Citation

Hsu WC, Wang TM, Lu HL, Lu TW. Gait Posture 2014; 41(1): 185-191.

Affiliation

Institute of Biomedical Engineering, National Taiwan University, Taiwan, ROC; Department of Orthopaedic Surgery, School of Medicine, National Taiwan University, Taipei, Taiwan, ROC. Electronic address: twlu@ntu.edu.tw.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.gaitpost.2014.10.003

PMID

25457481

Abstract

Adapting to a predictable moving surface such as an escalator is a crucial part of daily locomotor tasks in modern cities. However, the associated biomechanics have remained unexplored. In a gait laboratory, fifteen young adults walked from the ground onto a moving or a static surface while their kinematic and kinetic data were obtained for calculating foot and pelvis motions, as well as the angles and moments of the lower limb joints. Between-surface-condition comparisons were performed using a paired t-test (α=0.05). The results showed that anticipatory locomotor adjustments occurred at least a stride before successfully walking onto the moving surface, including increasing step length and speed in the trailing step (p<0.05), but the opposite in the leading step (p<0.05). These modifications reduced the plantarflexor moment of the trailing ankle needed for stabilizing the body, while placing increased demand on the knee extensors of the trailing stance limb. For a smooth landing and to reduce the risk of instability, the subjects adopted a flat foot contact pattern with reduced leading toe-clearance (p<0.05) at an instantaneous speed matching that of the moving surface (p>0.05), mainly through reduced extension of the trailing hip but increased pelvic anterior tilt and leading swing ankle plantarflexion (p<0.05). The current results provide baseline data for future studies on other populations, which will contribute to the design and development of strategies to address falls while transferring onto moving surfaces such as escalators.

Language: en