Document Detail


Sensitivity of trunk variability and stability measures to balance impairments induced by galvanic vestibular stimulation during gait.
MedLine Citation:
PMID:  21435878     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
For targeted prevention of falls, it is necessary to identify individuals with balance impairments. To test the sensitivity of measures of variability, local stability and orbital stability of trunk kinematics to balance impairments during gait, we used galvanic vestibular stimulation (GVS) to impair balance in 12 young adults while walking on a treadmill at different speeds. Inertial sensors were used to measure trunk accelerations, from which variability in the medio-lateral direction and local and orbital stability were calculated. The short-term Lyapunov exponent and variability reflected the destabilizing effect of GVS, while the long-term Lyapunov exponent and Floquet multipliers suggested increased stability. Therefore, we concluded that only short-term Lyapunov exponents and variability can be used to asses stability of gait. In addition, to investigate the feasibility of using these measures in screening for fall risk, the presence or absence of GVS was predicted with variability and the short-term Lyapunov exponent. Predictions were good at all walking speeds, but best at preferred walking speed, with a correct classification in 83.3% of the cases.
Authors:
Kimberley S van Schooten; Lizeth H Sloot; Sjoerd M Bruijn; Herman Kingma; Onno G Meijer; Mirjam Pijnappels; Jaap H van Dieën
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-22
Journal Detail:
Title:  Gait & posture     Volume:  -     ISSN:  1879-2219     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9416830     Medline TA:  Gait Posture     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier B.V. All rights reserved.
Affiliation:
Research Institute MOVE, Faculty of Human Movement Sciences, VU University Amsterdam, Amsterdam, The Netherlands.
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