Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Tytuł artykułu

Assessing the asymmetry of free gait in healthy young subjects

Treść / Zawartość
Warianty tytułu
Języki publikacji
Purpose: The purpose of this study was to derive reference values for a four-level scale intended to evaluate variation in free gait asymmetry measurements in healthy subjects. Methods: This evaluation is based on kinetic values for the left and right lower limbs during gait, registered with advanced measurement systems and assessed using the symmetry index (SI) developed by Robinson. Results: For the majority of parameters, the SI does not follow normal distribution. As such, quartile values were used to create intervals for a four-step scale of assessing symmetry of free gait in healthy subjects for each studied gait parameter. The SI rating intervals were from 0% (very good symmetry) to 21.2% (very poor symmetry) for kinetic parameters. The poorest symmetry was observed for horizontal force F3. Conclusions: The four-step scale of assessing symmetry in free gait in healthy subjects can be used in diagnosing gait disorders, devising surgical treatment strategies, and monitoring the rehabilitation process. Reference values for intervals of symmetry indicators in healthy subjects can be used as criteria for comparing individuals with/without disabilities.
Opis fizyczny
Bibliogr. 25 poz., tab., wykr.
  • University of Physical Education in Warsaw, Faculty of Rehabilitation, Poland
  • University of Physical Education in Warsaw, Faculty of Rehabilitation, Poland
  • University of Physical Education in Warsaw, Faculty of Rehabilitation, Poland
  • [1] ANDERS C., WAGNER H., PUTA C., PETROVITCH A., SCHOLLE H., Trunk muscle activation patterns during walking at different speeds, J Electromyogr Kinesiol, 2007, 17, 245- 252.
  • [2] BALASUBRAMANIAN C.K., BOWDEN M.G., NEPTUNE R.R., KAUTZ S.A., Relationship between step length asymmetry and walking performance in subjects in chronic hemiparesis, Arch of Phys Med and Rehab, 2007, 88, 43-49.
  • [3] BŁAŻKIEWICZ M., WISZOMIRSKA I., WIT A., Comparison of four methods of calculating the symmetry of spatial-temporal parameters of gait, Acta of Bioengineering and Biomechanics, 2014, 16(1), 29-35
  • [4] BURNETT D.R., CAMPBELL-KYUREGHYAN N. H., CERRITO P.B., QUESADA P.M., Symmetry of ground reaction forces and muscle activity in asymptomatic subjects during walking, sit-to-stand, and stand-to-sit tasks, Journal of Electromyography and Kinesiology, 2011, 21, 610-615.
  • [5] CARBONCINI M. C., VOLTERRANI L., BONFIGLIO G., BARSOTTI M., DELLA PORTA G., MARIANI B. R., Higher level gait disorders in subcortical chronic vascular encephalopathy: a single photon emission computed tomography study, Age Ageing, 2009, 38(3), 302-327.
  • [6] CRENSHAW S. J. AND RICHARDS J. G., A method for analyzing joint symmetry and normalcy, with an application to analyzing gait, Gait & Posture, 2006, 24(4), 515-521.
  • [7] DE STEFANO A., BURRIDGE J. H., YULE V., ALLEN R., Effect of gait cycle selection on EMG analysis during walking in adults and children with gait pathology, Gait and Posture, 2004, 20, 92-101.
  • [8] HERZOG W., NIGG B. M., READ L. J., OLSSON E., Asymmetries in ground reaction force patterns in normal human gait, Med Sci in Sports and Exercises, 1989, 21(1), 11-114.
  • [9] KIM C. M., ENG J. J., Symmetry in vertical ground reaction force is accompanied by symmetry in temporal but not distance variables of gait in persons with stroke, Gait and Posture, 2003, 18, 23-28.
  • [10] LATHYGO N., WILSON C., GALEA M. Basic gait and symmetry measures for primary school-aged children and young adults whilst walking barefoot and with shoes, Gait and Posture, 2009, 30(4), 502-506
  • [11] LIIKAVAINIO T., ISOLEHTO J., HELMINEN H., PERTTUNEN J., LEPOLA V., KIVIRANTA I. ET AL., Loading and gait symmetry during level and stair walking in asymptomatic subjects with knee osteoarthritis: importance of quadriceps femoris in reducing impact force during heel strike?, The knee, 2007, 14, 231-238.
  • [12] MATTES S. J., MARTIN P. E., ROYER T. D., Walking symmetry and energy cost in persons with unilateral transtibial amputation: matching prosthetic and intact limb inertial properties. Arch Phys Med Rehabil, 2000, 81, 561-568.
  • [13] MCCRORY J. L., WHITE S. C., LIFESO R. M., Vertical ground reaction forces: objective measures of gait following hip arthroplasty, Gait & Posture, 2001, 14(2), 104-109.
  • [14] NAGANO A. AND KOMURA T., Evaluation of the influence of muscle deactivation on other muscles and joints during gait motion. Journal of Biomechanics, 2004, 37, 425–436.
  • [15] NOLAN L., WIT A., DUDZIŃSKI K., LEES A., LAKE M., WYCHOWAŃSKI M.,. Adjustments in gait symmetry with walking speed in trans-femoral and trans-tibial amputees, Gait & Posture, 2003, 17(2), 142-151.
  • [16] PATTERSON K. K., PARAFIANOWICZ I., DANELLS C. J., CLOSSON V., VERRIER M. C., STAINES W. R. ET AL., Gait asymmetry in community-ambulating stroke survivors, Arch Phys Med Rehabil, 2008, 89, 304-310.
  • [17] PATTERSON K. K., GAGE W. H., BROOKS D., BLACK S. E., MCILROY W.E., Evaluation of gait symmetry after stroke: a comparison of current methods and recommendations for standardization, Gait and Posture, 2010, 31, 241-246.
  • [18] ROBINSON R. O, HERZOG W., NIGG B. M., Use of force platform variables to quantify the effects of chiropractic manipulation on gait symmetry, Journal of Manipulative and Physiology Therapeutics, 1987, 10(4), 172-176.
  • [19] ROEWER B. D., DI STASI S. L., AND SNYDER-MACKLER L., Quadriceps strength and weight acceptance strategies continue to improve two years after anterior cruciate ligament reconstruction, Journal Of Biomechanics, 2011, 44(10), 1948-1953.
  • [20] SADEGHI H., ALLARD P., PRINCE F., LABELLE H., Symmetry and limb dominance in able-bodied gait: a review, Gait and Posture, 2000, 12, 34-45.
  • [21] SADEGHI H., Local or global asymmetry in gait of people without impairments, Gait and Posture, 2003,17, 197-204.
  • [22] SHORTER K. A., POLK J. D., ROSENGREN K. S., A new approach to detecting asymmetries in gait, Clinical Biomechanics, 2008, 23, 459-467.
  • [23] VAN DER KROGT M. M., DELP S., SCHWARTZ M. H., How robust is human gait to muscle weakness?, Gait & Posture, 2012, 36, 113–119.
  • [24] WHITE R., AGOURIS I., SELBIE R. D., KIRKPATRICK M., The variability of force platform data in normal and cerebral palsy gait, Clinical Biomechanics, 1999 14(3), 185-192
  • [25] ZIFCHOCK R. A., DAVIS I., HIGGINSON J., ROYER T., The symmetry angle: a novel, robust method of quantifying asymmetry, Gait and Posture, 2008, 27, 622-627.
Typ dokumentu
Identyfikator YADDA
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.