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  4. Comparison of the effects of real-time propulsive force versus limb angle gait biofeedback on gait biomechanics

Comparison of the effects of real-time propulsive force versus limb angle gait biofeedback on gait biomechanics

Gait Posture, 2021 · DOI: 10.1016/j.gaitpost.2020.10.014 · Published: January 1, 2021

NeurologyRehabilitationBiomechanics

Simple Explanation

This study explores how real-time feedback on walking can change how people walk. Specifically, it looks at two types of feedback: one that tells people how hard they are pushing off with their leg (propulsive force) and another that tells them how far back their leg is trailing behind their body (trailing limb angle). The researchers wanted to see if giving people feedback on their trailing limb angle could help them increase their propulsive force, which is important for walking faster and more efficiently. They also wanted to compare the effects of these two types of feedback on other aspects of walking, like ankle movement and power. The study found that both types of feedback could help people increase their propulsive force, but they did it in different ways. Trailing limb angle feedback seemed to change the position of the leg, while propulsive force feedback seemed to increase ankle power. This suggests that trailing limb angle could be a useful target for gait biofeedback.

Study Duration
Not specified
Participants
10 able-bodied adults
Evidence Level
Not specified

Key Findings

  • 1
    Both AGRF and TLA biofeedback induced significant increases in targeted leg peak AGRF and TLA compared to baseline walking.
  • 2
    TLA biofeedback induced greater increases in TLA compared to AGRF biofeedback, suggesting it may be superior for modulating targeted leg TLA.
  • 3
    AGRF biofeedback increased ankle power generation, while TLA biofeedback did not, suggesting different biomechanical strategies are employed.

Research Summary

The study compared the effects of real-time biofeedback targeting propulsive force (AGRF) and trailing limb angle (TLA) on gait biomechanics in able-bodied individuals. Both AGRF and TLA biofeedback led to increased propulsive force in the targeted leg, but TLA biofeedback resulted in greater increases in TLA. AGRF biofeedback increased ankle power generation, while TLA biofeedback did not, indicating different biomechanical strategies to achieve increased propulsion.

Practical Implications

Rehabilitation Strategy

TLA biofeedback can be used as a gait training strategy to increase propulsion, particularly in individuals who may have difficulty generating ankle power.

Clinical Application

TLA biofeedback may be more appropriate for individuals who are unable to modulate plantarflexor activity and must therefore rely on other biomechanical strategies to increase propulsion.

Further Research

Further investigation is needed to uncover the effects of TLA biofeedback on gait parameters in individuals with neuro-pathologies such as spinal cord injury or stroke.

Study Limitations

  • 1
    The order of walking trials was not randomized.
  • 2
    The use of a handrail may affect gait biomechanics.
  • 3
    The study only explored the immediate effects of TLA biofeedback on gait biomechanics, and not locomotor learning.

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