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2015 | 49 | 1 | 15-24
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Kinematic Adaptations of Forward and Backward Walking on Land and in Water

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The aim of this study was to compare sagittal plane lower limb kinematics during walking on land and submerged to the hip in water. Eight healthy adults (age 22.1 ± 1.1 years, body height 174.8 ± 7.1 cm, body mass 63.4 ± 6.2 kg) were asked to cover a distance of 10 m at comfortable speed with controlled step frequency, walking forward or backward. Sagittal plane lower limb kinematics were obtained from three dimensional video analysis to compare spatiotemporal gait parameters and joint angles at selected events using two-way repeated measures ANOVA. Key findings were a reduced walking speed, stride length, step length and a support phase in water, and step length asymmetry was higher compared to the land condition (p<0.05). At initial contact, knees and hips were more flexed during walking forward in water, whilst, ankles were more dorsiflexed during walking backward in water. At final stance, knees and ankles were more flexed during forward walking, whilst the hip was more flexed during backward walking. These results show how walking in water differs from walking on land, and provide valuable insights into the development and prescription of rehabilitation and training programs.
Physical description
1 - 12 - 2015
1 - 12 - 2015
30 - 12 - 2015
  • Barela A, Duarte M. Biomechanical characteristics of elderly individuals walking on land and in water. J Electromyogr Kinesiol, 2008; 18(3): 446-454[WoS][Crossref]
  • Barela A, Stolf SF, Duarte M. Biomechanical characteristics of adults walking in shallow water and on land. J Electromyogr Kinesiol, 2006; 16(3): 250-256[Crossref]
  • Bell AL, Pedersen DR, Brand RA. A comparison of the accuracy of several hip center location prediction methods. J Biomech, 1990; 23(6): 617-621.[Crossref]
  • Bohannon RW, Andrews AW, Smith MB. Rehabilitation goals of patients with hemiplegia. Int J Rehabil Res, 1988; 11(2): 181-183[Crossref]
  • Bowden MG, Embry AE, Perry LA, Duncan PW. Rehabilitation of Walking After Stroke. Curr Treat Options Neurol, 2012; 14(6): 521-530
  • Carneiro L, Michaelsen SM, Roesler H, Haupenthal A, Hubert M, Mallmann E. Vertical reaction forces and kinematics of backward walking underwater. Gait Posture, 2012; 35(2): 225-230[Crossref][WoS]
  • Chevutschi A, Alberty M, Lensel G, Pardessus V, Thevenon A. Comparison of maximal and spontaneous speeds during walking on dry land and water. Gait Posture, 2009; 29(3): 403-407[WoS][Crossref]
  • Denning WM, Bressel E, Dolny D. Underwater treadmill exercise as a potential treatment for adults with osteoarthritis. Int J Aquatic Res Educ, 2010; 4: 70-80
  • Gordon CD, Wilks R, McCaw-Binns A. Effect of Aerobic Exercise (Walking) Training on Functional Status and Health-related Quality of Life in Chronic Stroke Survivors A Randomized Controlled Trial. Stroke, 2013; 44(4): 1179-1181[Crossref]
  • Grasso R, Bianchi L, Lacquaniti F. Motor patterns for human gait: Backward versus forward locomotion. J Neurophysiol, 1998; 80(4): 1868-1885
  • Kachanathu SJ, Hafez AR, Zakaria AR. Efficacy of backward versus forward walking on hamstring strain rehabilitation. Int J Ther Rehabil Res, 2013; 2(1): 8-14
  • Kim YS, Park J, Shim JK. Effects of Aquatic Backward Locomotion Exercise and Progressive Resistance Exercise on Lumbar Extension Strength in Patients Who Have Undergone Lumbar Diskectomy. Arch Phys Med Rehabil, 2010; 91(2): 208-214[WoS][Crossref]
  • Knudson D. Significant and meaningful effects in sports biomechanics research. Sports Biomech, 2009; 8(1): 96-104[Crossref][WoS]
  • Kodesh E, Kafri M, Dar G, Dickstein R. Walking speed, unilateral leg loading, and step symmetry in young adults. Gait Posture, 2012; 35(1): 66-69[Crossref][WoS]
  • Kwon YH. Object plane deformation due to refraction in two-dimensional underwater motion analysis. J Appl Biomech, 1999; 15(4): 396-403
  • Kwon YH, Casebolt JB. Effects of light refraction on the accuracy of camera calibration and reconstruction in underwater motion analysis. Sports Biomech, 2006; 5(2): 315-340[Crossref]
  • Lythgo N, Wilson C, Galea M. Basic gait and symmetry measures for primary school-aged children and young adults. II: Walking at slow, free and fast speed. Gait Posture, 2011; 33(1): 29-35[WoS][Crossref]
  • Masumoto K, Hamada A, Tomonaga H, Kodama K, Hotta N. Physiological Responses, Rating of Perceived Exertion, and Stride Characteristics During Walking on Dry Land and Walking in Water, Both With and Without a Water Current. J Sport Rehabil, 2012; 21(2): 175-181
  • Masumoto K, Hamada A, Tomonaga HO, Kodama K, Amamoto Y, Nishizaki Y, Hotta N. Physiological and perceptual responses to backward and forward treadmill walking in water. Gait Posture, 2009; 29(2): 199-203[Crossref][WoS]
  • Masumoto K, Shono T, Hotta N, Fujishima K. Muscle activation, cardiorespiratory response, and rating of perceived exertion in older subjects while walking in water and on dry land. J Electromyogr Kinesiol, 2008; 18(4): 581-590[Crossref][WoS]
  • Masumoto K, Takasugi S, Hotta N, Fujishima K, Iwamoto Y. A comparison of muscle activity and heart rate response during backward and forward walking on an underwater treadmill. Gait Posture, 2007a; 25(2): 222-228[Crossref][WoS]
  • Masumoto K, Takasugi SI, Hotta N, Fujishima K, Iwamoto Y. A comparison of muscle activity and heart rate response during backward and forward walking on an underwater treadmill. Gait Posture, 2007b; 25(2): 222-228[Crossref][WoS]
  • Orselli MIV, Duarte M. Joint forces and torques when walking in shallow water. J Biomech, 2011; 44(6): 1170-1175[WoS][Crossref]
  • Patterson KK, Nadkarni NK, Black SE, McIlroy WE. Gait symmetry and velocity differ in their relationship to age. Gait Posture, 2012a; 35(4): 590-594[WoS][Crossref]
  • Patterson KK, Nadkarni NK, Black SE, McIlroy WE. Gait symmetry and velocity differ in their relationship to age. Gait Posture, 2012b; 35(4): 590-594[WoS][Crossref]
  • Prins J, Cutner D. Aquatic therapy in the rehabilitation of athletic injuries. Clin Sports Med, 1999; 18(2): 447-461[Crossref]
  • Routson RL, Clark DJ, Bowden MG, Kautz SA, Neptune RR. The influence of locomotor rehabilitation on module quality and post-stroke hemiparetic walking performance. Gait Posture, 2013; 38(3): 511-517[WoS][Crossref]
  • Sadeghi H, Allard P, Prince F, Labelle H. Symmetry and limb dominance in able-bodied gait: a review. Gait Posture, 2000; 12(1): 34-45[Crossref]
  • Schmid A, Duncan PW, Studenski S, Lai SM, Richards L, Perera S, Wu SS. Improvements in speed-based gait classifications are meaningful. Stroke, 2007; 38(7): 2096-2100[Crossref][WoS]
  • Tsourlou T, Benik A, Dipla K, Zafeiridis A, Kellis S. The effects of a twenty-four-week aquatic training program on muscular strength performance in healthy elderly women. J Strength Cond Res, 2006; 20(4): 811-818
  • Volaklis KA, Spassis AT, Tokmakidis SP. Land versus water exercise in patients with coronary artery disease: effects on body composition, blood lipids, and physical fitness. Am Heart J, 2007; 154(3): 560.e1-6 [Crossref]
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