Affiliations: [a] Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA | [b] Physical Therapy Department, University of Texas Medical Branch, Galveston, TX, USA | [c] Physical Therapy Department, Virginia Commonwealth University, Richmond, VA, USA | [d] Electrical and Computer Engineering, Duke University, Durham, NC, USA | [e] Physical Therapy Department, Seton Northwest Hospital, Austin, TX, USA
Correspondence:
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Corresponding author: Ronita L. Cromwell, Ph.D. Associate Professor, Division of Rehabilitation Sciences, Department of Physical Therapy, 301 University Blvd., Galveston, TX77555-1144, USA.
Tel.: +1 409 772 9555; Fax: +1 409 747 1316; E-mail: [email protected]
Abstract: The purpose of this study was to determine adaptations in head stability resulting from altered gaze control and vision during over-ground walking. Using over-ground walking permitted adaptations in walking velocity and cadence that are otherwise not possible during treadmill walking or walking-in-place. Gaze control and vision were manipulated by having 20 young adult subjects 1) walk naturally, 2) view a distant, earth-fixed target to enhance the vestibulo-ocular reflex (VOR), 3) view a head-fixed target to suppress the VOR, and 4) walk in darkness. Horizontal head and trunk angular velocities in space, walking velocity and cadence were measured. Root-mean-square head and trunk angular velocities were calculated and frequency analyses determined head-trunk movement patterns. Results demonstrated that when given the opportunity, subjects slowed down and decreased cadence in response to challenging tasks. Despite strongly reduced walking velocity and cadence, walking in darkness proved most challenging for head stabilization, indicating the importance of vision during this process. Viewing the earth-fixed target demonstrated the greatest head stability thereby, facilitating gaze stabilization. However, comparisons between the earth-fixed and head-fixed target conditions suggest a reciprocal relationship where gaze stability also facilitates head stability. This contribution of gaze stability to head stability is more important than vision alone as the head stabilization response was diminished during the VOR suppressed condition.
