The control of foot placement during compensatory stepping reactions: does speed of response take precedence over stability?

نویسندگان

  • B E Maki
  • W E McIlroy
چکیده

Rapid, reflex-like stepping movements are a prevalent and functional compensatory reaction to destabilization, however, little is known about the underlying control. In this paper, a model is developed to examine how speed and stability demands affect control of foot placement during forward and backward compensatory stepping reactions. The concept of the velocity stability margin (VSM) is introduced to characterize the degree to which the horizontal velocity of the falling body approaches biomechanical limits on the capacity to decelerate the center of mass; analogous limits on center-of-mass displacement are quantified in terms of the displacement stability margin (DSM). The model is used to predict, for any initial step characteristics, the variation in DSM and VSM that would occur as a function of changes in timing of foot placement. The VSM was found to prevail over the DSM in establishing limits of stability. Model simulations demonstrated that there typically exists a minimum swing duration that maximizes speed of response while meeting minimum requirements for stability (VSM > or = 0), as well as a slower speed of response (longer swing duration) at which stability (VSM) is maximized. Experimental data from platform-perturbation tests in 20 healthy young (22-28) and older (65-81) adults were used, in conjunction with the model, to investigate whether speed or stability takes precedence during natural behavior. Control of single-step reactions appeared to favor stability; although the model predicted that a minimally stable step (VSM = 0) could be attained by swing durations as short as 30 ms, the observed swing durations were, on average, 135 ms longer than this, and the average VSM was nearly as large (80%) as the optimally stable value predicted by the model. Control of the initial step of multiple-step reactions was distinctly different. The average swing duration was only 55 ms greater than the minimally stable value and the average VSM was 81% smaller than in the single-step reactions. This reduction in VSM is consistent with a need to execute additional steps and appears to support the validity of the model. This model may help to provide insight into the biomechanical factors that govern the neural control of compensatory stepping reactions.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Receding Horizon Based Control of Disturbed Upright Balance with Consideration of Foot Tilting(RESEARCH NOTE)

In some situations, when an external disturbance occurs, humans can rock stably backward and forward by lifting the toe or the heel to keep the upright balance without stepping. Many control schemes have been proposed for standing balance control under external disturbances without stepping. But, in most of them researchers have only considered a flat foot phase. In this paper a framework is pr...

متن کامل

Control of rapid limb movements for balance recovery: age-related changes and implications for fall prevention.

BACKGROUND balancing reactions that involve rapid stepping or reaching movements are critical for preventing falls. These compensatory reactions are much more rapid than volitional limb movements and can be very effective in decelerating the centre-of-mass motion induced by sudden unpredictable balance perturbation; however, age-related deterioration in the neural, sensory and/or musculoskeleta...

متن کامل

The role of limb movements in maintaining upright stance: the "change-in-support" strategy.

Change-in-support strategies, involving stepping or grasping movements of the limbs, are prevalent reactions to instability and appear to play a more important functional role in maintaining upright stance than has generally been appreciated. Contrary to traditional views, change-in-support reactions are not just strategies of last resort, but are often initiated well before the center of mass ...

متن کامل

Can use of walkers or canes impede lateral compensatory stepping movements?

Although assistive devices, such as walkers and canes are often prescribed to aid in balance control, recent studies have suggested that such devices may actually increase risk of falling. In this study, we investigated one possible mechanism: the potential for walkers or canes to interfere with, or constrain, lateral movement of the feet and thereby impede execution of compensatory stepping re...

متن کامل

Compensatory stepping in Parkinson's disease is still a problem after deep brain stimulation randomized to STN or GPi.

The effects of deep brain stimulation (DBS) on balance in people with Parkinson's disease (PD) are not well established. This study examined whether DBS randomized to the subthalamic nucleus (STN; n = 11) or globus pallidus interna (GPi; n = 10) improved compensatory stepping to recover balance after a perturbation. The standing surface translated backward, forcing subjects to take compensatory...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society

دوره 7 1  شماره 

صفحات  -

تاریخ انتشار 1999