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Arm movements during slipping

Sandrian, Peter Nerses (2007) Arm movements during slipping. Master's Thesis, University of Pittsburgh. (Unpublished)

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Abstract

Slip-initiated falls often cause injury and death, especially in older adults. Previous research involving perturbed walking has to a large extent focused on lower extremity reactions, yet arm responses are often part of postural reactions to such perturbations. This research is focused on arm responses to an unexpected slip. In Aim 1, the relationship between slip severity and shoulder biomechanics was examined. In Aim 2, we determined if the vestibular system is involved in the triggering of arm responses. The correlation between shoulder moment magnitude and the extent of the body center of mass (COM) perturbation was examined in Aim 3.Subjects (17 younger and 12 older adults) were exposed to two conditions: (1) baseline dry (subjects knew the floor was dry), and (2) unexpected slip (a diluted glycerol solution was spread on the floor beneath the stance/left foot). Shoulder Euler angles and moments in flexion/extension and abduction/adduction were derived. The spherical elevation angle was used to further describe shoulder kinematics. Slip severity was quantified using measures reported in the literature.Although arm responses were bilateral, only left (side of slipping foot) shoulder biomechanics, specifically moment generation rates, spherical elevation angle, and abduction angle were positively correlated with slip severity. Left shoulder responses were triggered later than left hip and knee responses. Delayed shoulder moment onsets, slower abduction moment generation rate, and reduced range of motion were found in older adults compared to their younger counterparts. Aim 2 results indicated a weak but statistically significant positive relationship between the timing of the slip-initiated downward head acceleration and the onset of the left shoulder flexion/extension moment (true only when slip severity was controlled in the analysis). In Aim 3, increased left shoulder flexion generation rate correlated with decreased COM perturbation.In conclusion, evidence presented in this study implies (1) arm responses play a role in balance recovery, (2) a legs-to-arms response sequence appears to drive the reaction to a slip, although the potential implication of the vestibular system cannot be ruled out, (3) age-related effects on arm responses may aggravate the risk of slips and falls in older adults.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Sandrian, Peter Nersespetersandrian@gmail.competersandrian@gmail.com
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairCham, Rakiechamr@upmc.educhamr@upmc.edu
Committee Member McCrory, Jean Lujmccrory@pitt.edujmccrory@pitt.edu
Committee MemberRedfern, Mark Sredfern@pitt.eduredfern@pitt.edu
Date: 31 January 2007
Date Type: Completion
Defense Date: 31 August 2006
Approval Date: 31 January 2007
Submission Date: 11 September 2006
Access Restriction: 5 year -- Restrict access to University of Pittsburgh for a period of 5 years.
Institution: University of Pittsburgh
Schools and Programs: Swanson School of Engineering > Bioengineering
Degree: MSBeng - Master of Science in Bioengineering
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: aging; disturbance; kinetics; posture; gait; walking
Other ID: http://etd.library.pitt.edu/ETD/available/etd-09112006-170218/, etd-09112006-170218
Date Deposited: 10 Nov 2011 20:01
Last Modified: 02 May 2012 14:46
URI: http://d-scholarship.pitt.edu/id/eprint/9351

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