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Peripheral arterial disease affects the frequency response of ground reaction forces during walking

Biomedical Sciences Research Institute Computer Science Research Institute Environmental Sciences Research Institute Nanotechnology & Advanced Materials Research Institute

McGrath, Denise, Judkins, Timothy N., Pipinos, Iraklis I., Johanning, Jason M. and Myers, Sara A. (2012) Peripheral arterial disease affects the frequency response of ground reaction forces during walking. Clinical Biomechanics, Elsevier, 6 pp, DOI: 10.1016/j.clinbiomech.2012.08.004 [Internet publication]

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URL: http://dx.doi.org/10.1016/j.clinbiomech.2012.08.004

DOI: 10.1016/j.clinbiomech.2012.08.004

Abstract

Background: Walking is problematic for patients with peripheral arterial disease. The purpose of this study was to investigate the frequency domain of the ground reaction forces during walking to further elucidate the ambulatory impairment of these patients. Methods: Nineteen bilateral peripheral arterial disease patients and nineteen controls were included in this study. Subjects were matched for age and gait speed. Participants walked over a force plate sampling at 600 Hz. PAD patients were tested before (pain-free condition) after the onset of claudication symptoms (pain). We calculated median frequency, frequency bandwidth, and frequency containing 99.5% of the signal for the vertical and anterior–posterior ground reaction forces. Findings: Our results showed reduced median frequency in the vertical and anterior-posterior components of the ground reaction forces between the control group and both peripheral arterial disease conditions. We found reduced frequency bandwidth in the anterior-posterior direction between controls and the peripheral arterial disease pain-free condition. There were no differences in median frequency or bandwidth between peripheral arterial disease pain-free and pain conditions, but an increase in the frequency content for 99.5% of the signal was observed in the pain condition. Interpretation: Reduced frequency phenomena during gait in peripheral arterial disease patients compared to velocity-matched controls suggests more sluggish activity within the neuromotor system. Increased frequency phenomena due to pain in these patients suggest a more erratic application of propulsive forces when walking. Frequency domain analysis thus offers new insights into the gait impairments associated with this patient population.

Item Type:Internet publication
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > Ulster Sports Academy
Research Institutes and Groups:Sport and Exercise Sciences Research Institute
ID Code:23621
Deposited By:Dr Denise McGrath
Deposited On:09 Nov 2012 14:54
Last Modified:09 Nov 2012 14:54

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