Hansen Andrew H, Childress Dudley S, Miff Steve C
Rehabilitation Engineering Research Program, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, 345 East Superior Street, Room 1441, Chicago, IL 60611, United States.
Hum Mov Sci. 2004 Dec;23(6):807-21. doi: 10.1016/j.humov.2004.08.023.
Roll-over characteristics of able-bodied human subjects walking on ramped surfaces were examined in this study. Ten subjects walked at their normal self-selected speed on a level surface, a 5-deg ramp, and a 10-deg ramped surface. Ramps were designed such that ground reaction forces and center of pressure of the ground reaction forces could be measured on their surfaces. This set-up facilitated calculation of the effective rockers that the ankle-foot (AF) and knee-ankle-foot (KAF) systems conformed to during single-limb stance (contralateral toe off to contralateral heel contact). Since our original "roll-over shapes" were characterized between heel contact and opposite heel contact, we label the shapes found during single-limb stance as "truncated roll-over shapes". We hypothesized that the ankle-foot system would adapt to the various surfaces, creating a roll-over shape that would change in orientation with different levels of inclination. The truncated AF roll-over shapes supported this hypothesis for uphill walking but did not support the hypothesis for downhill walking. However, truncated roll-over shapes of the KAF system did adjust their orientation to match both the positive and negative levels of surface inclination. In general, the ankle appears to be the main adapting joint when walking up inclined surfaces while the knee becomes important for the overall adaptation in downhill walking. Knowledge of physiological lower-limb roll-over characteristics on ramped surfaces may help in the development of biomimetic prostheses and orthoses that will automatically adapt to changes in walking surface inclination.
本研究考察了健全人体在倾斜表面行走时的翻滚特征。10名受试者以其正常的自选速度在水平表面、5度斜坡和10度斜坡表面行走。斜坡的设计使得可以在其表面测量地面反作用力和地面反作用力的压力中心。这种设置便于计算在单腿站立期间(对侧足趾离地到对侧足跟接触)踝足(AF)和膝踝足(KAF)系统所符合的有效摇椅。由于我们最初的“翻滚形状”是在足跟接触到对侧足跟接触之间进行表征的,所以我们将在单腿站立期间发现的形状标记为“截断的翻滚形状”。我们假设踝足系统会适应各种表面,形成一种翻滚形状,其方向会随着不同的倾斜程度而变化。截断的AF翻滚形状支持了上坡行走的这一假设,但不支持下坡行走的假设。然而,KAF系统的截断翻滚形状确实调整了它们的方向,以匹配表面倾斜的正负程度。一般来说,在上坡行走时,踝关节似乎是主要的适应关节,而下坡行走时,膝关节对于整体适应变得很重要。了解斜坡表面下肢的生理翻滚特征可能有助于开发能够自动适应行走表面倾斜变化的仿生假肢和矫形器。