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Biomedical subjects

Thurmon E Lockhart

Publications and source records attributed to Thurmon E Lockhart.

6 recordsLinked to original sources

Age-related slip avoidance strategy while walking over a known slippery floor surface.

When confronted with impending slip/fall situations, gait parameters are adjusted accordingly to avoid slipping. This study was conducted to assess age-related slip avoidance strategy by measuring gait parameters and muscle activity characteristics of the lower extremities (hamstrings, calves, and quadriceps) of both young and older participants while ambulating successfully over a known slippery floor surface. Fourteen younger and 14 older adults participated in this study. First, a baseline measure was collected to study normal gait prior to any exposure to slipping. A second measure was collected following a slip from a contaminated floor surface, but before the initiation of a second slip, where the participants were able to view the contaminated surface before traversing it. The results indicated that there were significant gait parameter differences between normal-dry walking conditions and contaminated-slippery walking conditions. In general, participants (young and old) reduced step length, friction utilization, and heel contact velocity from normal gait to adjusted gait conditions. Furthermore, results also indicated that there were differences in gait parameters and muscle activity characteristics between the two age groups for both a normal gait condition and a gait condition requiring adjustment. Findings suggested that older individuals required an additional step to properly adjust gait for a contaminated walking surface.

Accidental Falls↗

Comparison of 3D joint moments using local and global inverse dynamics approaches among three different age groups.

A complete understanding of joint moment is important to locomotion research. The purpose of the study was to compare stance phase lower extremity joint moments, calculated by a three-dimensional (3D) inverse dynamics model and expressed in global and local coordinate systems, to examine the influence of different coordinate systems on joint moment profiles. Additionally, aging influences on joint moments were examined. Thirty healthy (10 young, 10 middle-aged and 10 old) participants were involved in the current study. Kinematic and kinetic data were collected using standard gait study protocol. Results suggested that globally expressed joint moments were significantly different than those expressed locally. Furthermore, significant moment differences were found between young and old age groups. The older adults produced less evertor muscle moments at the ankle joint. However, aging effect was not significant for majority of the joint moment comparisons. It is concluded that coordinate system need to be carefully chosen, and specified in 3D joint moment analysis, while significant error introduced by using 2D analysis need to be considered.

Adult↗

Relationship between hamstring activation rate and heel contact velocity: factors influencing age-related slip-induced falls.

The purpose of this research was to determine whether a decreased hamstring activation rate among the elderly is responsible for a higher horizontal heel contact velocity and increased likelihood of slip-induced falls compared to their younger counterparts. Twenty-eight subjects from two age groups (14 young and 14 old) walked across a linear walking track with embedded force platforms while wearing a fall arresting harness attached to an overhead arresting rig for safety. In order to obtain realistic unexpected slip-induced fall data, a soapy vinyl floor surface was hidden from the subjects and unexpectedly introduced. Synchronized kinematics, kinetic and electromyography (EMG) analyses during the heel contact phase of the gait cycle while walking over slippery and non-slippery floor surfaces were examined in the study. Normalized EMG data were examined in terms of hamstring activation rate and evaluated with heel contact velocity and friction demand characteristic (as measured by peak required coefficient of friction (RCOF)) on the dry vinyl floor surface. Furthermore, slip parameters (i.e. slip distances and slipping velocity) were assessed on the soapy vinyl floor surface. The results indicated that younger adults' hamstring activation rate was higher than older adults, whereas younger adults' heel contact velocity was not different from older adults. These results suggested that heel contact velocity in younger adults was sufficiently reduced before the heel contact phase of the gait cycle. This could be due to the outcome of higher hamstring activation rate in younger adults in comparison to older adults. However, lower friction demand (peak RCOF), shorter slip distances, slower peak sliding heel velocity and more falls among older adults suggested that the slip initiation characteristics were not the only factors contributing to slip-induced falls among the elderly.

Accidental Falls↗

Effects of aging on the biomechanics of slips and falls.

Although much has been learned in recent decades about the deterioration of muscular strength, gait adaptations, and sensory degradation among older adults, little is known about how these intrinsic changes affect biomechanical parameters associated with slip-induced fall accidents. In general, the objective of this laboratory study was to investigate the process of initiation, detection, and recovery of inadvertent slips and falls. We examined the initiation of and recovery from foot slips among three age groups utilizing biomechanical parameters, muscle strength, and sensory measurements. Forty-two young, middle-age, and older participants walked around a walking track at a comfortable pace. Slippery floor surfaces were placed on the track over force platforms at random intervals without the participants' awareness. Results indicated that younger participants slipped as often as the older participants, suggesting that the likelihood of slip initiation is similar across all age groups; however, older individuals' recovery process was much slower and less effective. The ability to successfully recover from a slip (thus preventing a fall) is believed to be affected by lower extremity muscle strength and sensory degradation among older individuals. Results from this research can help pinpoint possible intervention strategies for improving dynamic equilibrium among older adults.

Accidental Falls↗

Gender differences among sagittal plane knee kinematic and ground reaction force characteristics during a rapid sprint and cut maneuver.

Women are more prone to anterior cruciate ligament (ACL) injury during cutting sports than men. The purpose of this study was to examine knee kinematic and ground reaction forces (GRF) differences between genders during cutting. Male and female athletes performed cutting trials while force platform and video data were recorded (180 Hz). Differences (p < . 05) were observed between groups for knee flexion at contact and GRF at maximum knee flexion. Women averaged 5.8 degrees less flexion at contact and 1.0 N. (kg x m x s(-1))(-1) greater GRF at maximum flexion. Knee range of motion and peak GRF variables were not significantly different, but women had greater values. Women exhibited technique characteristics believed to increase ACL injury risk, but men exhibiting similar characteristics were also observed and could also be at risk.

Adolescent↗

Effects of age-related gait changes on the biomechanics of slips and falls.

A laboratory study was conducted to examine gait changes associated with aging and the effect of these changes on initiation of slips and frequency of falls utilizing newly defined biomechanical parameters of slips and falls. Twenty-eight participants from two age groups (young and old) walked around a circular track at a comfortable pace wearing a safety harness. A slippery floor surface was placed on the walking track over the force plate at random time intervals without the participants' awareness. Synchronized kinetic and kinematic measurements were obtained on both slippery and non-slippery walking surfaces. The results indicated that older participants' horizontal heel contact velocity was significantly faster, step length was significantly shorter, and transitional acceleration of the whole body centre-of-mass (COM) was significantly slower than younger participants. Older participants' initial friction demand, as measured by required coefficient of friction (RCOF), was not significantly different than their younger counterparts. Additionally, older participants slipped longer and faster, and fell more often than younger participants. A comparison of horizontal heel contact velocity for participants who fell with participants who did not fall indicated that, in general, fallers' horizontal heel contact velocity was faster than non-fallers. However, a comparison of RCOF for participants who fell with participants who did not fall suggested that RCOF was not a totally deterministic factor influencing actual fall events. These findings suggest that gait changes associated with aging (especially higher horizontal heel contact velocity and slower transition of the whole body COM) affect initiation of slip-induced falls.

Accidental Falls↗