boundary of support (BOS). A potentially more appropriate measure is postural time-to-contact (TtC) which defines the spatio-temporal proximity of the COM or COP to the BOS. Gi...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2011.09.103

    authors: Wheat JS,Haddad JM,Scaife R

    更新日期:2012-02-01 00:00:00

  • Reliability of spatial-temporal gait parameters during dual-task interference in people with multiple sclerosis. A cross-sectional study.

    abstract:PURPOSE:To evaluate the reliability and minimum detectable change (MDC) of spatial-temporal gait parameters in subjects with multiple sclerosis (MS) during dual tasking. METHOD:This cross-sectional study involved 25 healthy subjects (mean age 49.9 ± 15.8 years) and 25 people with MS (mean age 49.2 ± 11.5 years). Gait ...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2014.06.015

    authors: Monticone M,Ambrosini E,Fiorentini R,Rocca B,Liquori V,Pedrocchi A,Ferrante S

    更新日期:2014-09-01 00:00:00

  • Stance width influences frontal plane balance responses to centripetal accelerations.

    abstract::Whenever the body is moving in a curvilinear path, inertial torques resulting from centripetal accelerations act on the body and must be counteracted to maintain stability. We tested the hypothesis that healthy subjects orient their center of mass in the position where gravitational torques offset the inertial torques...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2012.06.019

    authors: Goodworth A,Chandan A,Chase H,Foster E,Francoeur H,Michaud J,Terry K

    更新日期:2013-01-01 00:00:00

  • Continuous cognitive task promotes greater postural stability than an internal or external focus of attention.

    abstract::Research has demonstrated clear advantages of using an external focus of attention in postural control tasks, presumably since it allows a more automatic control of posture to emerge. However, the influence of cognitive tasks on postural stability has produced discordant results. This study aimed to compare the effect...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2014.11.009

    authors: Polskaia N,Richer N,Dionne E,Lajoie Y

    更新日期:2015-02-01 00:00:00

  • The effect of different running shoes on treadmill running mechanics and muscle activity assessed using statistical parametric mapping (SPM).

    abstract:BACKGROUND:Differences in joint mechanics between running shoes are commonly assessed using discrete parameters, yet statistically significant differences in these parameters between shoes are often scarce with small effect sizes. Statistical parametric mapping (SPM) has been suggested as suitable method for analyzing ...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2019.01.013

    authors: Nüesch C,Roos E,Egloff C,Pagenstert G,Mündermann A

    更新日期:2019-03-01 00:00:00

  • Imbalance: Objective measures versus subjective self-report in clinical practice.

    abstract:BACKGROUND:Dizziness and imbalance are very common complaints in clinical practice. One of the challenges is to evaluate the 'real' risk of falls. Two tools are available: the patient's self-report and the measure of the patient's balance. We evaluated the relationship between these methods using the Dizziness Handicap...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2017.10.019

    authors: Chiarovano E,Wang W,Reynolds P,MacDougall HG

    更新日期:2018-01-01 00:00:00

  • Strategies of stepping over obstacles: The effects of long-term exercise in older adults.

    abstract:BACKGROUND:Stepping over obstacles challenges stability and is a leading cause of falls in older adult populations. As walking and Tai Chi (TC) exercise have been suggested practices for older adults for fall prevention, the purpose of this study was to evaluate the obstacle-crossing strategies of long-term TC practiti...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2011.04.008

    authors: Zhang C,Mao D,Riskowski JL,Song Q

    更新日期:2011-06-01 00:00:00

  • Influence of an irregular surface and low light on the step variability of patients with peripheral neuropathy during level gait.

    abstract::Patients with peripheral neuropathy (PN) report greater difficulty walking on irregular surfaces with low light (IL) than on flat surfaces with regular lighting (FR). We tested the primary hypothesis that older PN patients would demonstrate greater step width and step width variability under IL conditions than under F...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2004.06.006

    authors: Thies SB,Richardson JK,Demott T,Ashton-Miller JA

    更新日期:2005-08-01 00:00:00

  • Determination of the optimal locations of surface-mounted markers on the tibial segment.

    abstract::This study aims to determine optimal locations on the lower limbs for skin-mounted markers representing the tibial segment in three-dimensional (3D) gait analysis. It was predicted that markers located on the anterior tibial crest and malleoli would be least susceptible to soft tissue movement. Ten retro-reflective ma...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2008.06.007

    authors: Peters A,Sangeux M,Morris ME,Baker R

    更新日期:2009-01-01 00:00:00

  • Gait and its components in typically developing preschoolers.

    abstract:OBJECTIVES:To determine whether key spatio-temporal components of gait can be identified in children who are preschoolers. Subsequently the obtained components were correlated to results of functional balance tests to determine which of them are related to balance control. METHODS:Thirty-three typically developing chi...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2017.08.012

    authors: Verbecque E,Vereeck L,Van de Heyning P,Hallemans A

    更新日期:2017-10-01 00:00:00

  • Functional near-infrared spectroscopy (fNIRS) of brain function during active balancing using a video game system.

    abstract::Functional near-infrared spectroscopy (fNIRS) is a portable, non-invasive, brain imaging technology that uses low levels of non-ionizing light to record changes in cerebral blood flow in the brain through optical sensors placed on the surface of the scalp. These signals are recorded via flexible fiber optic cables, wh...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2011.10.007

    authors: Karim H,Schmidt B,Dart D,Beluk N,Huppert T

    更新日期:2012-03-01 00:00:00

  • Dynamic stability of superior vs. inferior segments during walking in young and older adults.

    abstract::Active control of trunk motion is believed to enable humans to maintain stability during walking, suggesting that stability of the trunk is prioritized over other segments by the nervous system. We investigated if superior segments are more stable than inferior segments during walking and if age-related differences ar...

    journal_title:Gait & posture

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.gaitpost.2009.05.003

    authors: Kang HG,Dingwell JB

    更新日期:2009-08-01 00:00:00

  • Disease-specific gait deviations in pediatric patients with X-linked hypophosphatemia.

    abstract:BACKGROUND:X-linked hypophosphatemia (XLH) represents the most common genetic form of rickets featuring profound hypophosphatemia with associated skeletal and non-skeletal manifestations. Early onset gait disturbances contribute strongly to the burden of disease. However, no study has comprehensively characterized natu...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2020.07.007

    authors: Mindler GT,Kranzl A,Stauffer A,Haeusler G,Ganger R,Raimann A

    更新日期:2020-09-01 00:00:00

  • Spatiotemporal characteristics of the walk-to-run and run-to-walk transition when gradually changing speed.

    abstract::The purpose of this study was to examine spatiotemporal parameters of the walk-to-run transition (WRT) and run-to-walk transition (RWT) when speed is altered with different constant accelerations. Twenty women (height: 168.9+/-3.36cm) performed three accelerations (0.05, 0.07 and 0.1ms(-2)) and three decelerations (-0...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2005.09.006

    authors: Segers V,Aerts P,Lenoir M,De Clercq D

    更新日期:2006-10-01 00:00:00

  • Secondary gait compensations in individuals without neuromuscular involvement following a unilateral imposed equinus constraint.

    abstract::Ankle equinus is the most commonly identified impairment of individuals with spastic hemiplegia (SH). However, it is not clear how equinus at the ankle may contribute to gait deviations at other joints. The purpose of this study was to determine what compensatory gait deviations may occur as a result of an imposed, un...

    journal_title:Gait & posture

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.gaitpost.2003.09.005

    authors: Goodman MJ,Menown JL,West JM Jr,Barr KM,Vander Linden DW,McMulkin ML

    更新日期:2004-12-01 00:00:00

  • Deformation of foot cross-section shapes during walking.

    abstract::To clarify the magnitude of shape change during walking, the shapes of four cross-sections (Forefoot, Instep, Navicular, and Heel) of the right foot during standing and walking were measured using a four-dimensional measurement system we developed (14 Hz) with an accuracy of +/-0.5 mm. Images of the sole were measured...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2009.07.113

    authors: Kouchi M,Kimura M,Mochimaru M

    更新日期:2009-11-01 00:00:00

  • Influence of malalignment on socket reaction moments during gait in amputees with transtibial prostheses.

    abstract::Alignment - the process and measured orientation of the prosthetic socket relative to the foot - is important for proper function of a transtibial prosthesis. Prosthetic alignment is performed by prosthetists using visual gait observation and amputees' feedback. The aim of this study was to investigate the effect of t...

    journal_title:Gait & posture

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gaitpost.2012.10.002

    authors: Boone DA,Kobayashi T,Chou TG,Arabian AK,Coleman KL,Orendurff MS,Zhang M

    更新日期:2013-04-01 00:00:00

  • Differential diagnosis of parkinsonism with visual inspection of posture and gait in the early stage.

    abstract:BACKGROUND:Parkinson's disease (PD) differs from atypical parkinsonism in many clinical aspects. Principally, posture and gait are distinct features in the early stages of the disease; thus, these differences can be helpful in differential diagnosis. METHODS:We analyzed videos of patients with PD or atypical parkinson...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2014.01.004

    authors: Lee SM,Kim M,Lee HM,Kwon KY,Kim HT,Koh SB

    更新日期:2014-04-01 00:00:00

  • Methodology for determining the sensitivity of swing leg toe clearance and leg length to swing leg joint angles during gait.

    abstract::During the swing phase of gait, the effective length of the leg-distance from the hip joint center to the toe-must be made shorter than the distance from the hip to the floor to avoid toe-stubbing or tripping while walking. Critical toe clearance occurs approximately halfway through swing phase when the distance betwe...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2005.12.004

    authors: Moosabhoy MA,Gard SA

    更新日期:2006-12-01 00:00:00

  • Validity and repeatability of three in-shoe pressure measurement systems.

    abstract::In-shoe pressure measurement devices are used in research and clinic to quantify plantar foot pressures. Various devices are available, differing in size, sensor number and type; therefore accuracy and repeatability. Three devices (Medilogic, Tekscan and Pedar) were examined in a 2 day×3 trial design, quantifying inso...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2016.01.026

    authors: Price C,Parker D,Nester C

    更新日期:2016-05-01 00:00:00

  • Energy expenditure of stroke patients during postural control tasks.

    abstract::Two common impairments in patients after stroke are loss of balance control and fatigue. We propose that both could be inter-related. The purpose of this study was to investigate the metabolic energy demand for balance control in patients after stroke during upright standing. Ten stroke patients and 12 able-bodied con...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2010.05.016

    authors: Houdijk H,ter Hoeve N,Nooijen C,Rijntjes D,Tolsma M,Lamoth C

    更新日期:2010-07-01 00:00:00

  • Improving repeatability of setting volume origin and coordinate system for 3D gait analysis.

    abstract::This study investigated the variability arising from replacement of different calibration objects. A new calibration object (L-Frame) was instigated which consisted of four markers screwed into fixed positions in the floor, to ensure consistency between replacements. The variability of a healthy subject's joint moment...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2013.11.002

    authors: Passmore E,Sangeux M

    更新日期:2014-02-01 00:00:00

  • Gaze diversion affects cognitive and motor performance in young adults when stepping over obstacles.

    abstract:BACKGROUND:In many common multi-tasks, vision is used for two or more of the tasks, such as viewing cars, traffic signals, and the sidewalk curb at a crosswalk. RESEARCH QUESTION:How does gaze diversion affect adaptive locomotion in young adults? METHODS:Seventeen young adults completed a simple reaction time (RT) ta...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2019.07.380

    authors: Cho H,Romine NL,Barbieri FA,Rietdyk S

    更新日期:2019-09-01 00:00:00

  • Effects of virtual reality training on gait biomechanics of individuals post-stroke.

    abstract:OBJECTIVE:To evaluate gait biomechanics after training with a virtual reality (VR) system and to elucidate underlying mechanisms that contributed to the observed functional improvement in gait speed and distance. DESIGN:A single blind randomized control study. SETTING:Gait analysis laboratory in a rehabilitation hosp...

    journal_title:Gait & posture

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gaitpost.2010.01.016

    authors: Mirelman A,Patritti BL,Bonato P,Deutsch JE

    更新日期:2010-04-01 00:00:00

  • Long-term follow-up after patellar tendon shortening for flexed knee gait in bilateral spastic cerebral palsy.

    abstract:BACKGROUND:Flexed knee gait is a common gait dysfunction in individuals with bilateral spastic cerebral palsy (BSCP) and is often addressed with single event multilevel surgery (SEMLS). SEMLS has been shown to have positive short-term effects especially on sagittal knee joint kinematics with less knee flexion during st...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2020.07.003

    authors: Kuchen DB,Eichelberger P,Baur H,Rutz E

    更新日期:2020-09-01 00:00:00

  • Multiple-step strategies to recover from stumbling perturbations.

    abstract::This study has analysed the recovery from an induced stumble whilst walking on a treadmill. Four stumbling conditions were tested; at early swing with short and long durations and at mid and late swing with short duration. The experiment set-up, including the possibility of being stumbled, did not alter the normal gai...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/s0966-6362(02)00160-1

    authors: Forner Cordero A,Koopman HF,van der Helm FC

    更新日期:2003-08-01 00:00:00

  • The impact of body fat on three dimensional motion of the paediatric foot during walking.

    abstract::Childhood obesity is commonly associated with a pes planus foot type and altered lower limb joint function during walking. However, limited information has been reported on dynamic intersegment foot motion with the level of obesity in children. The aim of this study was to explore the relationships between intersegmen...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2015.12.009

    authors: Mahaffey R,Morrison SC,Bassett P,Drechsler WI,Cramp MC

    更新日期:2016-02-01 00:00:00

  • The magnitude of the effect of calf muscles fatigue on postural control during bipedal quiet standing with vision depends on the eye-visual target distance.

    abstract::The purpose of the present experiment was to investigate whether, with vision, the magnitude of the effect of calf muscles fatigue on postural control during bipedal quiet standing depends on the eye-visual target distance. Twelve young university students were asked to stand upright as immobile as possible in three v...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2005.07.011

    authors: Vuillerme N,Burdet C,Isableu B,Demetz S

    更新日期:2006-10-01 00:00:00

  • Accuracy and repeatability of single-pose calibration of inertial measurement units for whole-body motion analysis.

    abstract::Portable inertial measurement units (IMUs) are suitable for motion analysis outside the laboratory. However, IMUs depend on the calibration of each body segment to measure human movement. Different calibration approaches have been developed for simplicity of use or similarity to laboratory motion analysis, but they ha...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2017.02.029

    authors: Robert-Lachaine X,Mecheri H,Larue C,Plamondon A

    更新日期:2017-05-01 00:00:00

  • A data-driven approach for detecting gait events during turning in people with Parkinson's disease and freezing of gait.

    abstract:BACKGROUND:Manual annotation of initial contact (IC) and end contact (EC) is a time consuming process. There are currently no robust techniques available to automate this process for Parkinson's disease (PD) patients with freezing of gait (FOG). OBJECTIVE:To determine the validity of a data-driven approach for automat...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2020.05.026

    authors: Filtjens B,Nieuwboer A,D'cruz N,Spildooren J,Slaets P,Vanrumste B

    更新日期:2020-07-01 00:00:00