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评估女性和男性健全步态时下肢关节的对称性。

An evaluation of symmetry in the lower limb joints during the able-bodied gait of women and men.

机构信息

Department of Biomechanics, University School of Physical Education, Krakow, Poland.

出版信息

J Hum Kinet. 2012 Dec;35:47-57. doi: 10.2478/v10078-012-0078-5. Epub 2012 Dec 30.

Abstract

For many years, mainly to simplify data analysis, scientists assumed that during a gait, the lower limbs moved symmetrically. However, even a cursory survey of the more recent literature reveals that the human walk is symmetrical only in some aspects. That is why the presence of asymmetry should be considered in all studies of locomotion. The gait data were collected using the 3D motion analysis system Vicon. The inclusion criteria allowed the researchers to analyze a very homogenous group, which consisted of 54 subjects (27 women and 27 men). Every selected participant moved at a similar velocity: approximately 1,55 m/s. The analysis included kinematic parameters defining spatio-temporal structure of locomotion, as well as angular changes of the main joints of the lower extremities (ankle, knee and hip) in the sagittal plane. The values of those variables were calculated separately for the left and for the right leg in women and men. This approach allowed us to determine the size of the differences, and was the basis for assessing gait asymmetry using a relative asymmetry index, which was constructed by the authors. Analysis of the results demonstrates no differences in the temporal and phasic variables of movements of the right and left lower limb. However, different profiles of angular changes in the sagittal plane were observed, measured bilaterally for the ankle joint.

摘要

多年来,为了简化数据分析,科学家们假设在步态中,下肢是对称运动的。然而,即使粗略地研究一下最近的文献,就会发现人类的行走在某些方面只是对称的。这就是为什么在所有关于运动的研究中都应该考虑到不对称性的存在。步态数据是使用 3D 运动分析系统 Vicon 收集的。纳入标准允许研究人员分析一个非常同质的群体,该群体由 54 名受试者(27 名女性和 27 名男性)组成。每个被选中的参与者以相似的速度移动:大约 1.55 米/秒。分析包括运动学参数,这些参数定义了运动的时空结构,以及下肢(踝关节、膝关节和髋关节)在矢状面的角度变化。这些变量的值分别为女性和男性的左腿和右腿计算。这种方法使我们能够确定差异的大小,并为使用作者构建的相对不对称指数评估步态不对称性提供了基础。结果分析表明,右侧和左侧下肢运动的时间和相位变量没有差异。然而,在双侧踝关节处测量的矢状面角度变化的模式不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db22/3588688/44455e5f45f2/jhk-35-47f1.jpg

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