The accuracy of rapid treadmill-belt movements as a means to deliver standing postural perturbations. (February 2019)

• Record Type: Journal Article
• Authors: Crenshaw, Jeremy R.; Bernhardt, Kathie A.; Fortune, Emma; Kaufman, Kenton R.
• Is Part Of: Medical engineering & physics. Volume 64(2019)
• Page Start: 93
• Page End: 99
• Publication Date: 2019-02
• Subjects: Falls -- Disturbance -- Balance -- Stability -- Surface translation; Biomedical engineering -- Periodicals; Biomedical Engineering -- Periodicals; Physics -- Periodicals; Génie biomédical -- Périodiques; Biomedical engineering; Electronic journals; Periodicals; 610.28
• DOI: 10.1016/j.medengphy.2018.12.017
• Languages: English
• ISSNs: 1350-4533

Abstract

Highlights: We evaluated the accuracy of perturbations from ActiveStep ® and AMTI treadmills. We compared treadmills, accounting for perturbation size, direction, and body mass. Absolute errors in displacement and peak velocity were small < 5%. Initial accelerations were more than 5% smaller than commanded values. The front, but not back, AMTI belt had ≈ 5% less acceleration accuracy than the ActiveStep ® . Abstract: Treadmill-induced postural perturbations are a promising tool in assessing and reducing the risk of falls. We evaluated the accuracy with which two treadmills (Simbex ActiveStep ® and an AMTI instrumented treadmill) achieved commanded displacements, peak velocities, and average initial accelerations. To do so, we included a range of perturbation magnitudes (20, 30, and 40 cm displacements) applied in unweighted and weighted (body mass = 46–84 kg) conditions. Across treadmills and perturbation magnitudes, absolute errors in displacement (< 0.5 cm) and peak velocity (< 4 cm/s) were small (relative error < 5%). Between-treadmill differences in displacement and peak velocity were marginal (< 3%), regardless of the perturbation magnitude and participant body mass. Observed accelerations were more than 5% smaller than commanded values. The front, but not back, AMTI belt demonstrated less acceleration accuracy than the ActiveStep ® (≈ 5% difference). In summary, both treadmills demonstrated a reasonable, consistent level of accuracy in delivering postural perturbations.