Effects of lifestyle activity level on anticipatory locomotor adjustments for pedestrian circumvention: an exploratory study.

Navigating public environments requires adjustments to one's walking patterns to avoid stationary and moving obstacles. It is known that physical inactivity induces alterations in motor capacities, but the impact of inactivity on anticipatory locomotor adjustments (ALA) has not been studied. The purpose of the present exploratory study was to compare ALAs and related muscle co-contraction during a pedestrian circumvention task between active (AA) and inactive young adults (IA).

Exploring the challenges of avoiding collisions with virtual pedestrians using a dual-task paradigm in individuals with chronic moderate to severe traumatic brain injury.

Background: Individuals with a moderate-to-severe traumatic brain injury (m/sTBI), despite experiencing good locomotor recovery six months post-injury, face challenges in adapting their locomotion to the environment. They also present with altered cognitive functions, which may impact dual-task walking abilities. Whether they present collision avoidance strategies with moving pedestrians that are altered under dual-task conditions, however, remains unclear.

Development of a virtual reality-based intervention for community walking post stroke: an integrated knowledge translation approach.

Purpose: To develop a virtual reality (VR) based intervention targeting community walking requirements.

Methods: Two focus groups each involving 7 clinicians allowed exploring optimal features, needed support and perceived favorable/unfavorable factors associated with the use of the VR-based intervention from the clinicians' perspective. Three stroke survivors and 2 clinicians further interacted with the intervention and filled questionnaires related to acceptability and favorable/unfavorable perceptions on the VR intervention.

Relationship Between Dual-Task Walking and Level of Conflict Between Gait and Concurrent Tasks in Adolescents.

This study aimed to determine the role of resource conflict in dual-task (DT) effects on gait and concurrent tasks in children and adolescents. Gait was evaluated with and without concurrent tasks (visual-manual, visual-vocal and auditory-vocal). The roles of condition (single vs dual) and type of concurrent task in DT effect were tested by Repeated Measured of ANOVA.

Whole body movement strategies during sit-to-stand and stair ascent in individuals with a lower limb amputation: A systematic review.

Background: Individuals with a lower limb amputation use compensatory strategies during essential tasks such as sit-to-stand and stair ascent leading to secondary physical conditions. The ensuing biomechanical parameters outlining the motion strategies they put in place need to be identified and described.

Methods: We searched three databases (Embase, IEEE Xplore and PubMed) for articles on the spatiotemporal, the kinematics and the kinetics that compared the amputated, the intact lower limbs, or the trunk of individuals with a unilateral transtibial or transfemoral amputation with the limbs of a control group.

Effects of age on the visuo-locomotor control used to circumvent a virtual pedestrian with different limb movements.

It is known that young adults (YA) circumvent pedestrians differently than inanimate obstacles and that limb movements of the pedestrian influence minimum clearance for predictable pedestrian paths. Although older adults (OA) use more cautious strategies for general pedestrian avoidance compared to YA, how pedestrian movements influence circumvention by OAs is unknown. The aim of this study was to understand how limb movements of a pedestrian with an initially unpredictable trajectory affect circumvention control in younger vs older healthy adults.

Dual-Task Abilities During Activities Representative of Daily Life in Community-Dwelling Stroke Survivors: A Pilot Study.

Background: In addition to several physical skills, being able to walk in the community, walking independently and safely in the community requires the ability to divide attention between walking and other tasks performed simultaneously. The aims of the present pilot study were to measure cognitive-locomotor dual-task (DT) abilities during activities representative of daily living in stroke survivors and to compare them with age- and gender-matched healthy individuals.

Methods: To assess DT abilities, all participants walked along a virtual shopping mall corridor and memorized a 5-item shopping list.

Virtual reality-based assessment of cognitive-locomotor interference in healthy young adults.

Background: A recent literature review emphasized the importance of assessing dual-task (DT) abilities with tasks that are representative of community ambulation. Assessing DT ability in real-life activities using standardized protocols remains difficult. Virtual reality (VR) may represent an interesting alternative enabling the exposure to different scenarios simulating community walking.

Three dimensional validation of an instrumented handrail for stair gait.

Some studies have used load cells (LC) to measure the force applied to horizontal handrails, but no work has validated an inclined set-up that can be used to bring new insights into handrail use during staircase gait. The aim of this study was to validate the accuracy of an inclined handrail set-up instrumented with LC. A handrail set-up designed to be easily reconstructed and integrating two commercial LC is proposed.

Adding Haptic Feedback to Virtual Environments With a Cable-Driven Robot Improves Upper Limb Spatio-Temporal Parameters During a Manual Handling Task.

Physical interactions within virtual environments are often limited to visual information within a restricted workspace. A new system exploiting a cable-driven parallel robot to combine visual and haptic information related to environmental physical constraints (e.g.

Collision avoidance behaviours when circumventing people of different sizes in various positions and locations.

The current study examined whether young adults' avoidance behaviours differed when circumventing a larger versus smaller interferer. It was expected that avoidance behaviours (repulsion) would be affected by the interferer's size (i.e.

Community-dwelling older adults with mild cognitive impairments show subtle visual attention costs when descending stairs.

Background: Older adults are at greater risk of falls while descending stairs. Cognitive deficits can further influence one's ability and mild cognitive impairments (MCI) specifically affect visual attention and dual tasking behavior. The present study aimed at comparing the attentional costs at different points during the approach to and descent of a staircase between older adults with and without MCI.

Mobile phone use impairs stair gait: A pilot study on young adults.

Human movement control requires attention to accurately tune motor commands in response to environmental changes. Dual task paradigms are used to test the role of attention on motor performance. Usually the tasks used have little resemblance with every day experience.

Reading text messages at different stages of pedestrian circumvention affects strategies for collision avoidance in young and older adults.

Background: Reading text messages is associated with accidents while walking in community places.

Research Question: To what extent does reading text messages at different stages of obstacle circumvention affect avoidance strategies while walking in young vs. older adults?

Methods: Sixteen healthy young and 14 older adults were assessed while walking and viewing a virtual environment (VE) simulating a subway station with three virtual pedestrians positioned 7.

Validity of Instrumented Insoles for Step Counting, Posture and Activity Recognition: A Systematic Review.

With the growing interest in daily activity monitoring, several insole designs have been developed to identify postures, detect activities, and count steps. However, the validity of these devices is not clearly established. The aim of this systematic review was to synthesize the available information on the criterion validity of instrumented insoles in detecting postures activities and steps.

Phone messages affect the detection of approaching pedestrians in healthy young and older adults immersed in a virtual community environment.

Background: Mobile phones are increasingly associated with accidents while walking. Little is known, however, about the impact of phone messaging on the actual perception of other pedestrians. This study aimed to investigate the extent to which the detection of approaching pedestrians is affected by the sensory modality (text or audio) of phone messages in young vs.

Effects of Age on Obstacle Avoidance while Walking and Deciphering Text versus Audio Phone Messages.

Background: Widely popular among young, and more recently older adults, mobile phones are increasingly used while walking. Knowledge of the impact of phone message modality (e.g.

Design and Accuracy of an Instrumented Insole Using Pressure Sensors for Step Count.

Despite the accessibility of several step count measurement systems, count accuracy in real environments remains a major challenge. Microelectromechanical systems and pressure sensors seem to present a potential solution for step count accuracy. The purpose of this study was to equip an insole with pressure sensors and to test a novel and potentially more accurate method of detecting steps.

Research Priorities for Optimizing Long-term Community Integration after Brain Injury.

Objective: This paper reports on a funded summit, which convened a multidisciplinary group of experts to provide consensus on the research priorities necessary for improving long-term community integration of individuals with traumatic brain injury (TBI) and their caregivers.

Methods: The 2-day summit was directed using the World Café Methodology, to engage stakeholders and collaboratively arrive at a consensus on the problems to be targeted in research. Participants (n=54), drawn from two Canadian provinces, included an interdisciplinary group of researchers, clinicians, representatives from brain injury associations, individuals with TBI, and caregivers.

Gait Training after Stroke on a Self-Paced Treadmill with and without Virtual Environment Scenarios: A Proof-of-Principle Study.

The purpose of this proof-of-principle study was to show that virtual reality (VR) technology could be coupled with a self-paced treadmill to further improve walking competency in individuals with chronic stroke. A 62-year-old man with a chronic right hemispheric stroke participated in a treadmill walking programme involving first a control (CTL) protocol, then VR training. In CTL training, he walked without time constraints while viewing still pictures and reacting to treadmill movements similar to those that he would have experienced later in VR training.

The Canadian Pediatric Mild Traumatic Brain Injury Common Data Elements Project: Harmonizing Outcomes to Increase Understanding of Pediatric Concussion.

A critical component for accelerating the clinical uptake of research data in the area of pediatric concussion or mild traumatic brain injury (MTBI) pertains to the establishment and utilization of common databases. The objective of the first phase of our CanPedCDE initiative was to agree upon pediatric common data elements (CDEs) that could best characterize children with MTBI over their recovery period. The selection of CDEs for our framework aimed to balance factors such as the comprehensiveness of outcomes collected, their applicability to diverse settings, as well as the costs associated with their use.