Effects of personal and task constraints on limb coordination during walking: a systematic review and meta-analysis

SHAFIZADEH, Mohsen, CROWTHER, Robert, WHEAT, Jonathan and DAVIDS, Keith (2019). Effects of personal and task constraints on limb coordination during walking: a systematic review and meta-analysis. Clinical Biomechanics, 61, 1-10.

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Link to published version:: https://doi.org/10.1016/j.clinbiomech.2018.10.024

Abstract

Background In human behaviour, emergence of movement patterns is shaped by different, interacting constraints and consequently, individuals with motor disorders usually display distinctive lower limb coordination modes. Objectives To review existing evidence on the effects of motor disorders and different task constraints on emergent coordination patterns during walking, and to examine the clinical significance of task constraints on gait coordination in people with motor disorders. Methods The search included CINHAL Plus, MEDLINE, HSNAE, SPORTDiscus, Scopus, Pubmed and AMED. We included studies that compared intra-limb and inter-limb coordination during gait between individuals with a motor disorder and able-bodied individuals, and under different task constraints. Two reviewers independently examined the quality of studies by using the Newcastle Ottawa Scale-cohort study. Findings From the search results, we identified1416 articles that studied gait patterns and further analysis resulted in 33 articles for systematic review and 18 articles for meta-analysis-1, and 10 articles for meta-analysis-2. In total, the gait patterns of 539 patients and 358 able-bodied participants were analysed in the sampled studies. Results of the meta-analysis for group comparisons revealed a low effect size for group differences (ES = −0.24), and a moderate effect size for task interventions (ES = −0.53), on limb coordination during gait. Interpretation Findings demonstrated that motor disorders can be considered as an individual constraint, significantly altering gait patterns. These findings suggest that gait should be interpreted as functional adaptation to changing personal constraints, rather than as an abnormality. Results imply that designing gait interventions, through modifying locomotion tasks, can facilitate the emergent re-organisation of inter-limb coordination patterns during rehabilitation.

Item Type: Article
Uncontrolled Keywords: 0903 Biomedical Engineering; 1106 Human Movement And Sports Science; 0913 Mechanical Engineering; Orthopedics
Research Institute, Centre or Group: Centre for Sports Engineering Research
Departments: Health and Well-being > Department of Sport
Identification Number: https://doi.org/10.1016/j.clinbiomech.2018.10.024
SWORD Depositor: Symplectic Elements
Depositing User: Symplectic Elements
Date Deposited: 05 Nov 2018 11:35
Last Modified: 26 Nov 2018 15:45
URI: http://shura.shu.ac.uk/id/eprint/23211

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