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According to the review of the literature, the inclusion of other variables will promote the assessment of a broader population, evaluating the effects of gait pathologies and balance disturbances across different ground surfaces.
The MSOT includes falling obstacles and easy movement and balance tests. A combination of six different dynamic features were classified as obstacles. The obstacle "fall" comprises of the obstacles "slip", "fall", and "trip". A "slip" can be defined as a movement where a participant loses their balance to compensate for an obstacle or surface. An "obstacle" occurs when a participant is not able to maintain balance and collapses to the ground or fall [7, 32]. A "trip" (pivot) is the transition from one firm surface to another non-firm surface. To design the MSOT, the dynamic features---"fall", "slip", "obstacle", "trip"---identify the different phases of a movement where a skier cannot keep themselves balanced in reaction to an obstacle or surface, i.e., in the initial or the ending phase of a surface [7, 32]. In addition to the "fall" obstacles, the "slip" and "obstacle" obstacles were implemented for the first time in a fall prevention test. They primarily react to surfaces affecting balance and sense of ownership for the obstacle while the "trip" obstacle aims at detecting a non-firm surface to perceive the environment. These three obstacles are included in the test for fall prevention in four different sections.
The unique structure of the obstacles in the MSOT was considered as a new input parameter for fall-related assessments as an efficient way to enhance the recognition of gait and balance deficits. The goal was to evaluate possible correlations between the dynamic features of the obstacle and the stages of the movement where the obstacle is felt or recognized to be present. These stages refer to the individual phases of a movement requiring balance. Both the definition of the dynamic parameters and the number of the dynamic features, implemented in the MSOT, were compared to other fall tests. Six dynamic features motivated by previous complex movement assessments are used during the examination. Initially, a background training was implemented in older adults to establish a standard of movement, movement capacities, and biomechanical patterns. d2c66b5586
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