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健全人膝关节-踝关节-足部系统在步态起始、稳态行走和步态终止过程中的翻转形态。

Roll-over shapes of the able-bodied knee-ankle-foot system during gait initiation, steady-state walking, and gait termination.

作者信息

Miff Steve C, Hansen Andrew H, Childress Dudley S, Gard Steven A, Meier Margrit R

机构信息

Sg2, Skokie, IL, United States.

出版信息

Gait Posture. 2008 Feb;27(2):316-22. doi: 10.1016/j.gaitpost.2007.04.011. Epub 2007 Jun 1.

Abstract

A few investigators have described the movement of the center of pressure (COP) of the ground reaction force and the activation patterns of the lower limb muscles during gait initiation and termination. This study examines the effective rocker (roll-over shape) behavior of the knee-ankle-foot (KAF) system during gait initiation, steady-state walking (i.e. constant speed gait), and gait termination. The KAF roll-over shapes were characterized by transforming COP data of 10 able-bodied subjects from a laboratory-based coordinate system into a leg-based coordinate system. The resulting roll-over shapes (effective rockers) were characterized using a circular arc model. The KAF roll-over shapes exhibit an overall "flexed" orientation during the first step of gait initiation and an "extended" orientation during the last step of gait termination. Understanding the behavior of the anatomical KAF system during gait initiation and termination may aid in the design of prosthetic components, i.e. mechanical devices that replace complete anatomical structures. Prostheses that intend to mimic the overall behavior of physiological KAF systems (biomimetic designs) could be manufactured using approaches that are much simpler than attempting to reconstruct the complexity of the lower limb.

摘要

一些研究人员描述了在步态起始和终止过程中地面反作用力的压力中心(COP)的移动以及下肢肌肉的激活模式。本研究考察了在步态起始、稳态行走(即匀速步态)和步态终止过程中膝-踝-足(KAF)系统的有效摇椅(翻转形状)行为。通过将10名健全受试者的COP数据从基于实验室的坐标系转换为基于腿部的坐标系,对KAF翻转形状进行了表征。使用圆弧模型对得到的翻转形状(有效摇椅)进行了表征。KAF翻转形状在步态起始的第一步呈现出整体“屈曲”方向,在步态终止的最后一步呈现出“伸展”方向。了解解剖学KAF系统在步态起始和终止过程中的行为可能有助于假肢部件的设计,即替代完整解剖结构的机械设备。旨在模仿生理KAF系统整体行为的假肢(仿生设计)可以采用比试图重建下肢复杂性简单得多的方法来制造。

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