Normal Walking Speed Research Articles

Optimal gait design for a soft quadruped robot via multi-fidelity Bayesian optimization

This study focuses on the locomotion capability improvement in a tendon-driven soft quadruped robot through an online adaptive learning approach. Leveraging the inverse kinematics model of the soft quadruped robot, we employ a central pattern generator to design a parametric gait pattern, and use Bayesian optimization (BO) to find the optimal parameters. Further, to address the challenges of modeling discrepancies, we implement a multi-fidelity BO approach, combining data from both simulation and physical experiments throughout training and optimization. This strategy enables the adaptive refinement of the gait pattern and ensures a smooth transition from simulation to real-world deployment for the controller. Compared to previous result using a fixed gait pattern, the multi-fidelity BO approach improves the robot’s average walking speed from 0.14 m/s to 0.214 m/s, an increase of 52.7%. Moreover, we integrate a computational task off-loading architecture by edge computing, which reduces the onboard computational and memory overhead, to improve real-time control performance and facilitate an effective online learning process. The proposed approach successfully achieves optimal walking gait design for physical deployment with high efficiency, effectively addressing challenges related to the reality gap in soft robotics.

The effects of sport-specific training on individuals action strategies while avoiding a virtual player approaching on a 45° angle while completing a secondary task.

Sports provide varying scenarios where athletes must interact with and avoid opposing players in dynamic environments. As such, sport-specific training can improve one's ability to integrate visual information which may result in improved collision avoidance behaviours. However, improved visuomotor capabilities are highly task dependent (i.e., athletes must be tested in sport-specific settings). The current study examined whether sport-specific training influenced individuals' collision avoidance behaviours during a sport-specific task in virtual reality. Untrained young adults (N = 21, 22.9±1.9 yrs, 11 males) and specifically trained athletes (N = 18, 20±1.5 yrs, 7 males) were immersed in a virtual environment and were instructed to walk along a 7.5m path towards a goal located along the midline. Two virtual players positioned 2.83m to the left and right of the midline approached participants on a 45° angle at one of three speeds: 0.8x, 1.0x, or 1.2x each participant's average walking speed. Participants were instructed to walk to a goal without colliding with the virtual players while performing a secondary task; reporting whether a shape changed above either of the virtual players' heads. Results revealed that athletes had a higher percentage of correct responses on the secondary task compared to untrained young adults. However, there was no group differences in the average time to first avoidance or average minimum clearance, but athletes were more variable in their avoidance behaviours. Findings from this study demonstrate that athletes may be more adaptive in their behaviours and may perform better on attentionally demanding tasks in dynamic environments.

Verification of a frailty control program provided in a regional core hospital

This study aimed to evaluate the validity of a frailty control program for the elderly at a newly established center. The subjects were 30 patients who underwent training between January 2022 and January 2023 and who could be evaluated 3 times. The first step of the program was to diagnose frailty and sarcopenia. Training in the training room and individual home exercise programs were proposed. We also provided support for the prevention of oral frailty and nutritional guidance. Body composition was measured, and the skeletal muscle mass index (SMI) was used as an index of muscle mass. Physical functions (e.g., grip strength and normal walking speed) were also measured. Adverse events that occurred during training were also investigated. The analysis of 30 subjects showed a significant improvement in grip strength after 3 months (P<0.05) and 6 months (P<0.01). Walking speed significantly improved after 3 months (P<.01) and 6 months (P<0.001). In women, grip strength and walking speed significantly improved after 3 months and 6 months, while significant improvement was observed after 6 months in men. Subjects without sarcopenia showed significant improvement in walking speed at 3 months and 6 months. Subjects with sarcopenia showed a significant improvement in grip strength at 6 months. No adverse events were observed during the training. The results showed statistically significant improvements in grip strength and gait speed in subjects in the anti-frailty program, and the safety of the program was confirmed.

Gait Analysis of Elderly and Young People Based on Joint Angles and Positions

For the elderly, the motor function of walking is significant for the maintenance and improvement of their quality of life (QOL). Walking patterns have been postulated to be associated with a decline in walking ability. The objective of this study was to develop a wearable sensor that can capture changes in walking ability in daily life. To this end, motion capture was employed to measure the lower limb joint angles and the trajectories of the lower limbs and knees for each subject while walking at a normal walking speed and to compare the results between elderly and young patients. The differences in walking patterns between the elderly and young patients were analyzed in terms of elevation angles, and an index was calculated to capture changes during walking based on elevation angles and trajectories.

Effects of a 12-Week Mixed-Method Physical Exercise Program on Physical Fitness, Stress, Anxiety, and Quality of Life in Adolescents with Cerebral Palsy: A Case Series Study.

Although the health benefits related to physical exercise for adolescents with cerebral palsy (CP) have been recognized, studies indicate that individuals with CP at school age are less involved in physical activities than their typical peers and are twice as likely to engage in sedentary behaviors. Therefore, our study aims to investigate the effects of a physical exercise program on physical fitness, stress, anxiety, and quality-of-life variables. A total of 15 teenagers with ambulatory CP (n = 8 boys, n = 7 girls, between 12 and 18 years old; M = 14.35; SD = 1.76) completed a 12-week program based on a mixed-method approach with face-to-face and live online activities. The outcome measures were physical fitness, stress, anxiety, and quality of life. The 12-week exercise program resulted in gains in muscular strength, flexibility, and aerobic endurance tests, characterized by an increase in average walking speed and average VO2 max. There was also a significant change in the perception of emotional states of depression, anxiety, and stress reported by the participants. The program proved to be effective in physical fitness tests and perception of emotional states. Given the positive effects produced by the program, its design appears to meet the demands of adolescents with cerebral palsy.

Development of Assistance Level Adjustment Function for Variable Load on a Forearm-Supported Robotic Walker.

With the progression of an aging society, the importance of walking assistance technology has been increasing. The research and development of robotic walkers for individuals requiring walking support are advancing. However, there was a problem that the conventional constant support amount did not satisfy the propulsion force required for the walking speed that users wanted. In this study, in order to solve this problem, we propose an algorithm for determining the support amount to maintain the walking speed when the average walking speed of each user is set as the target speed. A robotic walker was developed by attaching BLDC motors to an actual walker, along with a control algorithm for assistance based on sampling-type PID control. The effectiveness of the assistance determination algorithm and the usefulness of the parameters were demonstrated through experiments using weights loaded on the forearm support and target speeds. Subsequently, subject experiments were conducted to verify the ability to maintain target speeds, and a questionnaire survey confirmed that the assistance did not interfere with actual walking. The proposed algorithm for determining the assistance levels demonstrated the ability to maintain target speeds and allowed for adjustments in the necessary level of assistance.

A 24-Week Combined Resistance and Balance Training Program Improves Physical Function in Older Adults: A Randomized Controlled Trial.

Jiang, G, Tan, X, Zou, J, and Wu, X. A 24-week combined resistance and balance training program improves physical function in older adults: a randomized controlled trial. J Strength Cond Res 39(1): e62-e69, 2025-This randomized controlled trial assessed the feasibility of older adults performing combined resistance and balance training (RBT) and compared the effects of RBT on physical function with those of resistance training (RT) alone and with no exercise training in older adults. In total, 65 community-dwelling adults aged 60-74 years were randomly assigned to an RT (n = 22), RBT (n = 22), or control (n = 21) group. The exercise intervention consisted of RT or RBT for 45 minutes, 3 times per week for 24 weeks. The control group engaged in no exercise training. The compliance rates were 93% in the RT group and 92% in the RBT group. No training-related adverse effect was observed. In the RT and RBT groups, dynamic balance (p = 0.017; p < 0.001, respectively), maximum walking speed (p = 0.014; p < 0.001), upper extremity (p = 0.013; p = 0.009) and lower extremity (p = 0.009; p < 0.001) muscle strength, and spirometry (p = 0.043; p = 0.018) were significantly improved at 24 weeks compared with the control group. Only the RBT group showed significant improvement in normal walking speed (p = 0.002). Compared with the RT group, the RBT group showed additional significant improvements in dynamic balance (p = 0.001) and lower limb muscle strength (p = 0.027). The findings of this randomized controlled trial indicated that RBT was safe and feasible for older adults. Long-term RBT had better effects than either no exercise training or RT alone on improving physical function in older adults. Compared with RT, RBT additionally benefited dynamic balance and lower limb muscle function, which are clinically important factors in preventing falls, frailty, disability, and other geriatric syndromes.

Interfacial exchange of airflow and bacteria-carrying particles induced by door opening and foot traffic in an operating room

Maintaining high air cleanliness in operating rooms (ORs) can reduce surgical site infections (SSIs). However, door openings and foot traffic during surgery may allow the intrusion of contaminated air and increase microbial contamination in ORs. In this study, numerical methods were applied to investigate the dynamic airflow and bacteria-carrying particle (BCP) dispersion during sliding door opening and foot traffic in an OR. The door movement and realistic human walking were modeled by the dynamic mesh technique. The interfacial exchange of airflow and BCPs was evaluated as the medical staff entered and exited the OR under fixed supply air temperatures and various differential pressures, respectively. Results showed that walking across the door interface caused a sharp increase in airflow exchange between the OR and the anteroom (ANT). An average walking speed of 1.2 m/s induced a maximum inflow rate of approximately 1.32 times greater when entering the OR than when leaving the OR. Once the door was open, the temperature difference convection effect was more significant than the pressure difference outflow effect. Differential pressure outflow indirectly affected airflow exchange at the door interface by changing the direction and temperature of airflow in the ANT. Whether entering or leaving the OR, the BCP intrusion ratios were on average 1.5 times higher at high pressure differentials (15 and 20 Pa) than at low pressure differentials (5 Pa and 10 Pa). This study is expected to improve the understanding of the impact of door opening and foot traffic on OR air quality during surgery.

Does an acute transition to different footwear conditions affect walking patterns in people with different experiences of minimalist footwear?

BackgroundMinimalistic footwear provides adequate toe space, tripod function, improving foot function, muscle activation and stability during walking similarly to barefoot walking. Due to the increasing popularity of this specific footwear, there is a lack of research focusing on general users of minimalistic footwear. Research questionDoes annual walking in minimalistic footwear affect gait biomechanics? MethodsCross-sectional study involving twenty participants in a minimalistic footwear group with both experience (MFE) and no experience (NMFE). Participants walked in three different conditions (barefoot, minimalistic, and neutral footwear) in the laboratory at normal human walking speed. ResultsA significant main effect of groups regardless of footwear conditions show significantly greater values during walking in minimalistic footwear and barefoot in the stride length (p=0.035, p=0.003, respectively), and stride width (p=0.047, p=0.028, respectively) in the NMFE group compared to MFE group. The significant differences in the main effects of footwear regardless of experience were found in stance time (p<0.001), steps per minute (p<0.001), stride length (<0.001), foot adduction in TO (p<0.001), foot eversion angle in IC and TO (p<0.001, p<0.001, respectively), foot progression angle (p<0.001), ankle dorsiflexion angle in IC and TO (p<0.001, p<0.001, respectively), in ankle eversion angle in IC and TO (p<0.001, p<0.001, respectively), knee flexion angle in IC and TO (p<0.001; p<0.001, respectively), and in knee flexion range of motion (p<0.001). SignificanceBased on our findings, barefoot walking should be used primarily during daily activities if the environment is conducive. Only one year of experience with minimalistic footwear seems insufficient and an intervention should be incorporated to change the gait pattern when transitioning to full minimalistic footwear walking.

Relationship between physical functional status indicators and bone mineral density in older women

BackgroundOsteoporosis significantly predisposes patients to fragility fractures and a reduced quality of life. Therefore, osteoporosis prevention plays an important role in extending healthy life expectancy. The purpose of this study was to identify whether physical functional status was associated with low bone mineral density, and to determine cut-off values of physical status indicators for osteoporosis. MethodsThis cross-sectional study evaluated 343 women aged 60 years or older who were able to walk independently. The measured variables were the body mass index, lumbar and total hip bone mineral density, grip strength, 5-m normal walking speed, one-leg standing time, timed up-and-go test, and skeletal muscle mass using bioelectrical impedance analysis. The associations between physical status indicators and low bone mineral density were analyzed and the cut-off values for detecting osteoporosis were calculated using receiver operating characteristic curve analyses. ResultsThe prevalence of osteoporosis was 29.2 %. All measured variables significantly differed between the osteoporotic and non-osteoporotic groups (p < 0.05). Multivariate logistic regression analysis showed that the factors associated with osteoporosis were the skeletal muscle mass index, walking speed, and body mass index. In the receiver operating characteristic curve analysis, the cut-off values of the skeletal muscle mass index, walking speed, and body mass index associated with osteoporosis were 6.31 kg/m2, 1.29 m/s, and 22.6 kg/m2, respectively. ConclusionsOlder women with low bone mineral density have lower skeletal muscle mass, slower walking speed, and lower body mass index. Measuring the skeletal muscle mass index, walking speed, and body mass index might be useful for daily exercise guidance or osteoporosis screening.

Association between Internet Use and Locomotive Syndrome, Frailty, and Sarcopenia among Community-Dwelling Older Japanese Adults.

In the lives of those who are the target of community health nursing, it is important to collaborate with individuals and communities to improve their quality of life. Herein, we aimed to determine the association between Internet use among older individuals and locomotive syndrome (LS), frailty, and sarcopenia. In this cross-sectional study conducted between July 2022 and March 2023, we recruited 105 community-dwelling older Japanese adults who participated in a care prevention project called "Kayoi-no-ba". All participants were divided into Internet and non-Internet user groups according to the classification of a previous study. We assessed LS (standing test, two-step test, and five-question Geriatric Locomotive Function Scale), frailty (through the Questionnaire for Medical Checkup of Old-Old), and sarcopenia (grip strength, normal walking speed, and skeletal muscle mass index) and made group comparisons between Internet users and non-users. Binomial logistic regression analyses were performed with Internet use as the independent variable and sarcopenia or LS as the dependent variables. The Internet and non-Internet user groups had 69 and 36 participants, respectively. The Internet user group comprised 65.7% of all participants, which was similar to that reported in a previous study of the same age group. Between-group comparisons showed significant differences in sarcopenia and LS items, whereas adjusted binomial logistic analysis showed a significant association between sarcopenia and Internet use. In summary, among LS, frailty, and sarcopenia, sarcopenia showed the highest association with Internet use. Older adults without sarcopenia having good physical functions, such as grip strength, walking speed, and skeletal muscle index, more likely used the Internet; while older adults with sarcopenia were less likely to use the Internet. This implied that Internet use may be associated with physical function.

Collision avoidance behaviours while young adults avoid a virtual pedestrian approaching on a 45° angle under attentionally demanding conditions

Individuals rely on visual information to determine when to adapt their behaviours (i.e., by changing path and/or speed) to avoid an approaching object or person. After initiating an avoidance behaviour, individuals may control the space (i.e., minimum clearance distance) between themselves and another person or object. The current study aimed to determine the action strategies of young adults while avoiding a virtual pedestrian approaching along a 45° angle in an attentionally demanding task. Twenty-one young adults (22.9 ± 1.9 yrs., 11 males) were immersed in a virtual environment and were instructed to walk along a 7.5 m path towards a goal located along the midline. Two virtual pedestrians (VP) positioned 2.83 m to the left and right of the midline approached participants on a 45° angle. To manipulate the point at which the participants and the VP would intersect during different trials, the VP approached at one of three speeds: 0.8×, 1.0×, or 1.2× each participants' average walking speed. Participants were instructed to walk to a goal without colliding with the VP while performing the attention task; reporting whether a shape changed above the VPs' heads. Results revealed that young adults did not modulate their timing of avoidance to the approach characteristics of the VP, as they consistently avoided the collision 1.67 s after the VP began moving. However, young adults seem to control how they avoid an oncoming collision by maintaining a consistent safety margin after an avoidance behaviour was initiated.

An Underwater Biomimetic Robot that can Swim, Bipedal Walk and Grasp

In developing and exploring extreme and harsh underwater environments, underwater robots can effectively replace humans to complete tasks. To meet the requirements of underwater flexible motion and comprehensive subsea operation, a novel octopus-inspired robot with eight soft limbs was designed and developed. This robot possesses the capabilities of underwater bipedal walking, multi-arm swimming, and grasping objects. To closely interact with the underwater seabed environment and minimize disturbance, the robot employs a cable-driven flexible arm for its walking in underwater floor through a bipedal walking mode. The multi-arm swimming offers a means of three-dimensional spatial movement, allowing the robot to swiftly explore and navigate over large areas, thereby enhancing its flexibility. Furthermore, the robot’s walking arm enables it to grasp and transport objects underwater, thereby enhancing its practicality in underwater environments. A simplified motion models and gait generation strategies were proposed for two modes of robot locomotion: swimming and walking, inspired by the movement characteristics of octopus-inspired multi-arm swimming and bipedal walking. Through experimental verification, the robot’s average speed of underwater bipedal walking reaches 7.26 cm/s, while the horizontal movement speed for multi-arm swimming is 8.6 cm/s.

Enhancing speed recovery rapidity in bipedal walking with limited foot area using DCM predictions

The research on bipedal robots with limited foot area is gaining increasing attention. To tackle the challenge of dealing with unknown disturbances in the environment, the adjustment of footstep placement plays a vital role in maintaining stable motion during bipedal walking. This paper introduces an innovative approach based on the relationship between the Divergent Component of Motion (DCM) and footstep. It utilizes a DCM prediction model to optimize the optimal speed for recovering the foothold position. The goal is to enable quick and relevant footstep selection for bipedal robots, thereby facilitating the swift recovery of robot speed. The paper provides insights into the process of designing the desired DCM for achieving an optimal average walking speed without relying on predefined footstep sequences. By establishing a state equation between the DCM and footstep placement, this approach enables the prediction of multiple footstep positions within a fixed walking cycle, thereby facilitating the desired average motion speed. Extensive numerical simulations are conducted to compare the proposed method with various conventional footstep adjustment algorithms. The results emphasize our method’s ability to converge more rapidly to the target speed, even with minor step adjustments. To validate the feasibility and robustness of the algorithm, we conduct experiments on the bipedal robot BHR-B2. These experiments further confirm the algorithm’s effectiveness. Given its promising performance, this algorithm holds potential for applications in legged robots with point feet.

Is dog walking suitable for physical activity promotion? Investigating the exercise intensity of on-leash dog walking

BackgroundApproximately a quarter of the global population is physically inactive, increasing the prevalence of chronic health conditions such as cardiovascular disease. Clearly, a population shift is needed to increase physical activity participation. Given almost half of American and Australian households have at least one dog, dog walking has the potential to increase physical activity. The objective of this study was to characterize the exercise intensity of dog walking using physiological measures to determine whether it achieved a threshold for health-enhancement. MethodFrom February 2020 to September 2022, dog owners (aged > 18 years, without impediment to walking) who resided in metropolitan Sydney participated in an on-leash dog walk for a minimum of 20 minutes, while wearing a heart rate monitor and carrying a phone to track cadence, route and duration. ResultsForty-three participants were recruited (aged 34.26 ± 16 years). Data from measures of %heart rate reserve (38 ± 10.8 %HRR), %heart rate max (61 ± 7.2 %HRmax) and average cadence (45 ± 8.4steps/min) classified dog-walking as light intensity. However, when using average walking speed (4.29 ± 0.8 km/hr) and metabolic equivalents (3.53 ± 0.6METs), the walk was classified as moderate intensity. ConclusionOverall, depending on the intensity measure used, dog walking was positioned in the upper range of light intensity and the lower range of moderate intensity. Although dog walking at a certain intensity may be difficult to prescribe as strategy for meeting current moderate-to-vigorous focused physical activity recommendations, it should be recognised as a beneficial activity that may reach moderate intensity on some occasions.

The impact of pediatric obesity on biomechanical differences across the gait cycle at three walking speeds

BackgroundObesity impacts a child's ability to walk with resulting biomechanical adaptations; however, existing research has not comprehensively compared differences across the gait cycle. We examined differences in lower extremity biomechanics across the gait cycle between children with and without obesity at three walking speeds. MethodsFull gait cycles of age-matched children with obesity (N = 10; BMI: 25.7 ± 4.2 kg/m2) and without obesity (N = 10; BMI: 17.0 ± 1.9 kg/m2) were analyzed at slow, normal, and fast walking speeds. Main and interaction effects of group and speed across hip, knee, and ankle joint angles and moments in sagittal, frontal, and transverse planes were analyzed using one-dimensional statistical parametric mapping. FindingsCompared to children without obesity, children with obesity had greater hip adduction during mid-stance, while also producing greater hip extensor moments during early stance phase, abductor moments throughout most of stance, and hip external rotator moments during late stance. Children with obesity recorded greater knee flexor, knee extensor and knee internal rotator moments during early stance, and knee external rotator moments in late stance than children without obesity; children with obesity also demonstrated greater ankle plantarflexor moments throughout mid and late stance. Interaction effects existed within joint kinetics data; children with obesity produced greater hip extensor moments at initial contact and toe-off when walking at fast compared to normal walking speed. InterpretationWhile few kinematic differences existed between the two groups, children with obesity exhibited greater moments at the hip, knee, and ankle during critical periods of controlling and stabilizing mass.

Biofeedback training for the analysis of gait stereotypes in patients with gonarthrosis

BACKGROUND: The justification of the treatment techniques for patients with gonarthrosis requires the use of modern methods for assessing walking stereotypes.&#x0D; AIM: This study aimed to evaluate the biomechanical and podometric gait parameters of patients with gonarthrosis using the C-Mill multifunctional complex with biofeedback.&#x0D; MATERIALS AND METHODS: The study included 55 patients who were divided into the following groups: main group (n=35) of patients who had gait disturbances, diagnosed with stage III–IV primary gonarthrosis with varus deformation of the limb axis according to ICD-10, and underwent total knee replacement and control group (n=20) of patients diagnosed with stage I primary gonarthrosis. The average age of patients was 58.7 years in the main group and 47.5 years in the control group.&#x0D; RESULTS: In the main group, the decrease in average walking speed was accompanied by decreases in stride length and step frequency (р 0.05). In the stance phase, which is characterized by the contact of the foot of the affected and contralateral lower extremities with the platform surface, the durations of the double stance phase of both extremities in the main group were longer than those in the control group (p 0.05), indicating gait asymmetry and redistribution of excess load on the contralateral lower extremity, which is clinically manifested by lameness. In the main group, gait was characterized by a decrease in voluntary speed, step frequency, and gait pattern changes in various planes, confirming severe clinical and functional disorders in the lower limbs.&#x0D; CONCLUSION: The study of the walking stereotype in patients using the C-Mill multifunctional complex with biofeedback can be used to substantiate treatment techniques, followed by drawing up an individual medical rehabilitation plan to restore lower limb functions in the postoperative period, fully monitor treatment dynamics, prevent falls, and improve the quality of life of patients.

Walking on Real-world Terrain with an Ankle Exoskeleton in Cerebral Palsy.

Despite medical treatment focused on addressing walking disability, many millions of people with neurological conditions, like cerebral palsy (CP), struggle to maintain independent mobility. Lower limb exoskeletons and exosuits may hold potential for augmenting walking ability. However, it remains unknown whether these wearable robots are safe and beneficial for use outside of highly controlled laboratory environments, the demonstration of which is necessary for clinical translation. Here, we show that a lightweight, portable, ankle exoskeleton with an adaptable one-size-works-for-all assistance controller can improve energy efficiency and walking speed for individuals with CP spanning a wide spectrum of lower limb impairment in a multi-terrain real-world environment. Tested on an outdoor walking route with level, sloped, and stair terrain, robotic assistance resulted in a 15-18% (p = 0.013-0.026) reduction in estimated energy cost and a 7-8% (p = 0.001-0.004) increase in average walking speed across "shorter" 6-minute and "longer" 20-minute walking durations relative to unassisted walking. This study provides evidence that wearable robots may soon improve mobility in neighborhood, school, and community settings for individuals with CP.

Immediate and Short-Term Effects of In-Shoe Heel-Lift Orthoses on Clinical and Biomechanical Outcomes in Patients With Insertional Achilles Tendinopathy

Background: Physical therapists frequently employ heel lifts as an intervention to reduce Achilles tendon pain and restore function. Purpose: To determine the short-term effect of heel lifts on clinical and gait outcomes in participants with insertional Achilles tendinopathy (IAT). Study Design: Case series; Level of evidence, 4. Methods: Participants with IAT underwent eligibility screening and completed assessments at baseline and 2 weeks later. Primary outcomes included symptom severity (Victoria Institute of Sports Assessment-Achilles [VISA-A]), gait analysis with the 10-m walk-test at 2 speeds (normal and fast), and pain during walking. Pain and gait analysis were assessed under 3 conditions: before fitting 20-mm heel lifts, immediately after heel-lift fitting, and after 2 weeks of wearing heel lifts. Ultrasound images and measurements at the Achilles insertion were obtained from prone and standing positions (with and without heel lifts). Spatiotemporal gait parameters and tibial tilt angles were evaluated at normal speed using inertia measurement units during the 3 study conditions. Differences between the conditions were analyzed using paired t test or analysis of variance. Results: Overall, 20 participants (12 female, 13 with bilateral IAT; mean age, 51 ± 9.3 years; mean body mass index 31.6 ± 6.8 kg/m2) completed all assessments. Symptom severity (VISA-A) of the more symptomatic side significantly improved at 2 weeks (60 ± 20.6) compared with baseline (52.2 ± 20.4; P &lt; .01). Pain during gait (Numeric Pain Rating Scale) was significantly reduced immediately after heel-lift fitting (0.7 ± 2.0) when compared with baseline (2.2 ± 2.7, P = .043). Spatiotemporal gait parameters and tibial tilt angle before and after using heel lifts at normal walking speed were not significantly different; however, gait speed, stride length, and tibial tilt angle on both sides increased significantly immediately after using heel lifts and were maintained after 2 weeks of wear. Conclusion: Using heel lifts not only improved symptom severity after 2 weeks but also immediately reduced pain during gait and had a positive impact on gait pattern and speed.

The relationship between muscle quality index and physical function in older adults

BACKGROUND: The muscle quality index (MQI) has been proposed as a diagnostic tool to detect individuals at risk of limited physical function. OBJECTIVE: Our goal was to examine the relationship of the MQI with physical function and compare its predictive ability with other muscle parameters of strength and mass in an older population. METHODS: Sixty-eight healthy older adults (34 male, 34 female) aged between 69 and 89 years were tested for body composition, MQI, maximum isokinetic concentric KES and physical function including sit-to-stand (STS) time, normal and maximum walking speed (WS), Timed Up and Go (TUG) and static balance. Pearson’s correlation was applied to examine the relationship between muscle parameters. Linear regression analysis including age and sex as additional covariates was performed to assess their predictive ability for physical functions. RESULTS: MQI correlated significantly with relative KES (r= 0.611, p&lt; 0.001), total KES (r= 0.829, p&lt; 0.001) and leg lean tissue mass (r= 0.690, p&lt; 0.001). The MQI was not a significant predictor for any physical function (p&gt; 0.05). STS time was a significant predictor for normal WS and TUG time (p&lt; 0.001). Relative KES was a significant predictor for all physical functions except static balance (p&lt; 0.001). No muscle parameter and only age was a significant predictor for static balance. Models explained 20.4%–57.3% of variances of dependent variables. CONCLUSIONS: The MQI is a useful tool to assess leg lean tissue mass and strength of the knee extensor muscles and outperforms STS time. However, STS time and relative KES are more closely related to physical function than the MQI.