TY  - JOUR
A1  - Palmisano, Chiara
A1  - Kullmann, Peter
A1  - Hanafi, Ibrahem
A1  - Verrecchia, Marta
A1  - Latoschik, Marc Erich
A1  - Canessa, Andrea
A1  - Fischbach, Martin
A1  - Isaias, Ioannis Ugo
T1  - A fully-immersive virtual reality setup to study gait modulation
JF  - Frontiers in Human Neuroscience
N2  - Objective: Gait adaptation to environmental challenges is fundamental for independent and safe community ambulation. The possibility of precisely studying gait modulation using standardized protocols of gait analysis closely resembling everyday life scenarios is still an unmet need.
Methods: We have developed a fully-immersive virtual reality (VR) environment where subjects have to adjust their walking pattern to avoid collision with a virtual agent (VA) crossing their gait trajectory. We collected kinematic data of 12 healthy young subjects walking in real world (RW) and in the VR environment, both with (VR/A+) and without (VR/A-) the VA perturbation. The VR environment closely resembled the RW scenario of the gait laboratory. To ensure standardization of the obstacle presentation the starting time speed and trajectory of the VA were defined using the kinematics of the participant as detected online during each walking trial. 
Results: We did not observe kinematic differences between walking in RW and VR/A-, suggesting that our VR environment per se might not induce significant changes in the locomotor pattern. When facing the VA all subjects consistently reduced stride length and velocity while increasing stride duration. Trunk inclination and mediolateral trajectory deviation also facilitated avoidance of the obstacle. 
Conclusions: This proof-of-concept study shows that our VR/A+ paradigm effectively induced a timely gait modulation in a standardized immersive and realistic scenario. This protocol could be a powerful research tool to study gait modulation and its derangements in relation to aging and clinical conditions.
KW  - gait modulation
KW  - virtual reality
KW  - obstacle avoidance
KW  - gait analysis
KW  - kinematics
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-267099
SN  - 1662-5161
VL  - 16
ER  - 
TY  - JOUR
A1  - Dipaola, Mariangela
A1  - Pavan, Esteban E.
A1  - Cattaneo, Andrea
A1  - Frazzitta, Giuseppe
A1  - Pezzoli, Gianni
A1  - Cavallari, Paolo
A1  - Frigo, Carlo A.
A1  - Isaias, Ioannis U.
T1  - Mechanical Energy Recovery during Walking in Patients with Parkinson Disease
JF  - PLoS ONE
N2  - The mechanisms of mechanical energy recovery during gait have been thoroughly investigated in healthy subjects, but never described in patients with Parkinson disease (PD). The aim of this study was to investigate whether such mechanisms are preserved in PD patients despite an altered pattern of locomotion. We consecutively enrolled 23 PD patients (mean age 64±9 years) with bilateral symptoms (H&Y ≥II) if able to walk unassisted in medication-off condition (overnight suspension of all dopaminergic drugs). Ten healthy subjects (mean age 62±3 years) walked both at their ‘preferred’ and ‘slow’ speeds, to match the whole range of PD velocities. Kinematic data were recorded by means of an optoelectronic motion analyzer. For each stride we computed spatio-temporal parameters, time-course and range of motion (ROM) of hip, knee and ankle joint angles. We also measured kinetic (Wk), potential (W\(_{p}\)), total (W\(_{totCM}\)) energy variations and the energy recovery index (ER). Along with PD progression, we found a significant correlation of W\(_{totCM}\) and W\(_{p}\) with knee ROM and in particular with knee extension in terminal stance phase. W\(_{k}\) and ER were instead mainly related to gait velocity. In PD subjects, the reduction of knee ROM significantly diminished both W\(_{p}\) and W\(_{totCM}\). Rehabilitation treatments should possibly integrate passive and active mobilization of knee to prevent a reduction of gait-related energetic components.
KW  - Parkinson disease
KW  - mechanical energy
KW  - kinematics
KW  - velocity
KW  - hip
KW  - gait analysis
KW  - walking
KW  - knees
Y1  - 2016
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-179739
VL  - 11
IS  - 6
ER  -