PTOtherJournal of physical therapy science2026

The effect of thoracic lateral deviation on gait parameters in blindfolded gait.

Naruyoshi Komuro, Akira Hirosawa, Tatsuya Sano and 5 others

PMID 41492262

WHAT IT FOUND

Walking blindfolded made healthy young men drift to the left.

Men with the largest leftward thoracic deviation also rotated their pelvis and trunk further left without vision; men with a smaller deviation drifted left with no change in trunk rotation.

Key findings

01In the 13 men whose leftward thoracic deviation was within the range reported in earlier studies, walking with an eye mask reduced the progression angle from −0.1° to −1.8° (p<0.05), meaning the gait trajectory moved left; gait speed and pelvic and thoracic rotation angles did not change significantly.

02In the nine men whose thorax deviated further left than the reference range, blindfolded walking reduced the progression angle from 0.0° to −5.2° (p<0.01) and also reduced mid-stance pelvic rotation from −1.0° to −4.5° and thoracic rotation from −3.5° to −7.0° (both p<0.05); gait speed did not change.

03Only one of the 23 men had a rightward thoracic deviation, and he was left out of the statistical analysis, so the study says nothing about rightward deviation.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only healthy young men took part, mostly students around 25 years old, and none had a gait problem. Nothing here tells you how an older patient or someone with a neurological or orthopaedic condition would behave. The groups were small (13 and 9), and the one man whose thorax deviated to the right was left out altogether, so there is no information about rightward posture. Power was not adequate for the pelvic rotation comparison in the excessive left group, so a real change there could have been missed even though the paper reports a significant result. Standing posture was measured with the men's eyes open, but gait was measured with and without vision, so the thoracic position recorded at rest may not match the position during either walking condition. Walking to a metronome may have made the gait less natural than usual walking, which could affect the measurements. The study is cross-sectional. It can show that leftward thoracic deviation goes together with leftward drift when vision is removed, but it cannot show that the posture causes the drift. The authors did not measure sensory function at all and state that the underlying mechanism remains unclear.

Declared interests

The authors declare no conflicts of interest. No funding source is stated anywhere in the text.

The easy way to misread this

Do not read this as evidence that correcting a patient's thoracic posture will straighten their walking. The study tested 23 healthy young men who had no walking problem and gave no treatment, and it cannot show that the posture caused the drift.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →