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Variability and local dynamic stability during gait: an investigation of military-relevant load carriage and hip pathology

The primary goal of human locomotion is to translate the body from point A to point B, but humans must have the variability and stability to adapt and recover from constraints they may encounter. The overarching aim of this dissertation was to investigate how constraints arising from external factors (i.e., military load carriage and speed) and internal factors (i.e., hip pain) affect kinematic variability and local dynamic stability of gait. In study 1, I focus on using traditional biomechanical measures to investigate if females and males use different gait mechanics when carrying military-relevant loads, as females and males are known to use different mechanics when walking with no load. In this study, I found that females and males do use different gait mechanics when walking with military-relevant loads. Females make kinematic adaptations at the ankle and knee while males make kinematic adaptations at the hip. The differences in adaptations between females and males may be related to females’ greater risk of injury when carrying load. In study 2, I used the same cohort to investigate how military-relevant loads affect the kinematic variability and local dynamic stability of gait. I found that kinematic variability and local dynamic stability were similarly affected by load. Participants had greater kinematic variability and decreased local dynamic stability when carrying loads, which may indicate an increased risk of falling while carrying load. I also found that local dynamic stability increased with increased walking speed at all loads in the mediolateral and anteroposterior directions. However, decreased stability was detected in the vertical direction, which may require increased energy expenditure. The results of this study indicate that walking faster with increased loads may be more stable, but less energy efficient. In study 3, I investigated the how kinematic variability and local dynamic stability were affected in individuals with hip pain and a history of developmental dysplasia. I found that kinematic variability and local dynamic stability were not similarly affected in these individuals. I found that kinematic variability was greater in individuals with hip pain compared to healthy controls, but there was no difference in local dynamic stability between groups. The overall finding of this dissertation is that the relationship between kinematic variability and local dynamic stability may be dependent on the factor investigated. / 2020-07-06T00:00:00Z

Identiferoai:union.ndltd.org:bu.edu/oai:open.bu.edu:2144/30918
Date06 July 2018
CreatorsLoverro, Kari Lyn
ContributorsLewis, Cara L.
Source SetsBoston University
Languageen_US
Detected LanguageEnglish
TypeThesis/Dissertation

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