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      When Is Visual Information Used to Control Locomotion When Descending a Kerb?

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          Abstract

          Background

          Descending kerbs during locomotion involves the regulation of appropriate foot placement before the kerb-edge and foot clearance over it. It also involves the modulation of gait output to ensure the body-mass is safely and smoothly lowered to the new level. Previous research has shown that vision is used in such adaptive gait tasks for feedforward planning, with vision from the lower visual field (lvf) used for online updating. The present study determined when lvf information is used to control/update locomotion when stepping from a kerb.

          Methodology/Principal Findings

          12 young adults stepped down a kerb during ongoing gait. Force sensitive resistors (attached to participants' feet) interfaced with an high-speed PDLC ‘smart glass’ sheet, allowed the lvf to be unpredictably occluded at either heel-contact of the penultimate or final step before the kerb-edge up to contact with the lower level. Analysis focussed on determining changes in foot placement distance before the kerb-edge, clearance over it, and in kinematic measures of the step down. Lvf occlusion from the instant of final step contact had no significant effect on any dependant variable ( p>0.09). Occlusion of the lvf from the instant of penultimate step contact had a significant effect on foot clearance and on several kinematic measures, with findings consistent with participants becoming uncertain regarding relative horizontal location of the kerb-edge.

          Conclusion/Significance

          These findings suggest concurrent feedback of the lower limb, kerb-edge, and/or floor area immediately in front/below the kerb is not used when stepping from a kerb during ongoing gait. Instead heel-clearance and pre-landing-kinematic parameters are determined/planned using lvf information acquired in the penultimate step during the approach to the kerb-edge, with information related to foot placement before the kerb-edge being the most salient.

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          Most cited references28

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          Social Foundations of Thought and Action: A Social-Cognitive View

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            Where and when do we look as we approach and step over an obstacle in the travel path?

            Spatio-temporal gaze behaviour patterns were analysed as normal participants wearing a mobile eye tracker approached and stepped over obstacles of varying height in the travel path. We examined the frequency and duration of three types of gaze fixation with respect to the participants' stepping patterns: obstacle fixation (ObsFix); travel fixation (TravFix) (when the gaze is stable and travelling at the speed of whole body) and fixation in the 4-6m region (Fix4-6). During the approach phase to the obstacle, participants fixated on the obstacle for approximately 20% of the travel time. Only Fix4-6 duration was modulated as a function of obstacle height by regulating the frequency and reflected the increased time needed for detection of the small low contrast obstacle in the travel path. Frequency of ObsFix increased significantly as a function of obstacle height and reflected visuo-motor transformation needed for limb elevation control. Participants did not fixate on the obstacle as they were stepping over, but did the planning in the steps before. TravFix duration and frequency was constant while Fix4-6 duration was higher in the step before and step over the obstacle reflecting visual search of the landing area for the lead limb following obstacle avoidance. These results clearly show that obstacle information provided by vision is used in a feed-forward rather than on-line control mode to regulate locomotion. Information about self-motion acquired from optic flow during TravFix can be used to control velocity of locomotion.
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              Visual impairment and falls in older adults: the Blue Mountains Eye Study.

              To examine the association between visual impairment and falls in older people. Cross-sectional survey of eye disease with retrospective collection of falls data. Two postcode areas in the Blue Mountains west of Sydney, Australia. All people 49 years of age and older were invited to participate, 3654 (82.4%) of 4433 eligible residents took part, and 3299 answered questions about falls. Subjects had a detailed eye examination and answered questions about health and vision status, use of medication, and number of falls in the previous 12 months. Tests of visual function that had a statistically significant association with two or more falls after adjustment for confounders were visual acuity (prevalence ratio (PR) 1.9 for visual acuity worse than 20/30), contrast sensitivity (PR 1.2 for a 1-unit decrease at 6 cycles per degree), and suprathreshold visual field screening (PR 1.5 for 5 or more points missing). However, only visual acuity and contrast sensitivity were significantly associated with two or more falls per 1 standard deviation decrease. The presence of posterior subcapsular cataract (PR 2.1) and use of nonmiotic glaucoma medication (PR 2.0) had a statistically significant association with two or more falls; presence of age-related macular degeneration, diabetic retinopathy, and cortical or nuclear cataract did not. Visual impairment is strongly associated with two or more falls in older adults. In addition to poor visual acuity, visual factors such as reduced visual field, impaired contrast sensitivity, and the presence of cataract may explain this association.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, USA )
                1932-6203
                2011
                18 April 2011
                : 6
                : 4
                : e19079
                Affiliations
                [1 ]School of Engineering, Design and Technology, University of Bradford, Bradford, West Yorkshire, United Kingdom
                [2 ]Vision and Eye Research Unit, Anglia Ruskin University, Cambridge, Cambridgeshire, United Kingdom
                [3 ]School of Health Studies, University of Bradford, Bradford, West Yorkshire, United Kingdom
                [4 ]School of Optometry and Vision Science, University of Bradford, Bradford, West Yorkshire, United Kingdom
                University of Sydney, Australia
                Author notes

                Conceived and designed the experiments: JB MAT DE. Performed the experiments: MAT. Analyzed the data: JB MAT AS. Wrote the paper: JB MAT DE.

                Article
                PONE-D-10-02602
                10.1371/journal.pone.0019079
                3078928
                21533113
                9b7357da-3780-46f0-aa48-631512e5ee22
                Buckley et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
                History
                : 27 September 2010
                : 27 March 2011
                Page count
                Pages: 8
                Categories
                Research Article
                Biology
                Neuroscience
                Sensory Systems
                Visual System
                Motor Systems

                Uncategorized
                Uncategorized

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