WALK THIS WAY
The new Gait/Motion analysis Lab will allow researchers to closely study movement disorders ranging from arthritis to multiple sclerosis.
Written by Julie Toland

Taking a walk on a state-of-the-art platform will allow Texas Tech University Health Sciences Center researchers to closely study movement disorders ranging from arthritis to multiple sclerosis.
The Texas Tech School of Allied Health has launched a Gait/Motion Analysis Laboratory within the Department of Rehabilitation Sciences, providing a platform for research and enhanced teaching, as well as offering an important clinical service for West Texas, said Paul P. Brooke Jr., Ph.D., dean of the School of Allied Health.
Students from all schools at the health sciences center will gain valuable clinical experience from the gait laboratory, said H.H. Merrifield, Ph.D., chairperson of the Department of Rehabilitation Sciences and associate dean for the School of Allied Health.
"We see this lab as serving three valuable functions," Merrifield said. "It will provide service, educational training and research opportunities. We believe it is a win-win situation for everyone. In the past, patients have had to travel to Dallas or San Antonio for this type of assessment. Now people all over West Texas can make the relatively short trip to Lubbock."
Preliminary testing in the lab began in mid-September 2000. Tasos Karakostas, M.S., who is completing his doctorate in biomechanical engineering from Ohio State University, and Merrifield will serve as directors of the lab.
The Gait/Motion Analysis Laboratory will feature instrumentation to objectively evaluate movement patterns such as walking, reaching and standing. Gait analysis can be used to assist medical decisions involving treatment and interventions for various pathological conditions in children, adults and the aging population. Typical conditions evaluated by a gait lab include stroke, cerebral palsy, head injury, joint injuries or abnormalities, Parkinson's disease, multiple sports applications and falling among the aging population.
"By evaluating the way people walk or move, we can determine objectively the type of intervention needed, such as surgery and/or rehabilitation," Karakostas said.
Monitoring the position of the body in space with light-reflective markers and video cameras, observing muscle activity via electromyography and calculating ground reaction forces allow researchers to analyze coordination, movement disorders and other abnormalities.
"This allows us to determine the load or weight distribution, and the impact on joints," Karakostas said.
The lab also will use foot pressure analysis to fit shoes for individuals with diabetes. Researchers map where the most pressure is being exerted on the foot when walking or standing, and special inserts then can be made to provide additional support where needed.
Another service provided will be golf analysis, which will monitor the golfer's stance and swing. "This analysis will focus on injury prevention rather than improving performance," Karakostas said. "That is true of most all the analysis this lab provides. We want to try to prevent injury, to not allow a movement pattern to become a pathological condition."
Karakostas said by extensively mapping and monitoring seemingly simple movements, many injuries can be prevented and abnormalities corrected. "People think walking and standing are simple," he said. "But in reality, both are extremely complex."
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