Assessing Walking Stability Based on Whole-Body Movement Derived from a Depth-Sensing Camera.

Stability during walking is considered a crucial aspect of assessing gait ability. The current study aimed to assess walking stability by applying principal component analysis (PCA) to decompose three-dimensional (3D) whole-body kinematic data of 104 healthy young adults (21.9 ± 3.5 years, 54 females) derived from a depth-sensing camera into a set of movement components/synergies called "principal movements" (PMs), forming together to achieve the task goal. The effect of sex as the focus area was tested on three PCA-based variables computed for each PM: the relative explained variance (rVAR) as a measure of the composition of movement structures; the largest Lyapunov exponent (LyE) as a measure of variability; and the number of zero-crossings (N) as a measure of the tightness of neuromuscular control. The results show that the sex effects appear in the specific PMs. Specifically, in PM 1 , resembling the swing-phase movement, females have greater LyE ( p = 0.013) and N ( p = 0.017) values than males. Moreover, in PM 3 , representing the mid-stance-phase movement, females have smaller rVAR ( p = 0.020) but greater N ( p = 0.008) values than males. These empirical findings suggest that the inherent sex differences in walking stability should be considered in assessing and training locomotion.