Document Type : Research Paper

Authors

1 Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran

2 MSc in Sport Biomechanics

Abstract

The trunk and its muscles play an important role in maintaining walking mechanics. Fatigue and weakness of these muscles could affect walking mechanics adversely. The trajectory of the center of pressure (COP) reflects whole body mechanics. The aim of this study was to investigate the effect of trunk muscles fatigue on the trajectory of the COP during walking. Totally, 20 female academic students participated in this study. Participants were asked to walk on the walkway before and after trunk muscles fatigue with self-selected speed. In the midway of the walkway, a footscan pressure mat was mounted. The COP trajectory, relative timing of stance phases and foot progression angle were recorded using footscan in pre- and post-fatigue conditions. After fatigue, the relative time of the initial contact phase increased and the relative time of forefoot contact phase decreased. Trunk muscle fatigue lateralized the COP trajectory in the Forefoot Flat Phase and Forefoot Push-off Phase and decreased foot progression angle. According to the results of the current study, it can be concluded that fatigue and weakness of trunk muscles lead to changes in walking mechanics. These changes could expose people to the risk of injury.

Keywords

Main Subjects

  1. Neptune R, Zajac F, Kautz S. Muscle force redistributes segmental power for body progression during walking. Gait & posture. 2004;19(2):194-205.
  2. Zajac FE, Neptune RR, Kautz SA. Biomechanics and muscle coordination of human walking: part II: lessons from dynamical simulations and clinical implications. Gait & posture. 2003;17(1):1-17.
  3. Menz HB, Lord SR. Foot problems, functional impairment, and falls in older people. Journal of the American Podiatric Medical Association. 1999;89(9):458-67.
  4. Li B, Xiang Q, Zhang X. The center of pressure progression characterizes the dynamic function of high-arched feet during walking. Journal of Leather Science and Engineering. 2020;2(1):1-10.
  5. Cornwall MW, McPoil TG. Velocity of the center of pressure during walking. Journal of the American Podiatric Medical Association. 2000;90(7):334-8.
  6. De Cock A, Vanrenterghem J, Willems T, Witvrouw E, De Clercq D. The trajectory of the centre of pressure during barefoot running as a potential measure for foot function. Gait & posture. 2008;27(4):669-75.
  7. Zhang X, Li B, Hu K, Wan Q, Ding Y, Vanwanseele B. Adding an arch support to a heel lift improves stability and comfort during gait. Gait & posture. 2017;58:94-7.
  8. Fuller EA. Center of pressure and its theoretical relationship to foot pathology. Journal of the American Podiatric Medical Association. 1999;89(6):278-91.
  9. Maki BE, McIlroy WE. Control of rapid limb movements for balance recovery: age-related changes and implications for fall prevention. Age and ageing. 2006;35(suppl_2):ii12-ii8.
  10. Morrison KE, Hudson DJ, Davis IS, Richards JG, Royer TD, Dierks TA, et al. Plantar pressure during running in subjects with chronic ankle instability. Foot & ankle international. 2010;31(11):994-1000.
  11. Allet L, Armand S, Golay A, Monnin D, De Bie R, de Bruin ED. Gait characteristics of diabetic patients: a systematic review. Diabetes/metabolism research and reviews. 2008;24(3):173-91.
  12. Moghadam M, Ashayeri H, Salavati M, Sarafzadeh J, Taghipoor KD, Saeedi A, et al. Reliability of center of pressure measures of postural stability in healthy older adults: effects of postural task difficulty and cognitive load. Gait & posture. 2011;33(4):651-5.
  13. Nawata K, Nishihara S, Hayashi I, Teshima R. Plantar pressure distribution during gait in athletes with functional instability of the ankle joint: preliminary report. Journal of orthopaedic Science. 2005;10(3):298-301.
  14. Thijs Y, Van Tiggelen D, Roosen P, De Clercq D, Witvrouw E. A prospective study on gait-related intrinsic risk factors for patellofemoral pain. Clinical journal of sport medicine. 2007;17(6):437-45.
  15. Chang W-N, Tsirikos AI, Miller F, Schuyler J, Glutting J. Impact of changing foot progression angle on foot pressure measurement in children with neuromuscular diseases. Gait & posture. 2004;20(1):14-9.
  16. Koblauch H, Heilskov-Hansen T, Alkjær T, Simonsen EB, Henriksen M. The effect of foot progression angle on knee joint compression force during walking. Journal of applied biomechanics. 2013;29(3):329-35.
  17. La Scala Teixeira CV, Evangelista AL, Novaes JS, Da Silva Grigoletto ME, Behm DG. “You're only as strong as your weakest link”: a current opinion about the concepts and characteristics of functional training. Frontiers in physiology. 2017;8:643.
  18. Granata KP, Orishimo KF. Response of trunk muscle coactivation to changes in spinal stability. Journal of biomechanics. 2001;34(9):1117-23.
  19. Anders C, Wagner H, Puta C, Grassme R, Petrovitch A, Scholle H-C. Trunk muscle activation patterns during walking at different speeds. Journal of Electromyography and Kinesiology. 2007;17(2):245-52.
  20. Mazzà C, Iosa M, Pecoraro F, Cappozzo A. Control of the upper body accelerations in young and elderly women during level walking. Journal of neuroengineering and rehabilitation. 2008;5(1):1-10.
  21. Toebes MJ, Hoozemans MJ, Furrer R, Dekker J, van Dieën JH. Local dynamic stability and variability of gait are associated with fall history in elderly subjects. Gait & posture. 2012;36(3):527-31.
  22. Askari Z, Esmaeili H. Effect of trunk muscles fatigue on plantar pressure distribution in novice runners. Journal of Biomechanics. 2021;122:110487.
  23. Bucher E, Sandbakk Ø, Donath L, Roth R, Zahner L, Faude O. Exercise-induced trunk fatigue decreases double poling performance in well-trained cross-country skiers. European journal of applied physiology. 2018;118(10):2077-87.
  24. Teng H-L, Powers CM. Influence of trunk posture on lower extremity energetics during running. Med Sci Sports Exerc. 2015;47(3):625-30.
  25. Hart JM, Kerrigan DC, Fritz JM, Ingersoll CD. Jogging kinematics after lumbar paraspinal muscle fatigue. Journal of athletic training. 2009;44(5):475-81.
  26. Raabe ME, Chaudhari AM. Biomechanical consequences of running with deep core muscle weakness. Journal of biomechanics. 2018;67:98-105.
  27. Olson MW. Trunk extensor fatigue influences trunk muscle activities during walking gait. Journal of Electromyography and Kinesiology. 2010;20(1):17-24.
  28. Abt JP, Smoliga JM, Brick MJ, Jolly JT, Lephart SM, Fu FH. Relationship between cycling mechanics and core stability. The Journal of Strength & Conditioning Research. 2007;21(4):1300-4.
  29. Prince F, Winter D, Stergiou P, Walt S. Anticipatory control of upper body balance during human locomotion. Gait & Posture. 1994;2(1):19-25.
  30. Voloshin AS, Mizrahi J, Verbitsky O, Isakov E. Dynamic loading on the human musculoskeletal system—effect of fatigue. Clinical Biomechanics. 1998;13(7):515-20.
  31. Anbarian M, Esmaeili H. Effects of running-induced fatigue on plantar pressure distribution in novice runners with different foot types. Gait & posture. 2016;48:52-6.
  32. Chiu M-C, Wu H-C, Chang L-Y. Gait speed and gender effects on center of pressure progression during normal walking. Gait & posture. 2013;37(1):43-8.
  33. Perry J, Davids JR. Gait analysis: normal and pathological function. Journal of Pediatric Orthopaedics. 1992;12(6):815.
  34. Kirby K. Biomechanics of the normal and abnormal foot. Journal of the American Podiatric Medical Association. 2000;90(1):30-4.
  35. Shelburne KB, Torry MR, Steadman JR, Pandy MG. Effects of foot orthoses and valgus bracing on the knee adduction moment and medial joint load during gait. Clinical biomechanics. 2008;23(6):814-21.
  36. Crossley KM, Cowan SM, Bennell KL, McConnell J. Knee flexion during stair ambulation is altered in individuals with patellofemoral pain. Journal of Orthopaedic Research. 2004;22(2):267-74.