Changes In Cadence Research Articles

Effects Of Cadence Changes During Uphill And Downhill Walking On Metabolic Responses In Women

Effects Of Cadence Changes During Uphill And Downhill Walking On Metabolic Responses In Women

The Use of Novel Instrumented Socks to Detect Changes in Daily Life Mobility During an Exercise Intervention in Prostate Cancer Survivors Treated with Androgen Deprivation Therapy

ObjectivesTo describe changes in daily life mobility in prostate cancer survivors treated with androgen deprivation therapy (ADT) after a 6-month exercise intervention using novel instrumented socks and to identify characteristics of participants who exhibited changes in daily life mobility. MethodsA subset of participants in a fall prevention exercise trial completed objective tests and patient-reported surveys of physical functioning, and wore instrumented socks for up to 7 days to measure daily life mobility. Changes in cadence, double support proportion, and pitch angle of the foot at toe-off were selected as measures of daily life mobility previously found to be different in men exposed to ADT for prostate cancer versus controls. Daily life mobility was compared from baseline to 6 months using paired t-tests. Characteristics of responders who improved their daily life mobility were compared to nonresponders using two-sample t-tests, Chi-squared proportion tests, or Fisher's Exact Tests. ResultsOur sample included 35 prostate cancer survivors (mean age 71.6 ± 7.8 years). Mean cadence, double support proportion, and pitch angle at toe-off did not change significantly over 6 months of exercise, but 14 participants (40%) improved in at least two of three daily life mobility measures (“responders”). Responders were characterized by lower physical functioning, lower cadence in daily life, fewer comorbidities, and better social and mental/emotional functioning. ConclusionsCertain daily life mobility measures potentially impacted by ADT could be measured with instrumented socks and improved by exercise. Men who start with lower physical functioning and better social and mental/emotional functioning appear most likely to benefit, possibly because they have more to gain from exercise and are able to engage in a 6-month intervention. Implications for Nursing PracticeTechnology-based approaches could provide nurses with an objective measure of daily life mobility for patients with chronic illness and detect who is responding to rehabilitation.

Peculiarities of distribution of electrical activity of muscles during walking along treadmill

Authors of this article give the comparative estimation of peculiarities of walking along the horizontal surface and treadmill. Authors thoroughly investigated change of the main parameters and EMG-pattern of muscles at different cadences during walking along the horizontal surface and treadmill. Authors established, that during walking along treadmill cadence changes quite insufficiently, while the step length changes to a greater extent. From authors’ point of view, such disproportionate change of cadence and step length leads to the expressed transformation of the resonance properties of the lower extremities, i.e. to discrepancy of frequency of the forced oscillations with the own oscillations of the lower extremities. From the authors’ point of view, change of the resonance phenomena are revealed in inconsiderable increase of the mean electrical activity during the locomotor cycle, in absence of the parabolic dependence in the curve of the summary integral of electrical activity for the locomotor cycle during walking at different cadence, in very limited zone of the optimal walking cadence, in slight growth of muscle capacity with increase of walking velocity. Authors suppose, that training of walking along treadmill and especially training with application of functional electrical stimulation (FES) must be realized with great care, what supposes determination of the optimal walking velocity (i.e. that velocity, which is accompanied by the maximal decrease of the energy expenditures), and also definition of the mean electrical activity (muscle capacity) and the summary integral for the distance of 10 m (work of muscle with an account of both cadence and the step length). Authors consider, that it is possible to apply FES during walking along treadmill only in those patients, who are able to walk with velocity 2.5 km/hour and more.

Two-dimensional analysis of gait parameters in schizophrenia – an observational study

Background. Gait analysis is a systematic study of human locomotion that involves evaluating body motions, body mechanics, and muscle activity Objective. To analyze spatiotemporal and kinematics variables in schizophrenia. Methodology. Non-Experimental study, convenient sampling, sample size was 15. Both men and women with 18 to 45 years of age were included in the study. Procedure. subjects were selected based on inclusion and exclusion criteria for analyzing the kinematic and spatio temporal parameters of gait in schizophrenia. Outcome measures. Spatiotemporal and kinematics variables were assessed by using 2D gait analysis with software from Auptimo technologies. Results. Gait analysis of schizophrenia shows significant increase in ankle plantar flexion p < 0.05, significant increase in knee flexion p < 0.05, and significant increase in hip flexion p < 0.05 shows in lateral view and in anterior view significant increase in knee abduction/ adduction p < 0.05, and in posterior view significant increase in contralateral pelvic drop p < 0.05, and significant increase in rear foot angle eversion p < 0.05. In spatiotemporal parameters of schizophrenia shows non significant changes in cadence p > 0.05, and shows significant changes in right and lest stance time, right and left swing, and gait cycle time p < 0.05. Conclusion. This study concluded that schizophrenia shows marked kinematic changes in ankle, knee and hip joint, in anterior view knee abduction and adduction shows notable changes, and in posterior view, significant changes in pelvic drop and rear foot angle, and spatio temporal parameters no apparent changes noted in cadence, and significant increases in stance phase time, swing phase time and gait cycle time.

Evaluation of in-shoe plantar pressure and shear during walking for diabetic foot ulcer prevention.

To investigate reliability and changes of in-shoe plantar pressure and shear during walking at three cadences with two insole designs. This was a precursor to the investigation of plantar loading in people with diabetes for potential foot ulcer prevention. A sensorised insole system, capable of measuring plantar pressure and shear at the heel, fifth metatarsal head (5MH), first metatarsal head (1MH) and hallux, was tested with ten healthy participants during level walking. Reliability was evaluated, using intra-class correlation coefficient (ICC), while varying the cadences and insole types. Percentage changes in pressure and shear relative to values obtained at self-selected cadence with a flat insole design were investigated. Mean±standard deviation of maximum pressure, medial-lateral and anterior-posterior shear of up to 380±24kPa, 46±2kPa and -71±4kPa, respectively, were measured. The ICC in ranges of 0.762-0.973, 0.758-0.987 and 0.800-0.980 were obtained for pressure, anterior-posterior and medial-lateral shear, respectively. Opposite anterior-posterior shear directions between 5MH and 1MH (stretching), and between 1MH and hallux (pinching) were observed for some participants. Increasing cadence increased pressure and anterior-posterior shear (by up to +77%) but reduced medial-lateral shear at the heel and hallux (by up to -34%). Slower cadence increased anterior-posterior shear (+114%) but decreased medial-lateral shear (-46%) at the hallux. The use of a flexible contoured insole resulted in pressure reduction at the heel and 5MH but an increase in anterior-posterior shear at the heel (+69%) and hallux (+75%). The insole system demonstrated good reliability and is comparable to reported pressure-only systems. Pressure measurements were sensitive to changes in cadence and insole designs in ways that were consistent with the literature. However, our plantar shear showed localised shear changes with cadences and insoles for the first time, as well as stretching and pinching effects on plantar tissue. This opens new possibilities to investigate plantar tissue viability, loading characteristics and orthotic designs aimed towards foot ulcer prevention.

Biomechanical Effects of Manipulating Preferred Cadence During Treadmill Walking in Patients With ACL Reconstruction.

Abnormal gait is common after anterior cruciate ligament reconstruction (ACLR) which may influence osteoarthritis risk in this population. Yet few gait retraining options currently exist in ACLR rehabilitation. Cueing cadence changes is a simple, low-cost method that can alter walking mechanics in healthy adults, but few studies have tested its effectiveness in an ACLR population. Here, we evaluated the acute effects of altering cadence on knee mechanics in patients 9 to 12 months post ACLR. Cueing larger steps will facilitate larger knee angles and moments, while cueing smaller steps would induce smaller knee angles and moments. Randomized cross-sectional design. Level 3. Twenty-eight patients with unilateral ACLR underwent gait assessments on a treadmill at preferred pace. Preferred walking gait was assessed first to obtain preferred cadence. Participants then completed trials while matching an audible beat set to 90% and 110% of preferred cadence in a randomized order. Three-dimensional sagittal and frontal plane biomechanics were evaluated bilaterally. Compared with preferred cadence, cueing larger steps induced larger peak knee flexion moments (KFMs) and knee extension excursions bilaterally (P < 0.01), whereas cueing smaller steps only reduced knee flexion excursions (P < 0.01). Knee adduction moments remain unchanged across conditions and were similar between limbs (P > 0.05). Peak KFMs and excursions were smaller in the injured compared with uninjured limb (P < 0.01). Frontal plane gait outcomes were unchanged across conditions suggesting acute cadence manipulations result in mainly sagittal plane adaptations. Follow-up studies using a longitudinal cadence biofeedback paradigm may be warranted to elucidate the utility of this gait retraining strategy after ACLR. Cueing changes in walking cadence can target sagittal plane knee loading and joint range of motion in ACLR participants. This strategy may offer high clinical translatability given it requires relatively minimal equipment (ie, free metronome app) outside of a treadmill.

Effect of Cadence on Physiological and Perceptual Responses during Eccentric Cycling at Different Power Outputs.

The effect of cadence in eccentric (ECC) cycling on physiological and perceptual responses is, to date, poorly understood. This study aimed to evaluate the effect of cadence during ECC cycling on muscular activation (EMG), oxygen consumption (V̇O 2 ), and perceived effort (PE) for two different levels of power output. Seventeen participants completed four sessions 1 wk apart: 1) determination of the maximal concentric peak power output (PPO) and familiarization with ECC cycling at five cadences (30, 45, 60, 75, and 90 rpm); 2) second familiarization with ECC cycling; 3) and 4) ECC cycling exercise consisting of 5 min at the five different cadences at either 40% or 60% PPO. PE was reported, and V̇O 2 and EMG of seven muscles were calculated over the exercise's last minute. PE, V̇O 2 , and global lower limb muscles activation (EMG ALL ) showed an effect of cadence ( P < 0.001) and followed a curvilinear function. Both low and high cadences increased PE and V̇O 2 responses compared with intermediate cadences. Although muscle activation of vastus lateralis follows a U-shaped curve with cadence, it was greater at low cadence for rectus femoris and biceps femoris, greater at high cadence for tibialis anterior and gastrocnemius medialis, and was not altered for soleus. The estimated optimal cadence was greater (all P < 0.01) for V̇O 2 (64.5 ± 7.9 rpm) than PE (61.7 ± 9.4 rpm) and EMG ALL (55.9 ± 9.3 rpm), but power output had no effect on the optimal cadences. The physiological and perceptual responses to changes in cadence during ECC cycling followed a U-shaped curve with an optimal cadence depending on the parameter considered.

Comparative Efficacy of Open-Chain Kinematics and Closed-Chain Kinematics on Walking Proficiency and Societal Integration in Post-Stroke Individuals

Background: Post-stroke hemiplegic gait is a mixture of deviations and compensatory motion dictated by residual function. To improve stroke survivors' walking ability, it is necessary to evaluate different rehabilitation approaches and identify those that have a greater effect on locomotor recovery of stroke patient. This will improve their general wellbeing by promoting better health and greater community participation, for faster societal integration. Aim: This study compared the effect of open-chain kinematics (bicycle ergometry) and closed-chain kinematics (treadmill) on walking proficiency in post-stroke individuals and their societal integration. Methods: This was a pretest-posttest experimental study involving 35 ambulatory hemiplegic stroke survivors (18 males and 17 females) with a mean age of (53.77 ± 10.95) undergoing rehabilitation at Lagos University Teaching Hospital, Idi Araba and Lagos State University Teaching Hospital, Ikeja. Patients went through 10-week rehabilitation and were randomly assigned to two intervention groups (treadmill and bicycle ergometry groups). Spatio-temporal gait parameters were measured by the six-metre walkway and community integrated questionnaire was used to examine home integration, social integration and productive activities. Data were subjected to inferential and descriptive statistics. Paired t-test was used to analyse the outcomes within the two groups and independent t-test was used to analyse the data between the groups. The level of significance was set at p ≤ 0.05. Results: Results showed significant difference between baseline and post intervention scores for all the gait parameters; stride length (p = 0.001), step length (p = 0.00), natural gait speed (p = 0.00), maximum gait speed (p = 0.01), cadence (p = 0.00) and community integration (p = 0.00) for the participants in the treadmill group; step length (p = 0.001), natural gait speed (p = 0.01), maximum gait (p = 0.02), cadence (p = 0.03) and community integration (p = 0.00) for the participants in the bicycle ergometer group except for stride length which showed no significance difference (p = 0.078). There was also a significant difference in the mean change in cadence between the treadmill and bicycle ergometer group (p = 0.04). Conclusion: Both open-chain and closed-chain kinematics are effective, but closed- chain is most effective in re-educating ambulation and re-gaining spatio-temporal gait parameters after stroke and should be structured into the patients’ treatment regimen to effectively improve functional capability in post-stroke individuals.

Rhythmic auditory cueing in atypical parkinsonism: A pilot study.

Rhythmic auditory cueing (RAC) can improve gait parameters in neurological disorders such as Parkinson's disease and stroke. However, there is a lack of research on the effects of RAC in patients with atypical parkinsonian disorders (APD). Using a smartphone metronome application, we aimed to investigate the immediate effects of RAC in patients with clinically diagnosed APD, namely Progressive Supranuclear Palsy (PSP-Richardson Syndrome and other variants, PSP-nonRS), Corticobasal Syndrome (CBS), Multiple System Atrophy (MSA), and Dementia with Lewy Bodies (DLB). A total of 46 APD participants (25 PSP, 9 CBS, 8 MSA and 4 DLB; age: mean = 70.17, standard deviation = 7.15) walked at their preferred pace for 2 min without any rhythmic auditory cueing (RAC). Participants then walked the same path for another 2 min with RAC set at a tempo 10% faster than the baseline cadence of each participant. After a 10-15-min break, participants walked the same path for another 2 min without RAC to observe for carryover effects. Gait parameters [cadence (steps/minute), gait velocity (meters/minute), and stride length (centimeters)] were collected at baseline, during RAC, and post-RAC. There was a significant improvement in cadence in all participants from baseline to during RAC and post-RAC (corrected p-values = 0.009 for both). Gait velocity also improved from baseline to during RAC and post-RAC in all participants, although this improvement was not significant after correcting for multiple comparisons. The changes in cadence and gait velocity were most pronounced in PSP. In addition, our exploratory analysis showed that the cadence in the suspected TAU group (PSP+CBS) showed a significant improvement from baseline to during RAC and post-RAC (corr. p-value = 0.004 for both). This pilot study using short-term RAC in APD patients demonstrated improvements in cadence and velocity. There is an urgent need for effective gait rehabilitation modalities for patients with APD, and rhythmic cueing can be a practical and useful intervention to improve their gait pattern.

Changes in Cost of Locomotion Are Higher after Endurance Cycling Than Running When Matched for Intensity and Duration.

Cost of locomotion (C L ) has been shown to increase after endurance running and cycling bouts. The main purpose of this study was to compare, in the same participants, the effect of both modalities on C L when matched for relative intensity and duration. Seventeen recreational athletes performed two incremental tests in running and cycling to determine the first ventilatory threshold then two 3-h bouts of exercise at 105% of threshold, with gas exchange measurements taken for 10 min at the start, middle and end of the 3 h to calculate C L . Neuromuscular fatigue during isometric knee extensor contractions and force-velocity profile on a cycle ergometer were assessed before and immediately after the 3-h trials. C L significantly increased at mid (+3.7%, P = 0.006) and end (+7.4%, P < 0.001) of exercise for cycling compared with start, whereas it did not change with time for running. Cardio-respiratory and metabolic variables changed similarly for cycling and running, therefore not explaining the time-course differences in C L between modalities. Changes in C L during cycling correlated significantly with loss of maximal force extrapolated from the force-velocity profile ( r = 0.637, P = 0.006) and changes in cadence ( r = 0.784, P < 0.001). The type of locomotion influences the effects of exercise on energy cost because 3 h of exercise at the same relative intensity caused a significant increase of cycling C L , and no changes in running C L . The changes in C L in cycling are likely due, at least in part, to fatigue in the locomotor muscles.

Running-style modulation: Effects of stance-time and flight-time instructions on duty factor and cadence

BackgroundThe duty factor (reflecting the ratio of stance to flight time) is an important variable related to running performance, economy, and injury risk. According to the dual-axis model, the duty factor and the cadence are sufficient to describe an individual’s running style at a certain speed. To test this model, one should be able to modulate both variables independently. While acoustic pacing is an established method for cadence modulation, no such method is available for duty-factor modulation. Research questionsCan people modulate their duty factor based on verbal instructions to change either their stance or flight time without changing their cadence? And, if so, which instruction is most effective? MethodsTwelve participants ran on an instrumented treadmill and completed four training blocks starting with a baseline trial and ending with a performance trial in which they followed verbal instructions to both increase and decrease their stance and flight time. Acoustic pacing at their preferred cadence was present during the first part of each trial. We calculated the duty factor and cadence for paced and non-paced parts of each trial, assessed the effectiveness of the instructions aimed at changing the duty factor, and examined the effects of instructions and acoustic pacing on cadence using Bayesian statistics. ResultsThe duty factor changed in intended directions with verbal instructions to increase and decrease the stance and flight time (18.04 ≤ BF10 ≤ 4954.42), without differences between the instructions or during and after acoustic pacing. The instructions and acoustic pacing did not result in a consistent change in cadence (0.40 ≤ BF10 ≤ 2.59). SignificanceRunners can change their duty factor through verbal instructions pertaining to stance or flight time, without clear concomitant effects on cadence. Running styles can thus be altered with verbal instructions to change stance or flight time for duty-factor modulation, optionally combined with acoustic pacing to prescribe cadence.

Displacement Mechanomyography Reflects Mechanical Pedaling Force of Muscle Associated with Changes in Cadence and Work Rate During Pedaling

Displacement Mechanomyography Reflects Mechanical Pedaling Force of Muscle Associated with Changes in Cadence and Work Rate During Pedaling

Detecting a Novel Walking-Based Performance Fatigability Marker With Accelerometry in Older Adults

Walking-based performance fatigability measures (e.g., lap-time difference) may not adequately capture performance deterioration as self-pacing is a common compensatory strategy in those with low activity tolerance. To overcome this limitation, we developed a new approach with accelerometry (ActiGraph GT3X+, sampling=80 Hz, non-dominant wrist) during fast-paced 400m-walk (N=57, age=78.7±5.7 years, women=53%). Cadence (steps/second) was estimated using raw accelerometer data (R “ADEPT”). Penalized regression splines (R “mgcv”) were used to estimate the individual-level smoothed cadence trajectories. “Time-to-slow-down” was defined as first time-point where the full confidence interval of change in cadence<0. Five participants were censored at stopping time (not slowdown or complete walk). Median “time-to-slow-down” was 1.86 minutes (IQR=0.98-2.73, range=0.57-6.25). Participants with longer “time-to-slow-down” had slower starting cadence, longer 400m-walk time, and greater perceived fatigability (Pittsburgh Fatigability Scale), p’s<0.05 (linear regression). Our preliminary findings revealed that detecting accelerometry-based performance fatigability/deterioration in older adults is feasible and needs to account for initial pace.

Assessment of accelerometer-derived data in the context of seat height changes in cycling and the impact on running in triathlon

Triathlon has been an Olympic sport since the 2000 Sydney Olympics and has developed rapidly, leading to variations in race categories. Although running after cycling necessitates a postural change from a non-weight-bearing activity to a weight bearing one, no study has quantified the magnitude of trunk acceleration during cycling in different seat positions and the consequential effect on running. Therefore, this study was conducted to evaluate the effectiveness of a triaxial accelerometer to determine acceleration magnitudes of the trunk in a 20 km outdoor cycling event in two seat positions that were immediately followed by a 5 km overground run. Interpretation of data was evaluated based on cadence changes while triathletes cycled in an aerodynamic position in two seat positions. Running data was evaluated based on sinusoidal curves and foot strike peaks. The evaluation of accelerometer derived data within a characteristic overground setting suggests that cycling in an adjusted seat position significantly reduced trunk acceleration in both longitudinal and mediolateral directions with large effects ( p &lt; 0.0001, d &gt; 0.9). A significant and large effect was found in both longitudinal and anteroposterior trunk acceleration in post-cycle running between seat positions ( d &gt; 0.9, p &lt; 0.0001). In the longitudinal direction, a significant reduction in trunk acceleration occurred when running after the seat was adjusted with participants completing the 5 km run faster (21:55 ± 3:17 min compared to 22:05 ± 2:53 min). The results suggest that when the seat position is adjusted based on individual anthropometrics, overall trunk acceleration magnitude is reduced in both cycling and running. Accessible and practical sensor technology could be beneficial for postural considerations in triathlons.

Cycling performance prediction based on cadence analysis by using multiple regression

This project examined the influence of the cadence, speed, heart rate and power towards the cycling performance by using Garmin Edge 1000. Any change in cadence will affect the speed, heart rate and power of the novice cyclist and the changes pattern will be observed through mobile devices installed with Garmin Connect application. Every results will be recorded for the next task which analysis the collected data by using machine learning algorithm which is Regression analysis. Regression analysis is a statistical method for modelling the connection between one or more independent variables and a dependent (target) variable. Regression analysis is required to answer these types of prediction problems in machine learning. Regression is a supervised learning technique that aids in the discovery of variable correlations and allows for the prediction of a continuous output variable based on one or more predictor variables. A total of forty days’ worth of events were captured in the dataset. Cadence act as dependent variable, (y) while speed, heart rate and power act as independent variable, (x) in prediction of the cycling performance. Simple linear regression is defined as linear regression with only one input variable (x). When there are several input variables, the linear regression is referred to as multiple linear regression. The research uses a linear regression technique to predict cycling performance based on cadence analysis. The linear regression algorithm reveals a linear relationship between a dependent (y) variable and one or more independent (y) variables, thus the name. Because linear regression reveals a linear relationship, it determines how the value of the dependent variable changes as the value of the independent variable changes. This analysis use the Mean Squared Error (MSE) expense function for Linear Regression, which is the average of squared errors between expected and real values. Value of R squared had been recorded in this project. A low R-squared value means that the independent variable is not describing any of the difference in the dependent variable-regardless of variable importance, this is letting know that the defined independent variable, although meaningful, is not responsible for much of the variance in the dependent variable’s mean. By using multiple regression, the value of R-squared in this project is acceptable because over than 0.7 and as known this project based on human behaviour and usually the R-squared value hardly to have more than 0.3 if involve human factor but in this project the R-squared is acceptable.

The Effect of Cleat Position on Running Using Acceleration-Derived Data in the Context of Triathlons.

Appropriate cycling cleat adjustment could improve triathlon performance in both cycling and running. Prior recommendations regarding cleat adjustment have comprised aligning the first metatarsal head above the pedal spindle or somewhat forward. However, contemporary research has questioned this approach in triathlons due to the need to run immediately after cycling. Subsequently, moving the pedal cleat posteriorly could be more appropriate. This study evaluated the effectiveness of a triaxial accelerometer to determine acceleration magnitudes of the trunk in outdoor cycling in two different bicycle cleat positions and the consequential impact on trunk acceleration during running. Seven recreational triathletes performed a 20 km cycle and a 5 km run using their own triathlon bicycle complete with aerodynamic bars and gearing. Interpretation of data was evaluated based on cadence changes whilst triathletes cycled in an aerodynamic position in two cleat positions immediately followed by a self-paced overground run. The evaluation of accelerometer-derived data within a characteristic overground setting suggests a significant increase in total trunk acceleration magnitude during cycling with a posterior cleat with significant increases to longitudinal acceleration (p = 0.04) despite a small effect (d = 0.2) to the ratings of perceived exertion (RPE). Cycling with a posterior cleat significantly reduced longitudinal trunk acceleration in running and overall acceleration magnitudes (p < 0.0001) with a large effect size (d = 0.9) and a significant reduction in RPE (p = 0.02). In addition, running after cycling in a posterior cleat was faster compared to running after cycling in a standard cleat location. Practically, the magnitude of trunk acceleration during cycling in a posterior cleat position as well as running after posterior cleat cycling differed from that when cycling in the fore-aft position followed by running. Therefore, the notion that running varies after cycling is not merely an individual athlete’s perception, but a valid observation that can be modified when cleat position is altered. Training specifically with a posterior cleat in cycling might improve running performance when trunk accelerations are analysed.

Effect of Increasing Running Cadence on Peak Impact Force in an Outdoor Environment.

BackgroundAn estimated 56% of recreational runners sustain a running-related injury related to the high impact forces in running. Increasing step frequency (cadence) while maintaining a consistent speed has been shown to be an effective way to lower impact forces which may reduce injury risk.PurposeTo examine effects of increased cadence on peak impact force during running in an outdoor setting. It was hypothesized that as cadence increases, peak force would decrease.Study DesignRepeated measures, quasi-experimentalMethodsPeak force and cadence measurements were collected from 15 recreational runners (8 females, 7 males) during two 2.4-mile outdoor runs. Peak force was measured using an insole-based load measuring device. Baseline session run was completed at participant’s naturally preferred cadence and cadence session run was completed at a cadence targeted to be 10% greater than baseline. Pace was monitored with a GPS watch. Cadence was cued by an auditory metronome and measured with both GPS watch and insoles. Repeated-measures ANOVA’s examined the differences in average peak force, GPS-reported cadence, and insole-reported cadence between mile 1 and mile 2, and across the two cadence conditions.ResultsCadence differences of 7.3% were observed between baseline and cadence sessions (p<0.001). A concurrent decrease in average peak force of 5.6% was demonstrated during the cadence run (p<0.05). Average cadences measured by GPS watch and insoles were found to be the same at both baseline (p=0.096) and during cadence (p=0.352) sessions.ConclusionIncreasing cadence by an average of 7% in an outdoor setting resulted in a decrease in peak force at two different time points during a 2.4-mile run. Furthermore, using a metronome for in-field cadence manipulation led to a change in cadence. This suggests that a metronome may be an effective tool to manipulate cadence for the purpose of decreasing peak impact force in an outdoor setting.Level of evidence3b

A Novel Framework for Quantifying Accuracy and Precision of Event Detection Algorithms in FES-Cycling.

Functional electrical stimulation (FES) is a technique used in rehabilitation, allowing the recreation or facilitation of a movement or function, by electrically inducing the activation of targeted muscles. FES during cycling often uses activation patterns which are based on the crank angle of the pedals. Dynamic changes in their underlying predefined geometrical models (e.g., change in seating position) can lead to desynchronised contractions. Adaptive algorithms with a real-time interpretation of anatomical segments can avoid this and open new possibilities for the automatic design of stimulation patterns. However, their ability to accurately and precisely detect stimulation triggering events has to be evaluated in order to ensure their adaptability to real-case applications in various conditions. In this study, three algorithms (Hilbert, BSgonio, and Gait Cycle Index (GCI) Observer) were evaluated on passive cycling inertial data of six participants with spinal cord injury (SCI). For standardised comparison, a linear phase reference baseline was used to define target events (i.e., 10%, 40%, 60%, and 90% of the cycle’s progress). Limits of agreement (LoA) of ±10% of the cycle’s duration and Lin’s concordance correlation coefficient (CCC) were used to evaluate the accuracy and precision of the algorithm’s event detections. The delays in the detection were determined for each algorithm over 780 events. Analysis showed that the Hilbert and BSgonio algorithms validated the selected criteria (LoA: +5.17/−6.34% and +2.25/−2.51%, respectively), while the GCI Observer did not (LoA: +8.59/−27.89%). When evaluating control algorithms, it is paramount to define appropriate criteria in the context of the targeted practical application. To this end, normalising delays in event detection to the cycle’s duration enables the use of a criterion that stays invariable to changes in cadence. Lin’s CCC, comparing both linear correlation and strength of agreement between methods, also provides a reliable way of confirming comparisons between new control methods and an existing reference.

Cadence-Insensitive Soft Exoskeleton Design With Adaptive Gait State Detection and Iterative Force Control

Soft exoskeletons have demonstrated the potential to save energy, but their efficiency is sensitive to variations in human gait cadence. This work aims to develop adaptive gait state detection and iterative force control methods for a soft exoskeleton to reduce human walking metabolic cost consistently, while the user may change walking cadence. The proposed approach is motivated by the rhythmicity of gait and applies an iterative learning concept to enhance the exoskeleton’s adaptability to varying walking conditions. The gait state detection method proposed for the designed exoskeleton combines two feature extraction algorithms, which can learn from the present and past body kinematic data, to provide accurate user gait state detection. Based on the state, the proposed force control method iteratively adjusts the commands to keep track of the desired profile. Experiments have been conducted on healthy subjects walking with varying cadence using the soft exoskeleton. Promising results were presented in separate validation tests. Moreover, metabolic costs of subjects walking under one unpowered and two powered conditions, where the assistance profiles were produced by classical methods and the proposed methods, showed that the proposed methods can effectively improve the exoskeleton’s ability to save human energy of walking with varying cadence. <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Note to Practitioners</i> —Lower limb exoskeletons have demonstrated the potential to save human energy in medical and industrial applications. The main purpose of this work is to solve the exoskeleton assistance efficiency loss problem for users walking with changing cadence. Constant cadence is unlikely maintained during natural human walking. Few existing exoskeletons could retain high efficiency under user cadence changes, limited by their control system capability. This work presents a new cable-driven cadence-insensitive soft exoskeleton, which is purposely designed with two adaptive methods to enable the device to offer consistent benefit to users walking with varying cadence. The proposed methods are inspired by the rhythmicity of human gait and can be iteratively reconfigured to perform accurate human gait state detection and assistive force tracking. The proposed methods have the potential to be integrated into other human-oriented robots to improve their adaptability. This work can greatly enhance the possibility of using the walking assist robotic devices in more practical applications.

Evaluation of Accelerometer-Derived Data in the Context of Cycling Cadence and Saddle Height Changes in Triathlon.

In the multisport of triathlon cycling is the longest of the three sequential disciplines. Triathlon bicycles differ from road bicycles with steeper seat tube angles with a change to saddle height altering the seat tube angle. This study evaluated the effectiveness of a tri axial accelerometer to determine acceleration magnitudes of the trunk in outdoor cycling in two saddle positions. Interpretation of data was evaluated based on cadence changes whilst triathletes cycled in an aerodynamic position in two saddle positions. The evaluation of accelerometer derived data within a characteristic overground setting suggests a significant reduction in mediolateral acceleration of the trunk, yielding a 25.1% decrease when saddle height was altered alongside reduced rate of perceived exertion (3.9%). Minimal differences were observed in anteroposterior and longitudinal acceleration. Evaluation of sensor data revealed a polynomial expression of the subtle changes between both saddle positions. This study shows that a triaxial accelerometer has capability to continuously measure acceleration magnitude of trunk movements during an in-the-field, varied cadence cycle protocol. Accessible and practical sensor technology could be relevant for postural considerations when exploring saddle position in dynamic settings.