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Where and when do we look as we approach and step over an obstacle in the travel path?

Spatio-temporal gaze behaviour patterns were analysed as normal participants wearing a mobile eye tracker approached and stepped over obstacles of varying height in the travel path. We examined the frequency and duration of three types of gaze fixation with respect to the participants' stepping patterns: obstacle fixation (ObsFix); travel fixation (TravFix) (when the gaze is stable and travelling at the speed of whole body) and fixation in the 4-6m region (Fix4-6). During the approach phase to the obstacle, participants fixated on the obstacle for approximately 20% of the travel time. Only Fix4-6 duration was modulated as a function of obstacle height by regulating the frequency and reflected the increased time needed for detection of the small low contrast obstacle in the travel path. Frequency of ObsFix increased significantly as a function of obstacle height and reflected visuo-motor transformation needed for limb elevation control. Participants did not fixate on the obstacle as they were stepping over, but did the planning in the steps before. TravFix duration and frequency was constant while Fix4-6 duration was higher in the step before and step over the obstacle reflecting visual search of the landing area for the lead limb following obstacle avoidance. These results clearly show that obstacle information provided by vision is used in a feed-forward rather than on-line control mode to regulate locomotion. Information about self-motion acquired from optic flow during TravFix can be used to control velocity of locomotion.

Fixation, Ocular↗

Control of lead and trail limbs during obstacle crossing following stroke.

BACKGROUND AND PURPOSE: Obstacle crossing is compromised following stroke. The purpose of this study was to quantify modifications during obstacle clearance following stroke. SUBJECTS: Twelve subjects with stroke and 12 subjects without stroke participated in the study. METHODS: Kinematic variables were measured while participants crossed a 4-cm-high obstacle. Subjects with stroke walked at a self-selected speed; subjects without stroke walked at a comparable speed and at a self-selected speed. RESULTS: Several modifications were observed following stroke with both groups walking at self-selected speeds. The affected lead limb was positioned closer to the obstacle before crossing. Affected trail-limb clearance over the obstacle was reduced. Both affected and unaffected lead and trail limbs landed closer to the obstacle after clearance. Swing time was increased in the affected lead limb after obstacle clearance. Fewer modifications were detected at matched walking speed; the trail limb still landed closer to the obstacle. DISCUSSION AND CONCLUSION: Modifications during obstacle crossing following stroke may be partly related to walking speed. The findings raise issues of safety because people with stroke demonstrated reduced clearance of a 4-cm obstacle and limb placement closer to the obstacle after clearance.

Aged↗

Children use different anticipatory control strategies than adults to circumvent an obstacle in the travel path.

Carrying out the daily activities of work and play requires the ability to integrate available sensory information in order to navigate complex, potentially cluttered, environments. The expression of locomotor adjustment behaviour is still maturing during mid- to late-childhood (Grasso et al. in Neurosci Biobehav Rev 22(4): 533-539, 1998a; McFadyen et al. in Gait Posture 13:7-16, 2001), which raises the question, do children coordinate their body segments differently than adults when circumventing an obstacle in their travel path? Healthy young children (n=5; age 10.3+/-1.5 years) and adults (n=6; age 26.3+/-2.9 years) were asked to walk at their natural pace during unobstructed walking, as well as during the avoidance to the right or left of a cylindrical obstacle located in the travel path 3 m from the initial starting position. Fourteen infrared markers were fixed to participants and tracked using the Optotrak motion analysis system (60 Hz; Northern Digital Inc, Canada). Data analyses included center of mass (COM) clearance from the obstacle, gait speed, angular movement of the head and trunk (yaw, pitch and roll) and medial-lateral (M-L) COM displacement. Onset of change in these variables from unobstructed walking was also calculated as the time from OBS crossing. Although there were no differences in when adults or children altered their M-L COM trajectory, adults reoriented their head and trunk segments at the same time as their COM while children reoriented their head and trunk prior to changing COM direction. A comparison of foot placement data for this task indicated that while adults changed their gait patterns well in advance of obstacle crossing, children initiated M-L adjustments to gait patterns just prior to OBS crossing. Vallis and McFadyen (Exp Brain Res 152 (3):409-414, 2003) indicated that during circumvention of an obstacle, adults coordinate body segments for a single transient change in COM trajectory while maintaining the underlying travel direction. The present data suggest, however, that children partition obstacle avoidance into two tasks, initially steering with proactive movement of the head and trunk segments and finally making adjustments to their gait trajectory, via stride and step width changes, to ensure adequate obstacle clearance just prior to obstacle crossing. This study demonstrates different anticipatory control strategies used by children as compared to adults to circumvent obstacles in the travel path. The different head and trunk anticipatory segmental coordination suggests that children gather visual information differently when circumventing an obstacle in their travel path and are more dependent on visual input to guide their circumvention strategy.

Adult↗

Time-domain analysis of foot-ground reaction forces in negotiating obstacles.

In recent years there has been increasing interest in the kinetic and kinematic characteristics of adaptations to obstacles and the contribution of these measures to understanding processes of gait control. This study investigated the lead and trail foot kinetic characteristics of unobstructed walking and stepping over obstacles for unimpaired, healthy adult males (n=6) and females (n=6). Two strain-gauged force platforms were employed during free-speed ambulation and stepping over obstacles adjusted to 10, 20 and 30% of leg length. In stepping over obstacles subjects increased obstacle-crossing step lengths and reduced obstacle-crossing speed as a function of obstacle height. The force-time data revealed that, compared with the lead foot, the trail foot generated greater vertical and anterior-posterior force during the push-off/propulsive phase across all obstacle conditions, had lower vertical peak force during mid-stance and produced greater vertical and anterior posterior impulses. While maximum propulsive force increased with obstacle height, its timing in the normalized step cycle was uninfluenced by height. Collectively, the results showed that the constraints of stepping over obstacles imposed different kinetic demands on the lead and trail foot; this is reflected in a complex interaction of braking and propulsive forces. Regulation of the step in this task was not mediated by a single parameter, such as vertical impulse. Copyright 1997 Elsevier Science B.V.

Journal Article↗

Stepping over obstacles: dividing attention impairs performance of old more than young adults.

BACKGROUND: Tripping over an obstacle is a common cause of falls in the elderly. An earlier study of abilities to avoid stepping on suddenly appearing obstacles found that, although healthy old adults had a lower rate-of-success than young adults, the magnitude of that difference was not large. The present study inquired whether dividing attention during such a task would differentially affect young and old healthy adults. METHODS: Rates-of-success were observed in 16 young and 16 old healthy adults (mean ages 24 and 72 years) in avoiding stepping on a band of light that was suddenly projected across their gait path while they walked at their comfortable gait speed. This virtual obstacle was placed at predicted next-footfall locations to give 350 or 450 msec available response times before footfall. During most of the trials the subjects were asked, in addition to trying not to step on the obstacle, simultaneously to respond vocally as quickly as possible when red lights near the end of the walkway turned on. These attention-dividing reaction time tests were of two types: synchronized, when only red lights lit at intervals synchronized with the appearance of the obstacle, and unsynchronized, when green or yellow lights lit in addition to the red lights, with lighting intervals not synchronized with the appearance of the obstacle. RESULTS: When synchronized and unsynchronized reaction time tests were conducted concurrently with the obstacle avoidance tasks, mean rates-of-success in avoidance decreased significantly in both young and old adults. With available response times of 350 msec, mean success rates decreased from their no-division values in the young adults by 14.7% for synchronized reaction and by 19.9% for unsynchronized reaction, attention-dividing tests. Corresponding mean decreases for the old adults were 32.0 and 35.7%. This age difference in the effects of dividing attention was significant. CONCLUSION: Both young and old adults had a significantly increased risk of obstacle contact while negotiating obstacles when their attention was divided, but dividing attention degraded obstacle avoidance abilities of the old significantly more than it did in the young. Diminished abilities to respond to physical hazards present in the environment when attention is directed elsewhere may partially account for high rates of falls among the elderly.

Accidental Falls↗

Spiral wave attachment to millimeter-sized obstacles.

BACKGROUND: Functional reentry in the heart takes the form of spiral waves. Drifting spiral waves can become pinned to anatomic obstacles and thus attain stability and persistence. Lidocaine is an antiarrhythmic agent commonly used to treat ventricular tachycardia clinically. We examined the ability of small obstacles to anchor spiral waves and the effect of lidocaine on their attachment. METHODS AND RESULTS: Spiral waves were electrically induced in confluent monolayers of cultured, neonatal rat cardiomyocytes. Small, circular anatomic obstacles (0.6 to 2.6 mm in diameter) were situated in the center of the monolayers to provide an anchoring site. Eighty reentry episodes consisting of at least 4 revolutions were studied. In 36 episodes, the spiral wave attached to the obstacle and became stationary and sustained, with a shorter reentry cycle length and higher rate. Spiral waves could attach to obstacles as small as 0.6 mm, with a likelihood for attachment that increased with obstacle size. After attachment, both conduction velocity of the wave-front tip and wavelength near the obstacle adapted from their pre-reentry values and increased linearly with obstacle size. In contrast, reentry cycle length did not correlate significantly with obstacle size. Addition of lidocaine 90 mumol/L depressed conduction velocity, increased reentry cycle length, and caused attached spiral waves to become quasi- attached to the obstacle or terminate. CONCLUSIONS: Anchored spiral waves exhibit properties of both unattached spiral waves and anatomic reentry. Their behavior may be representative of functional reentry dynamics in cardiac tissue, particularly in the setting of monomorphic tachyarrhythmias.

Animals↗

Kinetic and energetic patterns for hindlimb obstacle avoidance during cat locomotion.

The safe control of walking over different terrains requires appropriate adaptations in the dynamic and kinematic limb patterns. To date, the study of locomotor dynamics in the cat has been confined to level, unobstructed walking. The present study extends the work of Lavoie et al. by applying linked segment analyses to estimate muscle contributions to torque and mechanical power at the hindlimb joints of two female cats during both unobstructed walking and obstacle avoidance. Data during obstacle avoidance were analyzed both when the hindlimb led in clearance and was farthest from the obstacle, and when it trailed in clearance and was closest or near to the obstacle. It was found that, in both the Far and Near obstructed conditions, the cats cleared the obstacles primarily by increasing the knee flexor torque already used during unobstructed gait. Contributions from the hip and ankle muscle groups were more variable. There was more emphasis on the hip extensors in mid to late stance, and the hip flexors generated a small amount of energy at paw-lift in the Far condition. In the Near condition, the hip extensors were employed to control hip flexion. We suggest that hip flexor generation power in mid-swing contributes to the clearance of the upcoming obstacle in the Far condition while, in the Near condition, hip flexion advances the already extended limb ahead of the obstacle. The ankle was actively dorsiflexed in the Near condition but was maintained in extension in the Far condition. The emphasis on active knee flexor control by the cat to avoid obstacles, as well as the dependence of ankle control on obstacle proximity, is similar to strategies seen for humans. However, the knee flexor strategy is innate to the cat's normal level walking control, whereas in humans active knee flexion at toe-off requires a reorganization from level, non-obstructed gait.

Adaptation, Physiological↗

Wavelet formation in excitable cardiac tissue: the role of wavefront-obstacle interactions in initiating high-frequency fibrillatory-like arrhythmias.

High-frequency arrhythmias leading to fibrillation are often associated with the presence of inhomogeneities (obstacles) in cardiac tissue and reduced excitability of cardiac cells. Studies of antiarrhythmic drugs in patients surviving myocardial infarction revealed an increased rate of sudden cardiac death compared with untreated patients. These drugs block the cardiac sodium channel, thereby reducing excitability, which may alter wavefront-obstacle interactions. In diseased atrial tissue, excitability is reduced by diminished sodium channel availability secondary to depolarized rest potentials and cellular decoupling secondary to intercellular fibrosis. Excitability can also be reduced by incomplete recovery between successive excitations. In all of these cases, wavefront-obstacle interactions in a poorly excitable medium may reflect an arrhythmogenic process that permits formation of reentrant wavelets leading to flutter, fibrillation, and sudden cardiac death. To probe the relationship between excitability and arrhythmogenesis, we explored conditions for new wavelet formation after collision of a plane wave with an obstacle in an otherwise homogeneous excitable medium. Formulating our approach in terms of the balance between charge available in the wavefront and the excitation charge requirements of adjacent medium, we found analytically the critical medium parameters that defined conditions for wavefront-obstacle separation. Under these conditions, when a parent wavefront collided with a primitive obstacle, the resultant fragments separated from the obstacle boundaries, subsequently curled, and spawned new "daughter" wavelets. We identified spatial arrangements of obstacles such that wavefront-obstacle collisions leading to spawning of new wavelets could produce high-frequency wavelet trains similar to fibrillation-like arrhythmias.

Animals↗

Minimum energy trajectories of the swing ankle when stepping over obstacles of different heights.

This study was performed to test the hypothesis that the motion of the lower extremities when stepping over obstacles is governed by the criterion of minimum mechanical energy. The trajectories of the swing ankle during level walking and when stepping over obstacles of 51, 102, 153, and 204 mm heights were predicted and measured for eight healthy young adults. The predictions were made with a planar, seven-link linkage model based on the criterion of minimum mechanical energy using the method of dynamic programming. When stepping over obstacles, the predicted trajectories of the swing ankle were just high enough for the swing toe to clear the obstacles. The clearances measured between the obstacle and toe were significantly larger than those predicted. When stepping over obstacles the levels of work required to generate the measured trajectories were significantly larger (p < or = 0.002) than those required to produce the predicted trajectories. The amount of work necessary to generate the measured or predicted trajectories increased linearly (significant at p < or = 0.022) with obstacle height and, except when predicting the trajectory for the lowest obstacle, was significantly greater than that required when walking on level ground (p < 0.02). Thus, conservation of energy was found to become a less dominant criterion for governing the motion of the body when crossing obstacles than when walking on level ground.

Acceleration↗

Bilateral total knee arthroplasty increases the propensity to trip on an obstacle.

Tripping over an obstacle is the most frequent cause of falls. We examined the effects of total knee arthroplasty on obstacle avoidance success rates in older adults. Obstacle avoidance success rates, body mass index, visual acuity, contrast sensitivity, depth perception, and single-leg stance duration were evaluated in 29 subjects who had bilateral total knee arthroplasties (age range, 72.6 +/- 5.4 years) and 27 age-matched healthy control subjects (age range, 70.6 +/- 5.5 years). The patients who had total knee arthroplasties had a lower obstacle avoidance success rate, lower single-leg stance duration, and greater body mass index than control subjects. Age, contrast sensitivity, and depth perception were not different between patients who had total knee arthroplasties and control subjects. Obstacle avoidance success rates decreased linearly as single-leg stance duration decreased in the control group and across all groups, but not in the group that had total knee arthroplasties. Linear relationships between obstacle avoidance success rates and body mass index existed for all subjects but not for the group that had total knee arthroplasties or the control group individually. Total knee arthroplasty reduces obstacle avoidance success rate, suggesting that persons who have total knee arthroplasties have an increased propensity to trip on an obstacle and fall. Increased body mass index and decreased single-leg stance duration in patients who have total knee arthroplasties are associated with a decreased obstacle avoidance success rate.

Accidental Falls↗

Cancer screening and prevention in primary care. Obstacles for physicians.

BACKGROUND: Surveys have demonstrated that primary care physicians are aware of cancer screening and prevention guidelines. However, health primary care providers do not recommend these services for many patients. This introductory discussion describes a new area of clinical study: practice barriers. METHODS: Literature review and the author's synthesis are used to identify major types of obstacles impeding broad implementation of cancer screening and prevention. RESULTS: Practitioners and patients face three types of obstacles: provider-specific obstacles; patient-specific obstacles; and health care delivery system obstacles. Provider-specific obstacles include lack of time, distraction by other health issues, lack of expertise, lack of positive feedback, and disagreement with recommendations. Barriers that chiefly affect screening for the major cancer sites (breast, colon, and cervix) and obstacles affecting preventive counseling also are discussed. Several techniques to help providers overcome obstacles have proven successful in increasing preventive activities. CONCLUSIONS: Efforts to increase cancer screening and prevention must focus on helping providers identify and overcome barriers through acquisition of needed skills, refinement of office time management, implementation of effective reminder systems, and development of appropriate, innovative feedback and reward mechanisms.

Female↗

Obstacle avoidance during human walking: H-reflex modulation during motor learning.

The goal of this study was to investigate changes of H-reflex amplitudes during a motor learning task. Subjects with reduced vision were instructed to step over an obstacle on a treadmill as low as possible, while the soleus H-reflex was elicited. Acoustic warning and feedback signals about performance were provided. Performance improvement was associated with a decrease of muscle activity, needed to step over the obstacle (rectus femoris, biceps femoris, tibialis anterior and gastrocnemius medialis muscles), and of foot clearance, while joint angle trajectories from knee and ankle became more stable. The experiment consisted of five runs, three with normal treadmill walking and two with randomly stepping over the obstacle (100 times). H-reflexes were elicited at early and late stance phase before stepping over the obstacle. H/M ratio, latency and duration were determined. The values of these measures were calculated for the onset and end of a run and their course over time was evaluated using a correlation coefficient. The largest adaptations with a significant increase of reflex amplitude occurred during the first obstacle run. This increase lasted only briefly and the reflex amplitudes decreased to their previous values. During the later obstacle run, no H-reflex modulation occurred. It is concluded that a motor learning task causes adaptational effects not only on performance, but also on H-reflex responses. The results indicate that most of the modulation of H-reflexes is probably due to supraspinal influences on reflex transmission. The observations made are probably less specific for this motor task (stepping over the obstacle), but rather associated with the increased attention required by the motor learning task during the first obstacle run.

Adult↗

Obstacle avoidance during locomotion using haptic information in normally sighted humans.

The goal of the study was to examine the accuracy and precision of control of adaptive locomotion using haptic information in normally sighted humans before and after practice. Obstacle avoidance paradigm was used to study adaptive locomotion; individuals were required to approach and step over different sizes of obstacles placed in the travel path under three sensory conditions: full vision (FV); restricted lower visual field (RLVF) using blinders on custom glass frames; and no vision (NV) using haptic information only. In the NV condition, individuals were a given an appropriate-sized cane to guide their locomotion. Footfall patterns were recorded using the GAITRite system, and lead and trail limb trajectories were monitored using the OPTOTRAK system, which tracked infrared diodes placed on the toes and the cane. Approach step lengths were reduced for the haptic condition: this slowed the forward progression and allowed greater time for haptic exploration, which ranged from 2.5 to 4 s and consisted of horizontal cane movements (to detect the width and relative location of the obstacle) and vertical cane movements (to detect the height of the obstacle). Based on feed-forward and on-line sensory (under both vision and haptic conditions) information about location of the obstacle relative to the individual, variability of foot placement reduced as the individual came closer to the obstacle, as has been shown in the literature. The only difference was that the reduction in variability of foot placement under haptic condition occurred in the last step compared with earlier under vision. Considering that the obstacle is detected only when the cane comes in contact, as opposed to vision condition when it is visible earlier, this difference is understandable. Variability and magnitude of lead and trail limb elevation for the haptic condition was higher than the RLVF and FV conditions. In contrast, only the magnitude of lead and trail limb elevation was higher in the RLVF condition when compared with the FV condition. This suggests that it is the inability of the haptic sense to provide accurate information about obstacle characteristics compared with the visual system, and not simple caution that lead to higher limb elevation. In the haptic and RLVF condition when vision was unavailable for on-line monitoring of lead limb elevation, kinesthetic information from lead limb elevation was used to fine-tune trail limb elevation. Both the control of approach phase and limb elevation findings held up even after sufficient practice to learn haptic guidance of adaptive locomotion in the second experiment. These results provide a clear picture of the efficacy of the haptic sensory system to guide locomotion in a cluttered environment.

Adaptation, Psychological↗

Stepping over obstacles: anticipatory modifications in children with and without Down syndrome.

The purpose of this study was to explore the mechanism of anticipatory control of gait in relation to the perception of an obstacle. Typically developing (TD) children (4-7 years of age) and children with Down syndrome (5-6 years of age) walked and stepped over obstacles of two different heights-a "subtle" obstacle that was placed at a very low distance from the floor (1% of total body height) and an "obvious" obstacle that was placed at a much higher distance from the floor (15% of total body height). Spatial and temporal measures of the gait cycle were analyzed. TD children showed increased variability in pre-obstacle step lengths only in response to the higher obstacle. Children with DS showed a decrease in variability in response to the higher obstacle and marked qualitative changes in their gait cycle. Both groups of children were able to scale toe clearance with obstacle height. These results show that TD young children can make task-specific anticipatory adjustments by modulating step length and toe clearance. Children with DS show appropriate scaling of toe clearance and are beginning to show the emergence of anticipatory responses under specific environmental conditions.

Biomechanical Phenomena↗

Step characteristics during obstacle avoidance in hemiplegic stroke.

Whereas several animal studies have indicated the important role of the motor cortex in the control of voluntary gait modifications, little is known about the effects of cortical lesions on gait adaptability in humans. Obstacle avoidance tasks provide an adequate paradigm to study the adaptability of the stepping pattern under controlled, experimental conditions. In the present study, an exploratory assessment was made of the failure rate, the preferred stepping strategies (step lengthening vs step shortening), and the spatiotemporal stride characteristics (percentage increases in stride length, duration, and velocity of the crossing and postcrossing strides) during obstacle avoidance in 11 hemiplegic stroke patients and seven healthy controls. Patients were less successful in avoiding obstacles than controls (14% failure rate vs 0.5% in controls), independent of whether the affected or the unaffected leg led the obstacle avoidance. The number of failed trials increased systematically when the available response time became shorter. During successful trials, lengthening of the step was generally preferred over shortening. This bias towards step lengthening was more pronounced in stroke patients (step lengthening in 91% of the trials vs 75% in controls), irrespective of the side of obstacle presentation. For both groups, overall strategy preference did not adhere to a principle of minimal foot displacement, since step lengthening was used even if it would be more spatially efficient to shorten the step. No statistically significant group differences were found for the increases in length, duration, and velocity of the crossing and postcrossing strides. However, for a subgroup of more slowly walking patients, large percentage increases were found in crossing stride length, duration, and velocity. Similar results were obtained for the postcrossing stride, indicating that, for this subgroup of patients, restoration of the normal walking cadence was more difficult. Overall, no systematic differences were found between the affected and the unaffected leg in stroke patients with respect to failure rates, stepping strategies, or spatiotemporal measures of obstacle avoidance. The present findings suggest that the ability to adequately modify the stepping pattern in response to imposed spatiotemporal constraints is impaired in persons with stroke, especially when modifications have to be performed under time pressure. In addition, the stepping strategies employed by subjects with stroke are different from those found in controls, possibly to reduce the complexity of the avoidance maneuver and to enhance safety. Finally, unilateral cortical damage results in an impaired ability to avoid obstacles on both sides of the body, suggesting that the reduced ability of stroke patients to negotiate obstacles may be related to problems of a more general coordinative nature.

Adult↗

Visual-vestibular influences on locomotor adjustments for stepping over an obstacle.

Combined visual and vestibular influences on locomotor control, particularly in changing environments, are little understood. We studied such influences on body orientation and foot trajectory control during level walking and obstacle avoidance. Six young adults walked on the level and over an obstacle while vision was present or occluded as well as while vestibular information was intact or perturbed using galvanic vestibular stimulation (GVS). The occlusion of vision caused a slowing of gait during obstacle avoidance as well as increased clearance of the leading limb over the obstruction. GVS caused lateral deviations in head and trunk roll angles as well as in foot and trunk displacements, but these lateral deviations were the same during both level walking and obstacle avoidance. In addition, GVS had no effect at all on sagittal plane factors such as speed, foot proximity to the obstacle and vertical clearance over the obstacle. Overall, there is a complex visual control of bilateral obstacle avoidance, but the lack of differences in GVS effects between level and obstructed walking shows that vestibular information is not upregulated for obstacle avoidance. In addition, the robust indifference of anterior foot placement and body displacement to significant lateral deviations from GVS suggests an orthogonally based sensori-locomotor control.

Adult↗

Lateral diffusion in an archipelago. The effect of mobile obstacles.

Lateral diffusion of mobile proteins and lipids (tracers) in a membrane is hindered by the presence of proteins (obstacles) in the membrane. If the obstacles are immobile, their effect may be described by percolation theory, which states that the long-range diffusion constant of the tracers goes to zero when the area fraction of obstacles is greater than the percolation threshold. If the obstacles are themselves mobile, the diffusion constant of the tracers depends on the area fraction of obstacles and the relative jump rate of tracers and obstacles. This paper presents Monte Carlo calculations of diffusion constants on square and triangular lattices as a function of the concentration of obstacles and the relative jump rate. The diffusion constant for particles of various sizes is also obtained. Calculated values of the concentration-dependent diffusion constant are compared with observed values for gramicidin and bacteriorhodopsin. The effect of the proteins as inert obstacles is significant, but other factors, such as protein-protein interactions and perturbation of lipid viscosity by proteins, are of comparable importance. Potential applications include the diffusion of proteins at high concentrations (such as rhodopsin in rod outer segments), the modulation of diffusion by release of membrane proteins from cytoskeletal attachment, and the diffusion of mobile redox carriers in mitochondria, chloroplasts, and endoplasmic reticulum.

Cell Membrane↗

Motion of the whole body's center of mass when stepping over obstacles of different heights.

Tripping over obstacles and imbalance during gait were reported as two of the most common causes of falls in the elderly. Imbalance of the whole body during obstacle crossing may cause inappropriate movement of the lower extremities and result in foot-obstacle contact. Thus, this study was performed to investigate the effect of obstacle height on the motion of the whole body's center of mass (COM) and its interaction with the center of pressure (COP) of the stance foot while negotiating obstacles. Six healthy young adults were instructed to perform unobstructed level walking and to step over obstacles of heights corresponding to 2.5, 5, 10, and 15% of the subject's height, all at a comfortable self-selected speed while walking barefoot. A 13-link biomechanical model of the human body was used to compute the kinematics of the whole body's COM. Stepping over the higher obstacles resulted in significantly greater ranges of motion of the COM in the anterior-posterior and vertical directions, a greater velocity of the COM in the vertical direction, and a greater anterior-posterior distance between the COM and COP. In contrast, the motion of the COM in the medial-lateral direction was less likely to be affected when negotiating obstacles of different heights.

Accidental Falls↗