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step-to-step variability in treadmill walking influence of rhythmic auditory cueingstep-to-step可变性在跑步机上行走节奏听觉暗示的影响
Step-to-Step Variability in Treadmill Walking: Influence
of Rhythmic Auditory Cueing
Philippe Terrier1,2*
´ ´
1 IRR, Institut de Recherche en Readaptation, Sion, Switzerland, 2 Clinique romande de readaptation SuvaCare, Sion, Switzerland
Abstract
While walking, human beings continuously adjust step length (SpL), step time (SpT), step speed (SpS = SpL/SpT) and step
width (SpW) by integrating both feedforward and feedback mechanisms. These motor control processes result in
correlations of gait parameters between consecutive strides (statistical persistence). Constraining gait with a speed cue
(treadmill) and/or a rhythmic auditory cue (metronome), modifies the statistical persistence to anti-persistence. The
objective was to analyze whether the combined effect of treadmill and rhythmic auditory cueing (RAC) modified not only
statistical persistence, but also fluctuation magnitude (standard deviation, SD), and stationarity of SpL, SpT, SpS and SpW.
Twenty healthy subjects performed 6 65 min. walking tests at various imposed speeds on a treadmill instrumented with
foot-pressure sensors. Freely-chosen walking cadences were assessed during the first three trials, and then imposed
accordingly in the last trials with a metronome. Fluctuation magnitude (SD) of SpT, SpL, SpS and SpW was assessed, as well
as NonStationarity Index (NSI), which estimates the dispersion of local means in the times series (SD of 20 local means over
10 steps). No effect of RAC on fluctuation magnitude (SD) was observed. SpW was not modified by RAC, what is likely the
evidence that lateral foot placement is separately regulated. Stationarity (NSI) was modified by RAC in the same manner as
per
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