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Gait adaptations to awareness and experience of a slip when walking on a cross-slope

机译:步态适应在横坡上行走时对打滑的意识和体验

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摘要

Falls that occur as a result of a slip are one of the leading causes of injuries, particularly in the elderly population. Previous studies have focused on slips that occur on a flat surface. Slips on a laterally sloping surface are important and may be related to different mechanisms of balance recovery. This type of slip might result in different gait adaptations to those previously described on a flat surface, but these adaptations have not been investigated. The aim of this study was to assess whether, when walking on a cross-slope, young adults adapted their gait when made aware of a potential slip, and having experienced a slip. Gait parameters were compared for three conditions-(1) Normal walking; (2) Walking after being made aware of a potential slip (participants were told that a slip may occur); (3) Walking after experiencing a slip (Participants had already experienced at least one slip induced using a soapy contaminant). Gait parameters were only analysed for trials in which there was no slippery contaminant present on the walkway. Stride length and walking velocity were significantly reduced, and stance duration was significantly greater in the awareness and experience conditions compared to normal walking, with no significant differences in any gait parameters between the awareness and experience conditions. In addition, 46.7% of the slip trials resulted in a fall. This is higher than reported for slips induced on a flat surface, suggesting slips on a cross-slope are more hazardous. This would help explain the more cautious gait patterns observed in both the awareness and experience conditions.
机译:滑倒导致的跌倒是受伤的主要原因之一,特别是在老年人口中。先前的研究集中在平坦表面上发生的滑移上。横向倾斜表面上的滑倒很重要,可能与平衡恢复的不同机制有关。这种类型的打滑可能导致与先前在平坦表面上描述的步态适应不同的步态适应,但是尚未研究这些适应。这项研究的目的是评估年轻人是否在横坡上行走时意识到潜在的滑倒并经历了滑倒而适应了他们的步态。比较了三种情况下的步态参数-(1)正常行走; (2)在意识到可能的滑倒后行走(被告知参与者可能发生滑倒); (3)滑倒后行走(参与者已经经历了至少一次使用肥皂污染引起的滑倒)。步态参数仅针对在人行道上没有滑溜污染物的试验进行分析。与正常的步行相比,步伐长度和步行速度显着降低,并且意识和体验条件下的站立时间明显更长,意识和体验条件下的任何步态参数均无显着差异。此外,有46.7%的滑倒试验导致滑倒。这比报道的在平面上引起的滑移要高,这表明横坡上的滑移更加危险。这将有助于解释在意识和经验条件下观察到的更为谨慎的步态模式。

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