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Concussion is associated with altered preparatory postural adjustments during gait initiation
Date Issued
2017-04
Abstract
Gait initiation is a useful surrogate measure of supraspinal motor control mechanisms but has never been evaluated in a cohort following concussion. The aim of this study was to quantify the preparatory postural adjustments (PPAs) of gait initiation (GI) in fifteen concussion patients (4 females, 11 males) in comparison to a group of fifteen age- and sex- matched controls. All participants completed variants of the GI task where their dominant and non-dominant limbs as the stepping and support limbs. Task performance was quantified using the centre of pressure (COP) trajectory of each foot (computed from a force plate) and the centre of mass (COM) trajectory (estimated from an inertial measurement unit placed on the sacrum). Concussed patients exhibited decreased COP excursion on their dominant foot, both when it was the stepping limb (sagittal plane: 9.71mm [95% CI: 8.14 to 11.27mm] vs 14.9mm [95%CI: 12.31 to 17.49mm]; frontal plane: 36.95mm [95% CI: 30.87 to 43.03mm] vs 54.24mm [95%CI: 46.99 to 61.50mm]) and when it was the support limb (sagittal plane: 10.43mm [95% CI: 8.73 to 12.13mm] vs 18.13mm [95%CI: 14.92 to 21.35mm]; frontal plane: 66.51mm [95% CI: 60.45 to 72.57mm] vs 88.43mm [95%CI: 78.53 to 98.32mm]). This was reflected in the trajectory of the COM, wherein concussion patients exhibited lower posterior displacement (19.67mm [95%CI: 19.65mm to 19.7mm]) compared with controls (23.62mm [95%CI: 23.6 to 23.64]). On this basis, we conclude that individuals with concussion display deficits during a GI task which are potentially indicative of supraspinal impairments in motor control.
Other Sponsorship
Fujitsu Laboratories Ltd.
Type of Material
Journal Article
Publisher
Elsevier
Journal
Human Movement Science
Volume
52
Start Page
160
End Page
169
Copyright (Published Version)
2017 Elsevier
Language
English
Status of Item
Peer reviewed
This item is made available under a Creative Commons License
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