Gait Posture, 2021 · DOI: 10.1016/j.gaitpost.2020.10.014 · Published: January 1, 2021
This study explores how real-time feedback on walking can change how people walk. Specifically, it looks at two types of feedback: one that tells people how hard they are pushing off with their leg (propulsive force) and another that tells them how far back their leg is trailing behind their body (trailing limb angle). The researchers wanted to see if giving people feedback on their trailing limb angle could help them increase their propulsive force, which is important for walking faster and more efficiently. They also wanted to compare the effects of these two types of feedback on other aspects of walking, like ankle movement and power. The study found that both types of feedback could help people increase their propulsive force, but they did it in different ways. Trailing limb angle feedback seemed to change the position of the leg, while propulsive force feedback seemed to increase ankle power. This suggests that trailing limb angle could be a useful target for gait biofeedback.
TLA biofeedback can be used as a gait training strategy to increase propulsion, particularly in individuals who may have difficulty generating ankle power.
TLA biofeedback may be more appropriate for individuals who are unable to modulate plantarflexor activity and must therefore rely on other biomechanical strategies to increase propulsion.
Further investigation is needed to uncover the effects of TLA biofeedback on gait parameters in individuals with neuro-pathologies such as spinal cord injury or stroke.