Spyropoulos P, Pisciotta J C, Pavlou K N, Cairns M A, Simon S R
University of Miami, School of Medicine, Physical Therapy Program, Coral Gables, FL, Gait 33146.
Arch Phys Med Rehabil. 1991 Dec;72(13):1065-70.
The purpose of this study was to identify and compare the kinematic components of the walking gait of obese men to those of nonobese men. Self-paced walking trials of 12 obese volunteers, ranging in age from 30 to 47 years and in obesity from 70% to 99% above ideal body weight, were recorded via cinematography. The following findings were recorded: (1) obese persons (1.09m/sec) walk significantly (p less than .001) slower than nonobese subjects (1.64m/sec); (2) obese persons take significantly (p less than .001) shorter strides (1.25m vs 1.67m) and exhibit step widths (.16m) twice those of nonobese persons (.08m); (3) mean hip abduction angles of the obese are significantly (p less than .001) different at some events of the walking cycle from the hip angles of nonobese persons; (4) mean hip and knee flexion angles are not significantly different for obese and nonobese subjects; and (5) obese individuals demonstrate a walking gait pattern with significantly greater (p less than .001) mean magnitude of ankle dorsiflexion and lesser (p less than .001) mean magnitude of ankle plantar flexion than nonobese subjects throughout the walking cycle. It is concluded that obese individuals display a walking gait that follows a normal pattern but some of the temporal and angular components of their gait are different from those of nonobese persons mainly because of the excessive adipose tissue inside their thighs.
本研究的目的是识别并比较肥胖男性与非肥胖男性步行步态的运动学组成部分。通过摄影记录了12名肥胖志愿者的自定步速行走试验,这些志愿者年龄在30至47岁之间,肥胖程度比理想体重高70%至99%。记录到以下结果:(1)肥胖者(1.09米/秒)行走速度明显(p<0.001)慢于非肥胖者(1.64米/秒);(2)肥胖者步幅明显(p<0.001)更短(1.25米对1.67米),步宽(0.16米)是非肥胖者(0.08米)的两倍;(3)在步行周期的某些阶段,肥胖者的平均髋关节外展角度与非肥胖者的髋关节角度有显著(p<0.001)差异;(4)肥胖者和非肥胖者的平均髋关节和膝关节屈曲角度无显著差异;(5)在整个步行周期中,肥胖个体的步行步态模式显示,踝关节背屈的平均幅度明显更大(p<0.001),而踝关节跖屈的平均幅度更小(p<0.001)。得出的结论是,肥胖个体表现出的步行步态遵循正常模式,但其步态的一些时间和角度组成部分与非肥胖者不同,主要是因为其大腿内存在过多的脂肪组织。