Sections to look at that give indication of gait & functioning of lower limb
4 areas to take note of:
Heel Strike to First Peak (F1)
First Peak (F1) to Trough (F2)
Trough (F2) to Second Peak (F3)
Second Peak (F3) to Toe-off
The Vertical Component: Single Step:
Stance phase, half a cycle
Heel to heel (from one foot to another)
Vt component represents the vt propulsion of CoM
How much pushing CoM up & down
The curve almost the same no matter age, gender etc
2 peaks & a trough
1st peak = contact peak
2nd peak = active/propulsion peak
Pretty much same for running just more compressed, may lose trough
Heel Strike to First Peak (F1):
What is happening?
The foot strikes the ground
The body decelerates downwards
Weight is transferred from back foot to the front foot during initial double support (loading)
F1 magnitude should be in the order of 1.2 times the person’s body weight
Heel Strike to First Peak (F1):
What does this peak signify?
How confident person is to load that front foot
The speed of walking
If experiencing pain or discomfort, shy to put weight on first foot, lower peak
Same if slowly from last step to this step as slowing movement of CoM
Heel Strike to First Peak (F1):
CoM at stance phase getting ready to swing CoM drops, because as move limb out, feet split apart, goes down, force moves downward as move body, force of gravity & mass, & whatever push you putting in ground when making heel contact
Heel Strike to First Peak (F1):
Fmg + Fp > BW
So peak = Force of mass x gravity (Fmg) +
Whatever push (Fp), you’re pushing in ground as making heel contact
Should = greater than your BW (body weight)
Tells you how confident they are
First Peak (F1) to Trough (F2):
What is happening?
As body starts to progress over the lower limb, the knee extends raising the CoM
Progress gait over CoM, extending knee, shifting mass over top stance leg CoM moving upwards
As the CoM approaches its highest points, it is slowing down, or decelerating its upwards motion
At mid stance
First Peak (F1) to Trough (F2):
F2 magnitude in the order of 0.7 times the person’s body weight (0.7 x BW) = under BW
First Peak (F1) to Trough (F2):
What does the trough signify?
Willingness or confidence to move all their weight on top of stance limb
If is painful will be shy to move over stance limb, speed thru stance phase, = shallower trough, or even deeper trough (to minimise time)
First Peak (F1) to Trough (F2):
Heel contact to mid stance
CoM rises to highest point
Upward force acting on body
Have push, gravity acting against us
Force of push - force of gravity
Reaction force will be less than BW
Fp - Fg < BW
Trough (F2) to Second Peak (F3):
What is happening?
The CoM now falls as the heel lifts & the foot is pushed down & back into the ground by the action of muscle in the posterior compartment of the ankle joint
Propelling body forward, need muscle action in foot to cause that to happen
Prev using momentum, now need to create force
Trough (F2) to Second Peak (F3):
What is happening?
Both the deceleration, downward & propulsion from the foot & ankle complex cause the second peak (F3)
Similar to first peak, first = braking mechanism
second = propulsion/pushing out of stance phase
Trough (F2) to Second Peak (F3)
F3 magnitude should be in the order of 1.2 times the person’s body weight
Similar to braking/impact peak (1st peak)
Trough (F2) to Second Peak (F3):
What does the second peak signify?
Typically a low peak tells us that the person has a weak or poor ability to propel themselves
Pathological in gastrocnemius or amputees, reduce mobility of ankle joint
Ability to propel CoM upwards as leave stance phase of movement
Trough (F2) to Second Peak (F3):
Mid stance into end of step phase
Movement from high CoM to low CoM
Mass + our push = greater than BW
If at constant pace similar to first peak
Fmg + Fp > BW
Second Peak (F3) to Toe Off:
What is happening?
The foot is unloaded as the load is transferred to the opposite foot
The time taken to off load from the back foot will relate to the speed of transfer of the weight to the front foot
Speed = how fast you are moving & how willing to transfer
Second Peak (F3) to Toe Off:
What is happening?
Therefore, the longer the offloading period from the back foot, the lower the first peak during loading on the front foot
If take longer here, will affect first peak of next step, not as steep (longer time to offload), next peak lower (around 1 = to body weight)
eg Amputee gait
Similar pattern to healthy stance
2 peaks & trough
Magnitudes look a bit different
Below knee amputee
Pathology vs Healthy:
Differences:
Height of peaks, lower for amputee
The proportion of time spend in initial loading/impact phase = 10% longer for amputee
The depth of the trough, shallower for amputee
Active peak is even lower than first peak for amputee, as no muscular to cause push off, affects next step
Pathology vs Healthy:
2. The proportion of time spend in initial loading/impact phase = 10% longer for amputee
Spend more time going into loading phase due to confidence, not as steep of a slope
Not as much of a push
Pathology vs Healthy:
3. The depth of the trough, shallower for amputee
~ 0.8 BW, as moving slower into stance, less confident, not as much transition/vt movement of CoM as moving into that, less displacement of CoM not as high
4. Active peak is even lower than first peak for amputee, as no muscular to cause push off, affects next step