Influence of the use of cane on the gait cycle of individuals who are blind. (September 2018)

• Record Type: Journal Article
• Authors: Santos, Diana; Abrantes, João MCS; Lewis, Peter; Macedo, António Filipe
• Is Part Of: British journal of visual impairment. Volume 36:Number 3(2018:Sep.)
• Page Start: 251
• Page End: 261
• Publication Date: 2018-09
• Subjects: Biomechanics -- cane -- gait -- orientation and mobility -- impaired vision -- blind; People with visual disabilities -- Periodicals; Blind -- Periodicals; Vision disorders -- Periodicals; Blindness -- Periodicals; People with visual disabilities -- Services for -- Great Britain -- Periodicals; Blind -- Services for -- Great Britain -- Periodicals; 362.4105
• DOI: 10.1177/0264619618782576
• Languages: English
• ISSNs: 0264-6196

Abstract

The aim of this study was to perform a biomechanical characterization of the gait cycle in individuals who are blind. Five individuals with ages between 16 and 19 years participated in this study. The task consisted of walks of 12m measured in two conditions: (1) with cane and (2) wihtout cane; a total of 20 walks in each condition were performed. During walks, participants were monitored with a Vicon 3D-motion capture system. Spatialtemporal, kinematic, kinetic, and dynamic parameters were recorded and compared between the two conditions. We observed an interaction between the condition and ankle angular measures ( p = .003); the interaction was due to differences induced by condition in instants 'opposite toe off' ( p = .045) and 'opposite initial contact' ( p = .019). We also obtained a significant difference in the negative ankle-joint-power measures between conditions ( p = .044). This study showed that the use of cane changes the gait pattern in individuals who are blind. The subtle changes in ankle behaviour when walking with a cane, compared with no cane, suggest better application of the force during the initial stages of support leading to a more comfortable gait. This type of assessment of gait may be important to improve mobility training and rehabilitation strategies.