Transtibial Amputee and Able-bodied Walking Strategies for Maintaining Stable Gait in a Multi-terrain Virtual Environment

Abstract

The CAREN-Extended system is a fully immersive virtual environment (VE) that can provide stability-challenging scenarios in a safe, controlled manner. Understanding gait biomechanics when stability is challenged is required when developing quantifiable metrics for rehabilitation assessment. The first objective of this thesis was to examine the VE’s technical aspects to ensure data validity and to design a stability-challenging VE scenario. The second and third objectives examined walking speed changes and kinematic strategies when stability was challenged for able-bodied and unilateral transtibial amputees. The results from this thesis demonstrated: 1) understanding VE operating characteristics are important to ensure data validity and to effectively design virtual scenarios; 2) self-paced treadmill mode for VEs with multiple movement scenarios may elicit more natural gait; 3) gait variability and trunk motion measures are useful when quantitatively assessing stability performance for people with transtibial amputations.