This study compares biomechanical and bioelectric electromyography (EMG) normalization techniques across disparate age cohorts during walking to assess the impact of normalization methods on the functional interpretation of EMG data. The biomechanical method involved scaling EMG to a target absolute torque (EMGTS) from a joint-specific task and the chosen bioelectric methods were peak and mean normalization taken from the EMG signal during gait, referred to as dynamic mean and dynamic peak normalization (EMGMean and EMGPeak). The effects of normalization on EMG amplitude, activation pattern, and inter-subject variability were compared between disparate cohorts, including OLD (76.6 yrs N = 12) and YOUNG (26.6 yrs N = 12), in five lower-limb muscles. EMGPeak normalization resulted in differences between YOUNG and OLD cohorts in Biceps Femoris (BF) and Medial Gastrocnemius (MG) that were not observed with EMGMean or EMGTS normalization. EMGPeak and EMGMean normalization also demonstrated interactions between age and the phase of gait in BF that were not seen with EMGTS. Correlations showed that activation patterns across the gait cycle were similar between all methods for both age groups and the coefficient of variation comparisons found that EMGTS produced the greatest inter-subject variability. We have shown that the normalization technique can influence the interpretation of findings when comparing disparate populations, highlighting the need to carefully interpret functional differences in EMG between disparate cohorts.
While the value of walking gait metrics collected using pressure-sensing walkways has shown promise for fall risk assessment, there is no consensus on the minimum number of strides required to obtain reliable metrics. This study aimed to determine the minimum stride count required for reliable single-task (ST), dual-task (DT), and difference score (DS) measurements of the spatio-temporal parameters of gait in older adult fallers and non-fallers. Forty community-dwelling older adults (74.6 ± 3.5 years) performed 10 ST and 10 DT walking passes (~100 strides total) across a GAITRite™ pressure mat. Nine truncated datasets (1–9 passes) were created from the original for each walking condition to assess agreement using two-way random effects, absolute agreement, and single-rater intraclass correlations (ICCs). ICCs demonstrated that a minimum of one pass (~10 strides) is sufficient for reliable mean gait metrics for ST and DT conditions and 10–30 strides for DS, while 10–80 strides are needed for reliable gait variability measures, depending on the metric. This study provides stride count recommendations to ensure reliable gait measurement in older adult populations, highlighting that as few as 10–30 strides are necessary for mean metrics, while variability metrics may require up to 80 strides to ensure reliability.
Background: Para-sports such as wheelchair rugby have seen increased use of inertial measurement units (IMU) to measure wheelchair mobility. The accessibility and accuracy of IMUs have enabled the quantification of many wheelchair metrics and the ability to further advance analyses such as force-velocity (FV) profiling. However, the FV modeling approach has not been refined to include wheelchair specific parameters. Purpose: The purpose of this study was to compare wheelchair rugby sprint FV profiles, developed from a wheel-mounted IMU, using current mono-exponential modeling techniques against a dynamic resistive force model with wheelchair specific resistance coefficients. Methods: Eighteen athletes from a national wheelchair rugby program performed 2 × 45 m all-out sprints on an indoor hardwood court surface. Results: Velocity modelling displayed high agreeability, with an average RMSE of 0.235 ± 0.07 m/s−1 and r2 of 0.946 ± 0.02. Further, the wheelchair specific resistive force model resulted in greater force and power outcomes, better aligning with previously collected measures. Conclusions: The present study highlights the proof of concept that a wheel-mounted IMU combined with wheelchair-specific FV modelling provided estimates of force and power that better account for the resistive forces encountered by wheelchair rugby athletes.
Wheelchair sports have been using Inertial Measurement Units (IMU) to measure mobility metrics during training, testing and competition. Presently, the most suitable solution to calculate wheelchair speed and frame rotation is the 3IMU method as there is uncertainty about the ability of a one wheel-mounted IMU (1IMU) approach to calculate wheelchair frame rotational kinematics. A new method for calculating wheelchair frame rotational kinematics using a single wheel-mounted IMU is presented and compared to a criterion measurement using a wheelchair-frame-mounted IMU. Goodness-of-fit statistics demonstrate very strong linear relationships between wheelchair frame angular velocity calculated from the wheel-mounted IMUs and a wheelchair-frame-mounted IMU. Root mean square error (RMSE), mean absolute error (MAE) and Bland–Altman analysis show very small differences between the wheelchair frame angular velocity calculated from the wheel-mounted IMUs and the wheelchair-frame-mounted IMU. This study has demonstrated a simple and accurate approach to estimating wheelchair frame rotation using one wheel-mounted IMU during an elite wheelchair athlete agility task. Future research is needed to reexamine and compare wheelchair mobility metrics determined using the 3IMU and 1IMU solutions using this new approach.
Boat acceleration profiles can provide valuable information for coaches and practitioners to make meaningful technical interventions and monitor the determinants of success in rowing. Previous studies have used simple feature detection methods to identify key phases within individual strokes, such as drive onset, drive time, drive offset and stroke time. However, based on skill level, technique or boat class, the hull acceleration profile can differ, making robust feature detection more challenging. The current study’s purpose is to employ the undecimated wavelet transform (UWT) technique to detect individual features in the stroke acceleration profile from a single rowing hull-mounted accelerometer. In this investigation, the temporal and kinematic values obtained using the AdMosTM sensor in conjunction with the UWT processing approach were strongly correlated with the comparative measures of the Peach™ instrumented oarlock system. The measures for stroke time displayed very strong agreeability between the systems for all boat classes, with ICC values of 0.993, 0.963 and 0.954 for the W8+, W4− and W1x boats, respectively. Similarly, the drive time was also very consistent, with strong to very strong agreeability, producing ICC values of 0.937, 0.901 and 0.881 for the W8+, W4− and W1x boat classes. Further, a Bland–Altman analysis displayed little to no bias between the AdMosTM-derived and Peach™ measures, indicating that there were no systematic discrepancies between signals. This single-sensor solution could form the basis for a simple, cost-effective and accessible alternative to multi-sensor instrumented systems for the determination of sub-stroke kinematic phases.
Engaging in physical activity is known to prevent falls in older adults, however the relative influence of the intensity, duration and frequency of physical activity is unclear. This study investigated the relationship between fall history and the frequency, duration, and caloric expenditure of both low and moderate/high intensity physical activity. Using the Community Healthy Activities Model Program for Seniors questionnaire, weekly frequency, duration, and estimated caloric expenditure were calculated for both low and moderate/high-intensity physical activity for community-dwelling older adult (fallers (n=18); non-fallers (n=15)). Moderate/high-intensity physical activity regression models were significant for identifying fallers while low-intensity physical activity models were not. Further, the non-faller cohort engaged in significantly greater weekly frequency relative to duration of moderate/high-intensity physical activity than non-fallers. This primary research demonstrates the importance of frequency in addition to the duration of moderate/high-intensity physical activity in decreasing the likelihood of community-dwelling older adults being identified as a faller.