title: Predicted threshold against backward balance loss in gait.
abstract: The purpose of this study was to determine the minimum forward center of mass (COM) velocity required to prevent backward loss of balance in gait as function of the initial COM position. We hypothesized that these threshold values would be different from those previously published for standing because of the postural differences between gait and standing. To investigate this issue, we constructed a seven-link, nine-degree-of-freedom biomechanical model and employed dynamic optimization to estimate these threshold values under two initial postural conditions: (1) the posture at the beginning of swing phase (i.e., at toe-off), and (2) symmetric bipedal standing. In particular, for a range of possible COM positions posterior to the base of support (BOS), simulated annealing was used to search for the minimum velocity that could carry the COM into the BOS and avoid backward loss of balance. We found that the stability boundary against backward balance loss in walking had a similar overall trend as that previously published for standing. In general, the minimal COM velocity necessary to prevent a backward loss of balance in walking was greater than that in symmetric bipedal standing, and the difference could approach 30% or more when the COM started 0.5 and 1.0 foot-lengths behind the BOS. These discrepancies suggest that simpler biomechanical models, while being more efficient and easier to employ, may not always be adequate for exploring stability limits of humans.
authors.affiliation: Department of Physical Therapy, University of Illinois at Chicago, Chicago, IL 60612, USA.
authors.forename: Feng
authors.initials: F
authors.lastname: Yang
authors.forename: Frank C
authors.initials: FC
authors.lastname: Anderson
authors.forename: Yi-Chung
authors.initials: YC
authors.lastname: Pai
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D001696:Biomechanical Phenomena; D003198:Computer Simulation; D005260:Female; D005684:Gait; D006801:Humans; D008297:Male; D008954:Models, Biological; D004856:Postural Balance; D016138:Walking