The Effect of Arm Swing and Rocky Surface on Dynamic Stability In Healthy Young Adults
Creators: name: Mezher, Cézar
Publisher: name: Université d'Ottawa / University of Ottawa
Year: 2020
Subjects: Arm swing
Biomechanics
Gait
Healthy young adults
Kinematic
Margin of stability
Postural control
Rocky surface
Spatiotemporal
Stability

description: There are millions of fall-related injuries worldwide requiring medical attention on a yearly basis. These falls place a financial burden on the healthcare system. These falls can occur in the event of disruption in the postural control system and/or a loss of balance while walking. Previously, most gait studies have focused on the assessment of the lower extremities while neglecting the contribution of arm swing as it was believed to be a passive motion. However, it has been shown that there is an active component to arm swing. Moreover, these arm movements have been shown to affect the motion of the center of mass when walking. Therefore, arm swing could mitigate the destabilizing effects of perturbations caused by challenging surfaces. Additionally, no studies have examined the effect of arm swing when walking on a rocky surface. This type of surface causes perturbations in the anteroposterior and mediolateral directions simultaneously, leading to uneven center of mass displacement and spatiotemporal modifications. Hence, the present study assessed the effect of normal arm swing, held arm swing and active arm swing on postural control and dynamic stability when walking on regular and rocky surface. We hypothesized that active arm swing will have a negative impact on postural control and gait dynamics on a regular surface, while rocky surface walking will decrease stability and increase spatiotemporal variability. Additionally, we expect active arm swing to attenuate the negative effects of the rocky surface. Fifteen healthy young adults from the University of Ottawa community (mean age 23.4 ± 2.8 years) were recruited to participate in this study. They were asked to walk using three different arm conditions (normal, held and active arm swing) on the dual-belt CAREN-Extended System (Motek Medical, Amsterdam, NL) on simulated regular and rocky surface. This last is generated using the “Rumble” module (maximum range of ±2 cm at 0.6 Hz vertically, ±1° at 1 Hz pitch, and ±1° at 1.2 Hz roll). Mean, standard deviation and maximal values of trunk linear and angular velocity were calculated in all three planes. Moreover, step length, time and width mean and coefficient of variation as well as margin of stability mean and standard deviation were calculated. A mixed linear model was performed to compare the effects of the arm swing motions and surface types. The arm and surface conditions were set as fixed effects, while the walking speed was set as a covariate. Active arm swing increased trunk linear and angular velocity variability and peak values compared to normal and held arm conditions. Active arm swing also increased participants’ step length and step time, as well as the variability of margin of stability. Similarly, rocky surface walking increased trunk kinematics variability and peak values compared to regular surface walking. Furthermore, rocky surface increased the average step width while reducing the average step time. The spatiotemporal adaptations show the use of “cautious” gait to mitigate the destabilizing effects of both the active arm swing and rocky surface walking and, ultimately, maintain stability.