Kinematic Measures for Recovery Strategy Identification following an Obstacle-Induced Trip in Gait

J Mot Behav. 2023;55(2):193-201. doi: 10.1080/00222895.2022.2146043. Epub 2023 Jan 5.

Abstract

This study aimed to identify the kinematic measures determining balance outcome following an over-ground trip perturbation. 117 healthy older adults who experienced laboratory-induced trips were divided into loss of balance (LOB) and no LOB groups. The LOB group contained 27 fallers and 34 non-fallers, and the no LOB group contained 21 participants using cross-over strategy and 35 participants using obstacle-hit strategy. A 2-class hierarchical regression model for balance loss showed that margin of stabilty could determine the balance outcomes (LOB or not) with an overall accuracy of 92.7%. The 4-class model for recovery strategies showed that the combination of margin of stability, trunk angle, and COM velocity could determine 81.9% of strategies. Our findings would enhance intervention development for populations at risk of trip-induced falls.

Keywords: Loss of balance; balance control; margin of stability; over-ground trip.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Accidental Falls*
  • Aged
  • Biomechanical Phenomena
  • Gait
  • Humans
  • Postural Balance*
  • Walking