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Locomotion Laboratory, Department of Integrative Physiology, University of Colorado, Boulder, Colorado
Submitted 28 January 2005 ; accepted in final form 22 July 2005
| ABSTRACT |
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biomechanics; determinants of gait; inverted pendulum; locomotion; mechanical work
According to Saunders et al. (41), walking with a flat center of mass trajectory reduces the muscular work required to lift the body and, consequently, reduces the metabolic cost of locomotion. Saunders et al. (41) identify six "determinants of gait" that smooth and flatten the center of mass trajectory during walking and thereby reduce the muscular work required during walking. These determinants of gait include pelvic rotation, pelvic tilt, stance phase knee flexion, foot and knee mechanics, and lateral displacement of the pelvis. Although Saunders et al.'s (41) determinants of gait view of walking has been widely accepted, particularly in clinical biomechanics (18, 30, 37, 48), it has not been rigorously tested until recently.
Although no studies have examined whether using a flat trajectory minimizes the metabolic cost of walking, several studies have provided insight into this issue. Two determinants of gait, pelvic rotation and heel lift, do indeed reduce the vertical movements of the center of mass (13, 28, 29). In contrast, stance phase knee flexion and pelvic tilt do not appreciably affect center of mass vertical displacement in normal walking (21, 22). Furthermore, individuals who naturally prefer to walk with exaggerated stance phase knee flexion perform more external work to move the center of mass (50). Although a recent simulation of walking suggests the energetic cost of raising the body's center of mass is significant (39), no study has tested the central hypothesis of Saunders et al. (41) that decreasing an individual's center of mass vertical movement minimizes mechanical work to move the center of mass and metabolic cost. Moreover, an alternative and contradictory view has emerged.
According to the alternative view, the vertical movements of the center of mass allow the exchange of mechanical energy and thereby reduce mechanical work required to move the center of mass and the metabolic cost of walking (2, 10, 11). This energy exchange and the center of mass trajectory during walking have been modeled using an inverted pendulum with the stance leg represented as a rigid strut that supports a point mass equal to body mass (2, 10, 11). Like an inverted pendulum, a human walker's center of mass rises and slows in the first half of the stance phase and then falls and accelerates during the second half of the stance phase (6, 34, 35, 38, 42). Consequently, in the first half of the stance phase, kinetic energy is converted into gravitational potential energy (11). In the second half of the stance phase, the opposite conversion occurs. Because the gravitational potential energy and kinetic energy fluctuations are nearly equal in magnitude and
180° out of phase in walking, humans can exchange substantial mechanical energy. To achieve this exchange, muscles must generate force to maintain a stiff stance limb and prevent the center of mass from collapsing, and thus energy exchange is not a purely passive process in walking humans. Nonetheless, this model accurately represents the mechanical energy fluctuations and the pendulum-like energy exchange in an amazing variety of animals, including those in Refs. 11, 19, 20, 24, 26, 36.
According to the inverted pendulum model, the out-of-phase fluctuations in gravitational potential energy and kinetic energy represent a continuous exchange of mechanical energy. This exchange reduces the net mechanical work performed by the overall muscular system to lift and accelerate the center of mass ("net external work") by up to 65% and consequently reduces the metabolic cost in walking (9). In fact, both net external work and metabolic cost of transport are minimized at about the same intermediate walking speed where pendulum energy exchange is maximized (10). Minetti et al. (38) showed that metabolic cost and net external work are minimized at the same freely chosen stride frequencies and that recovery decreases at stride frequencies above the freely chosen stride frequency. This link between energy exchange, net external work, and metabolic cost in a number of situations (8, 1012, 38) suggests center of mass vertical movement is advantageous because it allows pendulum-like energy exchange, reduces net external work, and reduces metabolic cost in walking.
The two divergent views regarding the relationship between center of mass vertical motion and metabolic cost have not yet been reconciled. The aim of this study is to determine how minimizing center of mass vertical motion affects inverted pendulum exchange, net external work, and metabolic cost in walking. We hypothesized that walking with a flattened center of mass trajectory does not reduce net external work performed on the center of mass because it reduces inverted pendulum energy exchange. Moreover, contrary to Saunders et al. (41), we hypothesized that metabolic cost would not decrease when humans walk with a flattened center of mass trajectory. To test our hypotheses, we examined metabolic cost, mechanical energy exchange, and net external work for humans walking with small vertical movements of the center of mass compared with walking with normal center of mass movements. In addition to testing the hypothesis of Saunders et al. (41), this study will provide insight into the fundamental mechanical determinants of metabolic cost in walking.
| MATERIALS AND METHODS |
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Each subject participated in three sessions including a practice session and two testing sessions. In all sessions, subjects walked on a custom-built motorized treadmill mounted on a force platform (31). During the practice session, subjects walked for at least 20 min with a normal center of mass trajectory and 20 min with a flattened center of mass trajectory (i.e., flat-trajectory walking) at two speeds (1.3 and 1.8 m/s) to habituate subjects to the two types of walking. This session exceeded the minimum treadmill habituation time of 10 min recommended by Wall and Charteris (45). During the testing sessions, subjects walked normally and with a flattened center of mass trajectory at five speeds (0.7, 1.0, 1.3, 1.5, and 1.8 m/s) that were randomly assigned to the first testing session (3 speeds) or the second testing session (2 speeds). During the last 3 min of each 7-min trial, we collected stride frequency, rate of O2 consumption and CO2 production, and ground reaction force data. Three minutes of rest were given after each flat-trajectory walking trial. At the beginning and end of the practice session and each testing session, we collected metabolic and mechanical data at 1.3 m/s to quantify whether any habituation effect occurred.
During the flat-trajectory walking trials, subjects were provided with real-time visual feedback to help them minimize the vertical displacement of the center of mass. A reflective marker over the fourth lumbar vertebra was videotaped from a posterior view at a rate of 60 Hz and projected onto a monitor with horizontal grid lines in view of the subject. The camera was zoomed so that 1-cm displacement of the marker appeared as 4 cm on the monitor. The only instruction given to each subject was to minimize the vertical movement of the marker, and thus we did not know what strategy the subjects would use before the study. At the beginning of the practice sessions, subjects tended to experiment with a variety of techniques to achieve this goal. However, by the end of the practice session, they all converged on the strategy of increasing flexion of stance limb joints.
Metabolic cost. We measured the rates of O2 consumption and carbon dioxide production using open-circuit indirect calorimetry (Physio-Dyne Instruments, Quogue, NY). During each trial, we gave subjects 4 min to reach metabolic steady state before collecting metabolic data for the last 3 min. Using the average O2 consumption (ml O2/min) and carbon dioxide production (ml CO2/min) for the last 3 min, we calculated average metabolic rate per kilogram body weight (W/kg) (5). For 7 min at the beginning of each session, we measured the standing metabolic rate. We subtracted standing metabolic rate from gross metabolic rate and divided by speed to calculate net metabolic cost of transport (J·kg1·m1).
Ground reaction force and mechanical work. A force-sensing treadmill was used to measure the vertical, horizontal, and lateral ground reaction force components for two 10-s periods (about 20 strides total) within the last 2 min of each trial. The force treadmill consisted of a custom-built motorized treadmill mounted on a force platform (AMTI, model ZBP-7124-6-4000) and has been described in detail by Kram et al. (31). We collected force data at 1,000 Hz and low-pass filtered the data using a fourth-order zero-lag Butterworth filter with a cutoff frequency of 20 Hz. We used the ground reaction force data to calculate the acceleration of the center of mass in each direction. We then double integrated the acceleration data with respect to time for an integral number of strides to determine the instantaneous center of mass velocity and displacement in each direction (4, 7).
We determined the kinetic energy, gravitational potential energy, and total energy of the center of mass from its velocity and displacement and subsequently determined the external work performed on the center of mass. We calculated total kinetic energy (Ek,t) from body mass (m) and the resultant center of mass velocity (V) determined from its vertical, horizontal, and lateral components:
![]() | (1) |
h):
![]() | (2) |
![]() | (3) |
To evaluate the potential for inverted pendulum energy exchange, we examined the relative magnitudes and timing of the kinetic energy and gravitational potential energy fluctuations. Gravitational potential energy and kinetic energy each fluctuated once per step, and
Ep,g and
Ek,t corresponded to the magnitudes of these fluctuations normalized to body mass and speed (J·kg1·m1) to compare to net external work values. We compared the magnitudes of
Ep,g and
Ek,t by taking their ratio, and we quantified their relative timing by calculating phase angle (9):
![]() | (4) |
t represents the time interval between minimum
Ek,t and maximum
Ep,g and T represents the time interval between consecutive heelstrikes. Thus, when the minimum
Ek,t and the maximum in
Ep,g occurred simultaneously, phase angle was 180°.
Finally, we evaluated how much inverted pendulum energy exchange reduced the net external work required to lift and accelerate the center of mass by calculating the mechanical energy recovery (11):
![]() | (5) |
Kinematics. We measured sagittal plane kinematics of the right lower limb using high-speed video (200 fields/s, JC Labs, Mountain View, CA) and reflective markers on the iliac crest, greater trochanter, lateral femoral condyle, lateral malleolus, and lateral border of the fifth metatarsal head. We digitized the video (Peak Performance Technologies, Englewood, CO) and filtered the position data using a fourth-order zero-lag Butterworth filter with a cutoff frequency of 6 Hz (49). From the position data, we calculated the hip, knee, and ankle angles during the stance phase of walking. Each joint angle was defined as the acute angle between adjacent segments. We determined the average angle and minimum angle for each joint during the stance phase. We focused on the stance phase because stance limb action is the primary determinant of the motion of the center of mass.
Statistical analyses.
The effects of walking condition on metabolic cost and walking mechanics were tested using a two-way mixed repeated-measures ANOVA and Student-Newman-Keuls post hoc tests where appropriate. For the habituation data, we tested the effects of habituation on vertical displacement, stride frequency, and metabolic cost using one-way repeated-measures ANOVA. We tested the effects of habituation between trials within each session as well as across all sessions. All statistical analyses were performed using SPSS 11.5 (SPSS) software and an
level of 0.05.
| RESULTS |
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In flat-trajectory walking, the center of mass moved vertically by 69% (SD 4) less than in normal walking (P < 0.0001), whereas other aspects of the center of mass dynamics remained similar (Fig. 1). The average vertical displacement of the center of mass in flat-trajectory walking was 0.9 cm (SD 0.1) for all speeds and was independent of speed (P = 0.32; Fig. 1A). In contrast, in normal walking, the vertical displacement increased from 1.8 cm (SD 0.1) to 4.2 cm (SD 0.2) across the range of speeds (P = 0.0001). Thus, in flat-trajectory walking, the center of mass moved vertically by 5478% less than in normal walking at the slowest and fastest speeds, respectively. Despite reducing the vertical displacement of the center of mass to <1 cm during flat-trajectory walking, subjects did not substantially change lateral displacement (P = 0.26) or stride frequency (P = 0.17). Specifically, in flat-trajectory walking, subjects maintained center of mass lateral displacement within 0.4 cm (Fig. 1B) and stride frequency within 0.04 Hz (Fig. 1C) of the values in normal walking.
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Ep,g and
Ek,t, respectively) (Figs. 5A and 6, AC). Thus the energy fluctuation magnitudes and timing were close to ideal for energy exchange in normal walking but not in flat-trajectory walking.
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Although recovery was low in flat-trajectory walking, a similar amount of net external work was needed to move the center of mass as in normal walking (P = 0.31) (Fig. 7C). In flat-trajectory walking, the gravitational potential energy fluctuations were on average 69% smaller than in normal walking (P < 0.0001), and, consequently, substantially less net work was needed to lift the center of mass in the first half of stance. However, substantially more net work was needed to accelerate the center of mass in the second half of stance than in normal walking. Specifically, gravitational potential energy decreased so little in flat-trajectory walking that inverted pendulum energy exchange supplied only a small portion of the energy needed for the simultaneous increase in kinetic energy. In contrast, energy exchange provided the majority of the energy needed to accelerate the center of mass in normal walking (Figs. 5A and 6C). Because minimizing vertical displacement increased the net work required for reacceleration, net external work was not lower in flat-trajectory walking (0.35 J·kg1·m1, SD 0.09) compared with normal walking (0.32 J·kg1·m1, SD 0.07) (P = 0.31) (Fig. 7C).
| DISCUSSION |
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The high metabolic cost of flat-trajectory walking may be explained by greater muscle force generation to support body weight due to increased stance leg flexion (25, 32). Because our subjects uniformly chose to flatten the center of mass trajectory by increasing stance leg flexion, it is likely that the ground reaction force had longer moment arms about the joints and the effective mechanical advantage of the stance limb extensor muscles decreased (3). Consequently, subjects likely had to generate greater muscle force to support body weight in flat-trajectory walking than in normal walking. Several studies on human walking demonstrate that exaggerated hip and knee flexion leads to greater muscle activation, muscle force, and metabolic cost (14, 23, 25, 46, 47). However, in the extreme case of human walkers maintaining a knee angle of <135° during the stance phase, metabolic cost increases by only 38% (47). Given that metabolic cost doubled in our study, it is likely that other factors contribute to doubling metabolic cost in flat-trajectory walking.
Although unlikely to be a major contributor, another factor that could underlie the high metabolic cost of flat-trajectory walking is the opposing actions of the individual limbs during double support (17, 33). In the double-support phase of walking, the two limbs work against each other as the body transitions from one inverted pendulum arc to the next. The leading limb performs negative work to change the direction of the center of mass while the trailing limb simultaneously performs positive work to accelerate the center of mass upward and forward. This simultaneous limb work is not fully reflected in net external work because the opposing components of the forces under the two limbs mathematically cancel each other. In flat-trajectory walking, the center of mass changes direction during double support less dramatically than in normal walking because it follows a flatter arc in each single-support phase. Because the negative work by the leading limb primarily acts to change the direction of the center of mass during double support, the leading limb likely performs less negative work in flat-trajectory walking. As a result, the simultaneous positive work performed by the trailing limb that compensates for the negative work by the leading limb should also be less than in normal walking. Therefore, the total individual limb work performed by the leading and trailing limbs during double support is likely not greater and may even be less than in normal walking.
Increased co-contraction of antagonist stance limb muscles may also contribute to the high metabolic cost of flat-trajectory walking. When antagonistic extensors and flexors of the stance limb are simultaneously active, the flexors absorb some of the positive work performed by the extensors, and thus the net work performed by the combined active muscles is less than the positive work performed by the extensors. Consequently, if there is co-contraction of antagonists in the stance limb, the net external work will differ from the total work performed by individual muscles. Co-contraction of antagonist muscles may increase in flat-trajectory walking because it is an unfamiliar task. Grasso et al. (23) found that walking with exaggerated knee flexion increases co-contraction of stance limb muscles. However, co-contraction might have been especially high in that study (23) because it did not familiarize subjects to bent-posture walking before the experimental trials. Our study included a practice session, and the constant metabolic cost over the practice and experimental sessions suggests that subjects had become familiar with flat-trajectory walking. Nonetheless, it would be useful for a future study to measure electromyogram of the stance limb muscles during flat-trajectory walking to examine the role of co-contraction in increasing metabolic cost.
It is important to note that our study focuses on the effect of reducing vertical displacement but does not encompass the vertical displacement range above normal. Saunders et al. (41) believed that the large vertical displacement associated with vaulting over strut-like legs (i.e., compass gait) would lead to a very high metabolic cost. However, an alternative view is that a compass gait, if physically possible, may conceivably be more economical than normal walking due to more inverted pendulum energy exchange and better mechanical advantage of the muscles supporting body weight. However, these effects might be offset by a greater cost of redirecting the center of mass between inverted pendulum arcs during double support (16). Moreover, in a pilot experiment conducted in our laboratory, we attempted to measure metabolic cost during compass-like gait. Although most subjects could maintain a rigid stance limb during support, they also kept their lower limbs rigid during the swing phase. As a result, they altered numerous factors including stride frequency, step length, and swing limb kinematics. The remaining subjects simply could not walk at a constant speed without stance limb flexion. Therefore, we chose to focus on reducing the vertical motion of the center of mass and testing the central hypothesis of Saunder et al. (41) that minimizing center of mass vertical movement reduces energetic cost of walking.
In conclusion, our results show that minimizing the vertical motion of the center of mass doubles metabolic cost but does not affect net external work in human walking. Our findings emphasize that net external work is not the main determinant of the metabolic cost of walking and suggest that the cost of generating muscle force to support body weight plays a key role. These findings have clinical implications for therapies aiming to improve walking economy in patients with gait disorders that affect center of mass motion and metabolic cost such as hip joint replacement, lower limb amputation, stroke, and cerebral palsy (15, 27, 40). Indeed, Detrembler et al. (15) suggest impaired inverted pendulum recovery of mechanical energy is an important factor in the increased metabolic cost during stroke-induced hemiparetic walking. However, based on Saunders et al. (1953), some literature suggests that patients with gait disorders should be trained to walk with little vertical motion of the trunk to reduce metabolic cost (18, 30, 37, 48). Our findings suggest that maintaining normal levels of vertical center of mass motion and an extended stance limb are important factors in reducing the metabolic cost of walking.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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