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向后行走时踝关节的三维运动分析

Three-dimensional Motion Analysis of the Ankle during Backward Walking.

作者信息

Soda Naoki, Ueki Tsutomu, Aoki Takaaki

机构信息

Department of Rehabilitation, Major in Physical Therapy, Heisei College of Health Sciences ; Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine.

出版信息

J Phys Ther Sci. 2013 Jun;25(6):747-9. doi: 10.1589/jpts.25.747. Epub 2013 Jul 23.

DOI:10.1589/jpts.25.747
PMID:24259844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3805015/
Abstract

[Purpose] The purpose of this study was to perform kinematic and kinetic analyses of the ankle during both forward and backward walking using three-dimensional motion analysis. [Subjects] The subjects were 11 healthy adults. [Methods] Measurements of forward and backward walking motions were taken using a three-dimensional motion analysis device and 3 ground reaction force plates. The analysis segment was the standing phase and the items analyzed were walking time, maximum dorsal flexion of the ankle, maximum angle of plantar flexion, peak ankle power in the sagittal plane, workload of the ankle, and work rate. Statistical analysis consisted of comparisons using the t-test for each of the items measured during both forward and backward walking. [Results] The backward walking group had significantly lower ankle power, workload, and work rate. [Conclusion] The propulsive force in backward walking must come from some factor other than the ankle. The analysis of joint power is an important index for understanding the motion.

摘要

[目的]本研究旨在利用三维运动分析对向前和向后行走过程中的踝关节进行运动学和动力学分析。[对象]研究对象为11名健康成年人。[方法]使用三维运动分析设备和3块地面反力板对向前和向后行走运动进行测量。分析阶段为站立期,分析项目包括行走时间、踝关节最大背屈、最大跖屈角度、矢状面踝关节峰值功率、踝关节负荷及工作率。统计分析包括对向前和向后行走过程中测量的各项目进行t检验比较。[结果]向后行走组的踝关节功率、负荷及工作率显著较低。[结论]向后行走时的推进力必定来自踝关节以外的某些因素。关节功率分析是理解运动的重要指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0567/3805015/010b7d5bca2f/jpts-25-747-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0567/3805015/5288576f1e43/jpts-25-747-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0567/3805015/010b7d5bca2f/jpts-25-747-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0567/3805015/5288576f1e43/jpts-25-747-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0567/3805015/010b7d5bca2f/jpts-25-747-g002.jpg

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Contributions of the individual ankle plantar flexors to support, forward progression and swing initiation during walking.行走过程中各踝关节跖屈肌对支撑、向前推进和摆动起始的作用。
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Spatiotemporal gait characteristics and ankle kinematics of backward walking in people with chronic ankle instability.慢性踝关节不稳患者倒走的时空步态特征和踝关节运动学。
Sci Rep. 2020 Jul 13;10(1):11515. doi: 10.1038/s41598-020-68385-5.
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Comparison of forward walking and backward walking in stroke hemiplegia patients focusing on the paretic side.聚焦于偏瘫侧的中风偏瘫患者向前行走与向后行走的比较。
J Phys Ther Sci. 2017 Feb;29(2):187-190. doi: 10.1589/jpts.29.187. Epub 2017 Feb 24.
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The effects of forward and backward walking according to treadmill inclination in children with cerebral palsy.脑瘫患儿在跑步机不同倾斜度下向前和向后行走的影响。
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The kinematic control during the backward gait and knee proprioception: insights from lesions of the anterior cruciate ligament.后向步态和膝关节本体感觉的运动控制:前交叉韧带损伤的启示。
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