Altered gait parameters in distracted walking: a bio-evolutionary and prognostic health perspective on passive listening and active responding during cell phone use

IF 2.6 3区 医学 Q2 BEHAVIORAL SCIENCES Frontiers in Integrative Neuroscience Pub Date : 2023-11-10 DOI:10.3389/fnint.2023.1135495
Hassan Bazzi, Anthony T. Cacace
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Abstract

The underpinnings of bipedal gait are reviewed from an evolutionary biology and prognostic health perspective to better understand issues and concerns related to cell phone use during ambulation and under conditions of distraction and interference. We also consider gait-related health issues associated with the fear of or risk of falling and include prognostic dimensions associated with cognitive decline, dementia, and mortality. Data were acquired on 21 healthy young adults without hearing loss, vestibular, balance, otological or neurological dysfunction using a computerized walkway (GAITRite ® Walkway System) combined with specialized software algorithms to extract gait parameters. Four experimental conditions and seven temporo-spatial gait parameters were studied: gait velocity, cadence, stride length, ambulatory time, single-support time, double-support time, and step count. Significant main effects were observed for ambulation time, velocity, stride velocity, and double-support time. The greatest impact of distraction and interference occurred during the texting condition, although other significant effects occurred when participants were verbally responding to queries and passively listening to a story. These experimental observations show that relatively simple distraction and interference tasks implemented through the auditory sensory modality can induce significant perturbations in gait while individuals were ambulating and using a cell phone. Herein, emphasis is placed on the use of quantifiable gait parameters in medical, psychological, and audiological examinations to serve as a foundation for identifying and potentially averting gait-related disturbances.
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行走分心时步态参数的改变:手机使用期间被动倾听和主动反应的生物进化和预后健康观点
从进化生物学和预后健康的角度回顾了两足步态的基础,以更好地理解在行走和分心和干扰条件下与手机使用相关的问题和担忧。我们还考虑了与步态相关的健康问题,包括对跌倒的恐惧或风险,以及与认知能力下降、痴呆和死亡率相关的预后因素。使用计算机化的步道(GAITRite®步道系统)结合专门的软件算法提取步态参数,获取21名没有听力损失、前庭、平衡、耳科或神经功能障碍的健康年轻人的数据。研究了步态速度、步速、步幅、行走时间、单支撑时间、双支撑时间、步数等4个实验条件和7个时空步态参数。行走时间、速度、跨步速度和双支撑时间均有显著的主效应。分心和干扰的最大影响发生在发短信的情况下,尽管其他显著的影响发生在参与者口头回答问题和被动听故事的情况下。这些实验观察结果表明,通过听觉感官模式实施的相对简单的分心和干扰任务可以在个体行走和使用手机时引起显著的步态扰动。本文的重点是在医学、心理和听力学检查中使用可量化的步态参数,作为识别和潜在避免步态相关障碍的基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Integrative Neuroscience
Frontiers in Integrative Neuroscience Neuroscience-Cellular and Molecular Neuroscience
CiteScore
4.60
自引率
2.90%
发文量
148
审稿时长
14 weeks
期刊介绍: Frontiers in Integrative Neuroscience publishes rigorously peer-reviewed research that synthesizes multiple facets of brain structure and function, to better understand how multiple diverse functions are integrated to produce complex behaviors. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Our goal is to publish research related to furthering the understanding of the integrative mechanisms underlying brain functioning across one or more interacting levels of neural organization. In most real life experiences, sensory inputs from several modalities converge and interact in a manner that influences perception and actions generating purposeful and social behaviors. The journal is therefore focused on the primary questions of how multiple sensory, cognitive and emotional processes merge to produce coordinated complex behavior. It is questions such as this that cannot be answered at a single level – an ion channel, a neuron or a synapse – that we wish to focus on. In Frontiers in Integrative Neuroscience we welcome in vitro or in vivo investigations across the molecular, cellular, and systems and behavioral level. Research in any species and at any stage of development and aging that are focused at understanding integration mechanisms underlying emergent properties of the brain and behavior are welcome.
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