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与年龄相关的步态适应性的稳健性:跑步能否抵消衰老的影响?

The robustness of age-related gait adaptations: can running counterbalance the consequences of ageing?

作者信息

Savelberg Hans H C M, Verdijk Lex B, Willems Paul J B, Meijer Kenneth

机构信息

Department of Human Movement Science, Nutrition and Toxicology Research Institute Maastricht (NUTRIM), Faculty of Health Sciences, Universiteit Maastricht, The Netherlands.

出版信息

Gait Posture. 2007 Feb;25(2):259-66. doi: 10.1016/j.gaitpost.2006.04.006. Epub 2006 May 15.

Abstract

Previous studies showed age-related redistribution of joint torques from ankle joint plantar flexion to hip joint extension in gait. In the present study it was hypothesized that running can prevent the occurrence of this joint torque redistribution. Four groups of subjects participated in this study (young and elderly both physically active and inactive). All subjects walked at a comfortable, preferred velocity and at an imposed velocity of 1.5m/s. Kinematics of lower limb segments and ground reaction forces were assessed. Inverse dynamics method was applied to determine torques around ankle, knee and hip joints. A redistribution of joint torques from plantar flexion to hip joint extension was found to occur in both active and inactive elderly. However, the active elderly had a larger increase of the hip extension torque. By this they are able to maintain the support torque at the level of young subjects. Inactive elderly displayed reduced support torques. It is concluded that the age-related redistribution of joint torques is an important phenomenon. Frequent running does not prevent this shift. Active elderly increase this redistribution to compensate for muscle function reduction.

摘要

先前的研究表明,在步态中,关节扭矩会随着年龄增长从踝关节跖屈重新分配到髋关节伸展。在本研究中,假设跑步可以防止这种关节扭矩重新分配的发生。四组受试者参与了本研究(年轻和老年,均包括身体活跃和不活跃的)。所有受试者均以舒适的、偏好的速度以及1.5米/秒的强制速度行走。评估了下肢节段的运动学和地面反作用力。应用逆动力学方法确定踝关节、膝关节和髋关节周围的扭矩。结果发现,活跃和不活跃的老年人都会出现关节扭矩从跖屈到髋关节伸展的重新分配。然而,活跃的老年人髋关节伸展扭矩的增加幅度更大。通过这种方式,他们能够将支撑扭矩维持在年轻受试者的水平。不活跃的老年人表现出支撑扭矩降低。结论是,与年龄相关的关节扭矩重新分配是一个重要现象。频繁跑步并不能防止这种转变。活跃的老年人会增加这种重新分配以补偿肌肉功能的下降。

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