دورية أكاديمية

Biofeedback augmenting lower limb loading alters the underlying temporal structure of gait following anterior cruciate ligament reconstruction.

التفاصيل البيبلوغرافية
العنوان: Biofeedback augmenting lower limb loading alters the underlying temporal structure of gait following anterior cruciate ligament reconstruction.
المؤلفون: Armitano-Lago, Cortney1 carmitan@email.unc.edu, Pietrosimone, Brian1 pietrosi@email.unc.edu, Davis-Wilson, Hope C.1 davishc@live.unc.edu, Evans-Pickett, Alyssa1 alyssa7evans@unc.edu, Franz, Jason R.2 jrfranz@email.unc.edu, Blackburn, Troy1 troyb@email.unc.edu, Kiefer, Adam W.1 awkiefer@email.unc.edu
المصدر: Human Movement Science. Oct2020, Vol. 73, pN.PAG-N.PAG. 1p.
مصطلحات موضوعية: *LEG, *LIGAMENTS, *GROUND reaction forces (Biomechanics), *TIME series analysis, *OSTEOARTHRITIS, *LEG surgery, *RESEARCH, *GAIT in humans, *RESEARCH methodology, *MEDICAL cooperation, *EVALUATION research, *PHYSIOLOGICAL control systems, *COMPARATIVE studies, *RANDOMIZED controlled trials, *BODY movement, *UNIVERSITIES & colleges, *IMPACT of Event Scale, *ANTERIOR cruciate ligament surgery, *ORTHOPEDICS, *KINEMATICS
مصطلحات جغرافية: NORTH Carolina
مستخلص: Biofeedback has recently been explored to target deviant lower extremity loading mechanics following anterior cruciate ligament reconstruction (ACLR) to mitigate the development of post traumatic osteoarthritis. The impact this feedback has on the structure of the stride interval dynamics-a barometer of gait system health-however, have yet to be examined. This study was designed to assess how feedback, used to alter lower-extremity loading during gait, affects the structure of stride interval variability by examining long-range stride-to-stride correlations during gait in those with unilateral ACLR. Twelve participants walked under three separate loading conditions: (1) control (i.e., no cue) (2) high loading, and (3) low loading. Baseline vertical ground reaction force (vGRF) data was used to calculate a target 5% change in vGRF for the appropriate loading condition (i.e., high loading was +5% vGRF, low loading was -5% vGRF). The target for the load condition was displayed on a screen along with real-time vGRF values, prescribing changes in stride-to-stride peak vertical ground reaction forces of each limb. From time-series of stride intervals (i.e., duration), we analyzed the mean and standard deviation of stride-to-stride variability and, via detrended fluctuation analysis (i.e., DFA α), temporal persistence for each feedback condition. Both the high and low loading conditions exhibited a change toward more temporally persistent stride intervals (high loading: α =0.92, low loading: α = 0.98) than walking under the control condition (α = 0.78; high vs. control: p = .026, low vs. control: p = .001). Overall, these results indicate that altering lower extremity load changes the temporal persistence of the stride internal dynamics in ACLR individuals, demonstrating the implications of the design of gait training interventions and the influence feedback has on movement strategies. [ABSTRACT FROM AUTHOR]
قاعدة البيانات: Academic Search Index
الوصف
تدمد:01679457
DOI:10.1016/j.humov.2020.102685