Stepping over an obstacle on a compliant travel surface reveals adaptive and maladaptive changes in locomotion patterns

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Adaptive human locomotion is dependent on safe clearance of obstacles encountered in the path of locomotion. When the terrain is uneven or compliant, stability along with safe obstacle clearance are competing demands presented to the central nervous system (CNS). To examine how the CNS deals with the two competing demands, six participants walked under four conditions: normal ground walking, normal ground walking with an obstacle in the travel path, compliant surface walking, and compliant surface walking with an obstacle in the travel path. Full body kinematics were measured and swing limb kinetics were derived from these measurements. Results showed that on a compliant surface, the CNS was able to decrease foot placement variability at foot contact when approaching an obstacle, similar to the normal ground terrain. Limb trajectory over the obstacle showed that toe elevation was maintained while clearance over the obstacle was lower in the compliant surface condition due to depression of the surface during push off. This illustrates that the CNS controls toe elevation, not toe clearance when stepping over an obstacle. Work done in the knee during elevation and hip during lowering was similar in the compliant and ground conditions even though a lower clearance over the obstacle was achieved in the complaint condition. This shows the inability of the CNS to account for compression of the surface prior to obstacle clearance and provides further evidence the CNS controls toe elevation, not clearance when stepping over an obstacle.