Dynamic principles of gait and their clinical implications

Physical Therapy

Volumn 90, Issue 2, 2010, Pages 157-174

  Kuo, Arthur D ^a   Donelan, J Maxwell ^b  

^a UNIVERSITY OF MICHIGAN   (United States)

^b SIMON FRASER UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

BIOLOGICAL MODEL; BIOMECHANICS; BODY EQUILIBRIUM; BODY POSTURE; GAIT; HUMAN; MUSCULOSKELETAL FUNCTION; ORIENTATION; PHYSIOLOGY; REVIEW; WALKING;

BIOMECHANICS; GAIT; HUMANS; KINESIS; MODELS, BIOLOGICAL; MUSCULOSKELETAL PHYSIOLOGICAL PHENOMENA; POSTURAL BALANCE; POSTURE; WALKING;

EID: 76349115837     PISSN: 00319023     EISSN: None     Source Type: Journal    
DOI: 10.2522/ptj.20090125     Document Type: Review

References (87)

1. Gonzalez EG, Corcoran PJ. Energy expenditure during ambulation. In: Downey JA, Myers SJ, Gonzalez EG, Lieberman JS, eds. The Physiological Basis of Rehabilitation Medicine. Boston, MA: Butterworth-Heinemann; 1994:413-446.
2. Waters R, Mulroy S. The energy expenditure of normal and pathologic gait. Gait Posture. 1999;9:207-231.
3. Pardo RD, Deathe AB, Winter DA. Walker user risk index: a method for quantifying stability in walker users. Am J Phys Med Rehabil. 1993;72:301-305.
4. Said CM, Goldie PA, Patla AE, et al. Balance during obstacle crossing following stroke. Gait Posture. 2008;27:23-30.
5. Bohannon RW, Andrews AW, Smith MB. Rehabilitation goals of patients with hemiplegia. Int J Rehabil Res. 1988;11;181-183.
6. Damiano DL, Arnold AS, Steele KM, Delp SL. Can strength training predictably improve gait kinematics? A pilot study on the effects of hip and knee extensor strengthening on lower-extremity alignment in cerebral palsy. Phys Ther. 2010;90:269-279.
7. Burnfield JM, Shu Y, Buster T, Taylor A. Similarity of joint kinematics and muscle demands between elliptical training and walking: implications for practice. Phys Ther. 2010;90:289-305.
8. Saunders JBD, Inman VT, Eberhart HD. The major determinants in normal and pathological gait. J Bone Joint Surg Am. 1953;35:543-558.
9. Perry J. Gait Analysis: Normal and Pathological Function. Thorofare, NJ: Slack Inc; 1992.
10. Gard SA, Childress DS. What determines the vertical displacement of the body during normal walking? J Prosthet Orthot. 2001;13:64-67.
11. Gard SA, Childress DS. The effect of pelvic list on the vertical displacement of the trunk during normal walking. Gait Posture. 1997;5:233-238.
12. Kerrigan DC, Riley PO, Lelas JL, Della Croce U. Quantification of pelvic rotation as a determinant of gait. Arch Phys Med Rehabil. 2001;82:217-220.
13. Della Croce U, Riley PO, Lelas JL, Kerrigan DC. A refined view of the determinants of gait. Gait Posture. 2001;14:79-84.
14. Gordon KE, Ferris DP, Kuo AD. Metabolic and mechanical energy costs of reducing vertical center of mass movement during gait. Arch Phys Med Rehabil. 2009;90:136-144.
15. Massaad F, Lejeune TM, Detrembleur C. The up and down bobbing of human walking: a compromise between muscle work and efficiency. J Physiol. 2007;582:789-799.
16. Ortega JD, Farley CT. Minimizing center of mass vertical movement increases metabolic cost in walking. J Appl Physiol. 2005;99:2099-2107.
17. Kuo AD. The six determinants of gait and the inverted pendulum analogy: a dynamic walking perspective. Hum Mov Sci. 2007;26:617-656.
18. Choi H. Physical Medicine and Rehabilitation Pocketpedia. Philadelphia, PA: Lippincott Williams & Wilkins; 2003:26.
19. Cuccurullo S. Physical Medicine and Rehabilitation Board Review. New York, NY: Demos Medical Publishing; 2004:411.
20. Gage JR. Gait Analysis in Cerebral Palsy. London, United Kingdom: Mac Keith; 1991:67. Clinics in Developmental Medicine series.
21. Gross J, Fetto J, Rosen E. Musculoskeletal Examination. Cambridge, MA: Blackwell Science; 1996:443.
22. Houglum PA. Therapeutic Exercise for Musculoskeletal Injuries. Champaign, IL: Human Kinetics Inc; 2005:359.
23. Knudson DV, Morrison CS. Qualitative Analysis of Human Movement. Champaign, IL: Human Kinetics Inc; 2002:184.
24. Malanga G, Delisa JA. Clinical ohservation. In: Delisa JA, ed. Gait Analysis in the Science of Rehabilitation. Baltimore, MD: Diane Publishing; 1998:1-10.
25. Medved V. Measurement of Human Locomotion. Boca Raton, FL: CRC Press; 2001:63.
26. Pease WL, Bowyer BL, Kadyan V. Human walking. In: DeLisa JA, Gans BM, Walsh NE, et al, eds. Physical Medicine and Rehabilitation: Principles and Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2004:155-168.
27. Pedotti A, Ferrarin M. Restoration of Walking for Paraplegics: Recent Advancements and Trends. Amsterdam, the Netherlands: IOS Press; 1992:23.
28. Polak F. Gait analysis. In: Pitt-Brooke J, ed. Rehabilitation of Movement: Theoretical Basis of Clinical Practice. Oxford, United Kingdom: Elsevier Health Sciences; 1998: 282.
29. Seymour R. Prosthetics and Orthotics: Lower Limb and Spinal. Philadelphia, PA: Lippincott Williams & Wilkins; 2002:103
30. Spivack BS. Evaluation and Management of Gait Disorders. London, United Kingdom: Informa Healthcare; 1995:318.
31. Whittle MW. Gait Analysis: An Introduction. Boston, MA: Butterworth-Heinemann; 1996:97.
32. Wright V, Radin EL. Mechanics of Human Joints: Physiology, Pathophysiology, and Treatment. New York, NY: Marcel Dekker; 1993:96.
33. Kirtley C. Clinical Gait Analysis: Theory and Practice. Amsterdam, the Netherlands: Churchill Livingstone; 2006.
34. Cavagna GA, Heglund NC, Taylor CR. Mechanical work in terrestrial locomotion: two basic mechanisms for minimizing energy expenditure. Am J Physiol. 1977;233:R243-R261.
35. Lee CR, Farley CT. Determinants of the center of mass trajectory in human walking and running. J Exp Biol. 1998;201:2935-2944.
36. Mochon S, McMahon TA. Ballistic walking. J Biomech. 1980;13:49-57.
37. McGeer T. Passive dynamic walking. International Journal of Robotics Research. 1990;9;62-82.
38. Collins SH, Ruina A, Tedrake R, Wisse M. Efficient bipedal robots based on passive-dynamic walkers. Science. 2005;307:1082-1085.
39. McGeer T. Passive walking with knees. In: Proceedings of the IEEE International Robotics & Automation Conference. Los Alamitos, CA: IEEE Computer Society; 1990:1640-1645.
40. Margaria R. Biomechanics and Energetics of Muscular Exercise. London, United Kingdom: Oxford Press; 1976.
41. Kuo AD. Energetics of actively powered locomotion using the simplest walking model. J Biomech Eng. 2002;124:113-120.
42. Kuo AD, Donelan JM, Ruina A. Energetic consequences of walking like an inverted pendulum: step-to-step transitions. Exerc Sport Sci Rev. 2005;33:88-97.
43. Donelan JM, Kram R, Kuo AD. Mechanical and metabolic determinants of the preferred step width in human walking. Proc R Soc Lond B Biol Sci. 2001;268;1985-1992.
44. Donelan JM, Kram R, Kuo AD. Mechanical work for step-to-step transitions is a major determinant of the metabolic cost of human walking. J Exp Biol. 2002;205:3717-3727.
45. Dean JC, Kuo AD. Elastic coupling of limb joints enables faster bipedal walking. J R Soc Interface. 2009;6:561-573.
46. Doke J, Donelan JM, Kuo AD. Mechanics and energetics of swinging the human leg. J Exp Biol. 2005;208:439-445.
47. Doke J, Kuo AD. Energetic cost of producing muscle force, rather than work, to swing the human leg. J Exp Biol. 2007;210:2390-2398.
48. Kuo AD. A simple model of bipedal walking predicts the preferred speed-step length relationship. J Biomech Eng. 2001;123:264-269.
49. Hansen AH, Childress DS, Knox EH. Rollover shapes of human locomotor systems: effects of walking speed. Clin Biomech (Bristol, Avon). 2004;19:407-414.
50. Hansen AH, Childress DS, Miff SC, et al. The human ankle during walking: implications for design of biomimetic ankle prostheses. J Biomech. 2004;37:1467-1474.
51. Adamczyk PG, Collins SH, Kuo AD. The advantages of a rolling foot in human walking. J Exp Biol. 2006;209:3953-3963.
52. Collins SH, Wisse M, Ruina A. A three-dimensional passive-dynamic walking robot with two legs and knees. International Journal of Robotics Research. 2001;20:607-615.
53. McGeer T. Dynamics and control of bipedal locomotion. J Theor Biol. 1993;163:277-314.
54. Wisse M, Schwab AL, van der Helm FCT. Passive dynamic walking model with upper body. Robotica. 2004;22;681-688.
55. Hobbelen DGE. Ankle actuation for limit cycle walkers. International Journal of Robotics Research. 2008;27:709-735.
56. Wisse M, Feliksdal G, van Frankenhuyzen J, Moyer B. Passive-based robot Denise: a simple, efficient, and lightweight biped. IEEE Robotics and Automation Magazine. 2007;14:52-62.
57. Garcia M, Chatterjee A, Ruina A, Coleman M. The simplest walking model: stability, complexity, and scaling. ASME Journal of Biomechanical Engineering. 1998;120:281-288.
58. Kuo AD. Stabilization of lateral motion in passive dynamic walking. International Journal of Robotics Research. 1999;18:917-930.
59. Bauby CE, Kuo AD. Active control of lateral balance in human walking. J Biomech. 2000;33:1433-1434.
60. Owings TM, Grabiner MD. Variability of step kinematics in young and older adults. Gait Posture. 2004;20:26-29.
61. O'Connor SM, Kuo AD. Direction-dependent control of balance during walking and standing. J Neurophysiol. 2009;102:1411-1419.
62. Donelan JM, Shipman DW, Kram R, Kuo AD. Mechanical and metabolic requirements for active lateral stabilization in human walking. J Biomech. 2004;37:827-835.
63. Kim CM, Eng JJ. Magnitude and pattern of 3D kinematic and kinetic gait profiles in persons with stroke: relationship to walking speed. Gait Posture. 2004;20:140-146.
64. Olney SJ, Griffin MP, Monga TN, Mcbride ID. Work and power in gait of stroke patients. Arch Phys Med Rehabil. 1991;72:309-314.
65. Olney SJ, Richards C. Hemiparetic gait following stroke, part 1: characteristics. Gait Posture. 1996;4:136-148.
66. Hewson D, Eng JJ, Christie A, Donelan JM. Efficiency of step-to-step transition work in hemiparetic gait. Presented at: North American Congress on Biomechanics; August 5-9, 2008; Ann Arbor, Michigan.
67. Stoquart GG, Detrembleur C, Nielens H, Lejeune TM. Efficiency of work production by spastic muscles. Gait Posture. 2005;22;331-337.
68. Vanderpool MT, Collins SH,Kuo AD. Ankle fixation need not increase the energetic cost of human walking. Gait Posture. 2008;28:27-433.
69. Hansen AH, Meier MR, Sessoms PH, Childress DS. The effects of prosthetic foot roll-over shape arc length on the gait of trans-tibial prosthesis users. Prosthet Orthot Int. 2006;30:286-299.
70. Hoffer JA, Stein RB, Haugland MK, et al. Neural signals for command control and feedback in functional neuromuscular stimulation: a review. J Rehabil Res Dev. 1996;33:145-157.
71. Weber DJ, Stein RB, Chan KM, et al. BIONic WalkAide for correcting foot drop. IEEE Trans Neural Syst Rehabil Eng. 2005;13:242-246.
72. Hesse S, Bertelt C, Jahnke MT, et al. Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients. Stroke. 1995;26:976-981.
73. Grabowski A, Farley CT, Kram R. Independent metabolic costs of supporting body weight and accelerating body mass during walking. J Appl Physiol. 2005;98:579-583.
74. Kuo AD. An optimal state estimation model of sensory integration in human postural balance. J Neural Eng. 2005;2:S235-S249.
75. Dean JC, Alexander NB, Kuo AD. The effect of lateral stabilization on walking in young and old adults. IEEE Trans Biomed Eng. 2007;54:1919-1926.
76. Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in community-living older adults: a 1-year prospective study. Arch Phys Med Rehabil. 2001;82:1050-1056.
77. Owings TM, Grabiner MD. Step width variability, but not step length variability or step time variability, discriminates gait of healthy young and older adults during treadmill locomotion. J Biomech. 2004;37:935-938.
78. Woledge RC, Birtles DB, Newham DJ. The variable component of lateral body sway during walking in young and older humans. J Gerontol A Biol Sci Med Sci. 2005;60:1463-1468.
79. Brach JS, Berlin JE, VanSwearingen J.M, et al. Too much or too little step width variability is associated with a fall history in older persons who walk at or near normal gait speed. J Neuroeng Rehabil. 2005;2:21.
80. Maki BE. Gait changes in older adults: predictors of falls or indicators of fear. J Am Geriatr Soc. 1997;45:313-320.
81. Ortega JD, Fehlman LA, Farley CT. Effects of aging and arm swing on the metabolic cost of stability in human walking. J Biomech. 2008;41:3303-3308.
82. Chang CL, Ulrich BD. Lateral stabilization improves walking in people with myelomeningocele. J Biomech. 2008;41:1317-1323.
83. Ralston HJ. Energy-speed relation and optimal speed during level walking. Int Z Angew Physiol. 1958;17:277-283.
84. Elftman H. Biomechanics of muscle. J Bone Joint Surg Am. 1966;48:363-377.
85. Zarrugh MY, Todd FN, Ralston HJ. Optimization of energy expenditure during level walking. Eur J Appl Physiol. 1974;33:293-306.
86. Bornstein MH, Bornstein HG. The pace of life. Nature. 1976;259:557-559.
87. International Classification of Functioning, Disability and Health: ICF. Geneva, Switzerland: World Health Organization; 2001.