| Knowledge about Inter-segmental coordination (ISC) during
challenging walking conditions provides insight into the
adaptability of central nervous system for controlling human gait.
To assess the effects of cognitive load and speed on the variability
and phase dynamics of ISC during walking, we asked thirty healthy
young, twenty non-faller and ten faller people to participate in this
study. They performed 9 walking trials on a treadmill, including
walking at three paces (preferred, slower and faster) either without
a cognitive task (single-task walking) or while subtracting 1’s
or 3’s from a random three-digit number (simple and complex
dual-task walking, respectively). Deviation phase (DP) and mean
absolute relative phase (MARP) – indicators of variability and phase
dynamics of ISC, respectively – were calculated using the data
collected by a motion capture system.
The results of three-way analysis of variances showed that slower
single- and dual-task walking, significantly increased thigh-shank
and shank-foot DP compared to preferred walking speed. During
dual-task conditions, these differences were significant between
slower and faster walking as well. Furthermore, slower walking
significantly increased the thigh-shank MARP under complex dualtask
condition and pelvis-thigh MARP while walking with no added
cognitive load. However, no significant difference was observed
between the three groups.
In conclusion, slow dual-task walking could increase the variability
of ISC and make its dynamic behavior more out-of-phase indicating
increased control effort for this task. In older people, this may make
the control of dual-task walking more difficult and expose them to
a higher risk of falling. |