Analysis of gait within the uncontrolled manifold hypothesis: Stabilisation of the centre of mass during gait

Papi, Enrica, Rowe, Philip J. and Pomeroy, Valerie M. ORCID: https://orcid.org/0000-0003-4487-823X (2015) Analysis of gait within the uncontrolled manifold hypothesis: Stabilisation of the centre of mass during gait. Journal of Biomechanics, 48 (2). pp. 324-331. ISSN 0021-9290

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Abstract

This study investigated the feasibility of the uncontrolled manifold approach (UCM) to analyse gait data variability in relation to the control of the centre of mass (COM) in adults with and without neuropathology. The proposed method was applied to six able-bodied subjects to characterise mechanisms of normal postural control during stance phase. This approach was repeated on an early stroke patient, who attended the laboratory three times at three monthly intervals, to characterise the variability of COM movement during walking with and without an orthosis. Both able-bodied subjects and the stroke participant controlled COM movement during stance but utilized a different combination of lower limb joint kinematics to ensure that the COM trajectory was not compromised. Interestingly, the stroke subject, despite a higher variability in joint kinematics, was able to maintain a stable COM position throughout stance phase. The stabilisation of the COM decreased when the patient walked unaided without the prescribed orthosis but increased over the six months of study. The UCM analysis demonstrated how a stroke patient used a range of lower limb motion pattern to stabilise the COM trajectory. It is suggested that this analysis can be used to track changes in these movement patterns in response to rehabilitation. As such we propose that this approach could have clinical utility to evaluate and prescribe rehabilitation in stroke patients.

Item Type:	Article
Uncontrolled Keywords:	gait,motor control,uncontrolled manifold,stroke,centre of mass
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Depositing User:	Pure Connector
Date Deposited:	05 Jan 2015 14:58
Last Modified:	19 Oct 2023 01:24
URI:	https://ueaeprints.uea.ac.uk/id/eprint/51572
DOI:	10.1016/j.jbiomech.2014.11.024

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