Sports Medicine: Just the Facts

(やまだぃちぅ) #1
CHAPTER 21 • GAIT ANALYSIS 127

including foot contact timing). Temporal, but not spatial
parameters can be measured with footswitches (on/off
devices detecting foot contact timing).
•Temporal-spatial features of walking and running
differ substantially. During walking, at least one foot is
always on the ground while during the majority of run-
ning neither foot is in contact with the ground. While
walking has two double-support phases, running has
two phases of double floatduring the swing period.
The percentages of time in stance and swing are


reversed in walking and running: about 60% and 40%
respectively for walking and about 40% and 60%,
respectively for running (Fig. 21-2) (Novacheck, 1998;
Perry, 1992). During normal walking at an average
walking speed, each double-limb support time com-
prises approximately 10% of the gait cycle while
single-limb support comprises about 40%. Typical
values (Kerrigan and Edelstein, 2001) of temporal gait
parameters in healthy young adults, walking comfort-
ably on a level surface, are summarized in Table 21-1.

FIG. 21-1 The gait cycle. (a) Walking figure. (b) Walking gait cycle: IC, initial contact; LR, load-
ing response; TO, toe off; MS, midstance; TS, terminal stance; PS, preswing; IS, initial swing; MS,
midswing; TS, terminal swing. (c) Running figure: 1. Stance phase absorption. 2. Stance phase gen-
eration. 3. Swing phase generation. 4. Swing phase reversal. 5. Swing phase absorption. (d) Running
gait cycle: IC, initial contact; TO, toe off; StR, stance phase reversal; SwR, swing phase reversal;
absorption, from SwR through IC to StR; generation, from StR through TO to SwR. (From
Novacheck, 1998).


FIG. 21-2 Variation in gait cycle param-
eters with speed of movement. For each
condition, the bar graph begins at initial
contact on the left and represents two com-
plete gait cycles or strides. Note that as
speed increases, time spent in swing (clear)
increases, stance time (shaded) decreases,
double float increases, and cycle time
shortens (From Novacheck, 1998).

Free download pdf