The effect of walking speed on the foot inter-segment kinematics, ground reaction forces and lower limb joint moments

Background Normative foot kinematic and kinetic data with different walking speeds will benefit rehabilitation programs and improving gait performance. The purpose of this study was to analyze foot kinematics and kinetics differences between slow walking (SW), normal walking (NW) and fast walking (FW) of healthy subjects. Methods A total of 10 healthy male subjects participated in this study; they were asked to carry out walks at a self-selected speed. After measuring and averaging the results of NW, the subjects were asked to perform a 25% slower and 25% faster walk, respectively. Temporal-spatial parameters, kinematics of the tibia (TB), hindfoot (HF), forefoot (FF) and hallux (HX), and ground reaction forces (GRFs) were recorded while the subjects walked at averaged speeds of 1.01 m/s (SW), 1.34 m/s (NW), and 1.68 m/s (FW). Results Hindfoot relative to tibia (HF/TB) and forefoot relative to hindfoot (FF/HF) dorsiflexion (DF) increased in FW, while hallux relative to forefoot (HX/FF) DF decreased. Increased peak eversion (EV) and peak external rotation (ER) in HF/TB were observed in FW with decreased peak supination (SP) in FF/HF. GRFs were increased significantly with walking speed. The peak values of the knee and ankle moments in the sagittal and frontal planes significantly increased during FW compared with SW and NW. Discussion Limited HF/TB and FF/HF motion of SW was likely compensated for increased HX/FF DF. Although small angle variation in HF/TB EV and FF/HF SP during FW may have profound effects for foot kinetics. Higher HF/TB ER contributed to the FF push-off the ground while the center of mass (COM) progresses forward in FW, therefore accompanied by higher FF/HF abduction in FW. Increased peak vertical GRF in FW may affected by decreased stance duration time, the biomechanical mechanism maybe the change in vertical COM height and increase leg stiffness. Walking speed changes accompanied with modulated sagittal plane ankle moments to alter the braking GRF during loading response. The findings of foot kinematics, GRFs, and lower limb joint moments among healthy males may set a reference to distinguish abnormal and pathological gait patterns.

[1]  K. Paterson,et al.  Plug-in-Gait calculation of the knee adduction moment in people with knee osteoarthritis during shod walking: comparison of two different foot marker models , 2017, Journal of Foot and Ankle Research.

[2]  Kirsten Tulchin,et al.  The effects of walking speed on multisegment foot kinematics in adults. , 2009, Journal of applied biomechanics.

[3]  A. A. Nikooyan,et al.  A mechanical model to determine the influence of masses and mass distribution on the impact force during running--a discussion. , 2006, Journal of biomechanics.

[4]  V. Goel,et al.  Evaluating plantar fascia strain in hyperpronating cadaveric feet following an extra-osseous talotarsal stabilization procedure. , 2011, The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.

[5]  Michael Günther,et al.  Dynamics of longitudinal arch support in relation to walking speed: contribution of the plantar aponeurosis , 2010, Journal of anatomy.

[6]  Marzieh M Ardestani,et al.  From normal to fast walking: Impact of cadence and stride length on lower extremity joint moments. , 2016, Gait & posture.

[7]  T. Theologis,et al.  Repeatability of a model for measuring multi-segment foot kinematics in children. , 2006, Gait & posture.

[8]  Chris Kirtley,et al.  Chapter 14 – Observational gait analysis , 2006 .

[9]  Philip E. Martin,et al.  Mechanical power and efficiency of level walking with different stride rates , 2007, Journal of Experimental Biology.

[10]  Reed Ferber,et al.  Changes in multi-segment foot biomechanics with a heat-mouldable semi-custom foot orthotic device , 2011, Journal of foot and ankle research.

[11]  R. Crompton,et al.  Kinematic correlates of walking cadence in the foot. , 2010, Journal of biomechanics.

[12]  F. Zajac,et al.  Contributions of the individual ankle plantar flexors to support, forward progression and swing initiation during walking. , 2001, Journal of biomechanics.

[13]  B. MacWilliams,et al.  Foot kinematics and kinetics during adolescent gait. , 2003, Gait & posture.

[14]  H J Hermens,et al.  The effects of walking speed on forefoot, hindfoot and ankle joint motion. , 2010, Clinical biomechanics.

[15]  M. Hunt,et al.  Associations among knee adduction moment, frontal plane ground reaction force, and lever arm during walking in patients with knee osteoarthritis. , 2006, Journal of Biomechanics.

[16]  S. Stanhope,et al.  Sensitivity of joint moments to changes in walking speed and body-weight-support are interdependent and vary across joints. , 2013, Journal of biomechanics.

[17]  V. Pomeroy,et al.  Analysis of gait within the uncontrolled manifold hypothesis: stabilisation of the centre of mass during gait. , 2015, Journal of biomechanics.

[18]  Michael H Schwartz,et al.  The effect of walking speed on the gait of typically developing children. , 2008, Journal of biomechanics.

[19]  Marcos Duarte,et al.  A public dataset of overground and treadmill walking kinematics and kinetics in healthy individuals , 2018, PeerJ.

[20]  E S Grood,et al.  A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. , 1983, Journal of biomechanical engineering.

[21]  Philippe C Dixon,et al.  Ankle and midfoot kinetics during normal gait: a multi-segment approach. , 2012, Journal of biomechanics.

[22]  Joseph Hamill,et al.  Multi-segment foot kinematics and ground reaction forces during gait of individuals with plantar fasciitis. , 2014, Journal of biomechanics.

[23]  S. C. White,et al.  Relation of vertical ground reaction forces to walking speed , 1996 .

[24]  P. Pidcoe,et al.  Repeatability of the modified Oxford foot model during gait in healthy adults. , 2011, Gait & posture.

[25]  F. Zajac,et al.  Muscle force redistributes segmental power for body progression during walking. , 2004, Gait & posture.

[26]  Mao-Jiun J. Wang,et al.  The effect of gait speed and gender on perceived exertion, muscle activity, joint motion of lower extremity, ground reaction force and heart rate during normal walking. , 2007, Gait & posture.

[27]  Mao-Jiun J. Wang,et al.  The change of gait parameters during walking at different percentage of preferred walking speed for healthy adults aged 20-60 years. , 2010, Gait & posture.

[28]  J. Dingwell,et al.  Effects of walking speed, strength and range of motion on gait stability in healthy older adults. , 2008, Journal of biomechanics.

[29]  D. Kerrigan,et al.  Predicting peak kinematic and kinetic parameters from gait speed. , 2003, Gait & posture.

[30]  J Grant,et al.  The Effects of Walking Speed on Adult Multi-segment Foot Kinematics , 2015 .

[31]  Jay Dicharry,et al.  Kinematics and kinetics of gait: from lab to clinic. , 2010, Clinics in sports medicine.

[32]  A. Nicol,et al.  A multi-segment kinematic model of the foot with a novel definition of forefoot motion for use in clinical gait analysis during walking. , 2007, Journal of biomechanics.

[33]  Dominic Thewlis,et al.  Differences in foot kinematics between young and older adults during walking. , 2014, Gait & posture.

[34]  J J O'Connor,et al.  Kinematic analysis of a multi-segment foot model for research and clinical applications: a repeatability analysis. , 2001, Journal of biomechanics.

[35]  M. Voigt,et al.  Mechanisms contributing to different joint moments observed during human walking , 1997, Scandinavian journal of medicine & science in sports.

[36]  E. M. Sadler,et al.  Local dynamic stability of the lifting kinematic chain. , 2011, Gait & posture.

[37]  Steven J Stanhope,et al.  Changes in knee joint function over a wide range of walking speeds. , 1997, Clinical biomechanics.

[38]  Dustin A. Bruening,et al.  Analysis of a kinetic multi-segment foot model part II: kinetics and clinical implications. , 2012, Gait & posture.

[39]  P. E. Martin,et al.  Step length and frequency effects on ground reaction forces during walking. , 1992, Journal of biomechanics.

[40]  A. Thorstensson,et al.  Ground reaction forces at different speeds of human walking and running. , 1989, Acta physiologica Scandinavica.

[41]  T P Andriacchi,et al.  Walking speed as a basis for normal and abnormal gait measurements. , 1977, Journal of biomechanics.

[42]  K. Meijer,et al.  The effect of age and speed on foot and ankle kinematics assessed using a 4-segment foot model , 2017, Medicine.

[43]  D. Kerrigan,et al.  Lower limb joint kinetics in walking: the role of industry recommended footwear. , 2011, Gait & posture.

[44]  Dan Karlsson,et al.  On skin movement artefact-resonant frequencies of skin markers attached to the leg , 1999 .

[45]  Véronique Feipel,et al.  Foot roll-over evaluation based on 3D dynamic foot scan. , 2014, Gait & posture.