Research Group for Musculoskeletal Rehabilitation, Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, Heverlee, Belgium.
Human Movement Biomechanics Research Group, Department of Biomedical Kinesiology, Katholieke Universiteit Leuven, Heverlee, Belgium.
J Bone Miner Res. 2015 Aug;30(8):1431-40. doi: 10.1002/jbmr.2483. Epub 2015 May 22.
Exercise plays a pivotal role in maximizing peak bone mass in adulthood and maintaining it through aging, by imposing mechanical loading on the bone that can trigger bone mineralization and growth. The optimal type and intensity of exercise that best enhances bone strength remains, however, poorly characterized, partly because the exact peak loading of the bone produced by the diverse types of exercises is not known. By means of integrated motion capture as an input to dynamic simulations, contact forces acting on the hip of 20 young healthy adults were calculated during walking and running at different speeds. During walking, hip contact forces (HCFs) have a two-peak profile whereby the first peak increases from 4.22 body weight (BW) to 5.41 BW and the second from 4.37 BW to 5.74 BW, by increasing speed from 3 to 6 km/h. During running, there is only one peak HCF that increases from 7.49 BW to 10.01 BW, by increasing speed from 6 to 12 km/h. Speed related profiles of peak HCFs and ground reaction forces (GRFs) reveal a different progression of the two peaks during walking. Speed has a stronger impact on peak HCFs rather than on peak GRFs during walking and running, suggesting an increasing influence of muscle activity on peak HCF with increased speed. Moreover, results show that the first peak of HCF during walking can be predicted best by hip adduction moment, and the second peak of HCF by hip extension moment. During running, peak HCF can be best predicted by hip adduction moment. The present study contributes hereby to a better understanding of musculoskeletal loading during walking and running in a wide range of speeds, offering valuable information to clinicians and scientists exploring bone loading as a possible nonpharmacological osteogenic stimulus. © 2015 American Society for Bone and Mineral Research.
运动在最大限度地增加成年期峰值骨量和通过衰老维持骨量方面起着关键作用,它对骨骼施加机械载荷,从而触发骨矿化和生长。然而,最佳增强骨强度的运动类型和强度仍然特征不明显,部分原因是不同类型的运动对骨骼产生的确切峰值载荷尚不清楚。通过运动捕捉作为动态模拟的输入,计算了 20 名健康年轻人在不同速度下行走和跑步时髋关节上的接触力。在行走时,髋关节接触力(HCF)呈双峰分布,第一峰值从 4.22 倍体重(BW)增加到 5.41 BW,第二峰值从 4.37 BW 增加到 5.74 BW,速度从 3 增加到 6 km/h。在跑步时,只有一个峰值 HCF,从 7.49 BW 增加到 10.01 BW,速度从 6 增加到 12 km/h。峰值 HCF 和地面反作用力(GRF)的速度相关分布揭示了行走时两个峰值的不同进展。速度对行走和跑步时峰值 HCF 的影响比峰值 GRF 更大,这表明随着速度的增加,肌肉活动对峰值 HCF 的影响越来越大。此外,结果表明,行走时 HCF 的第一个峰值可以通过髋关节内收力矩最佳预测,第二个峰值可以通过髋关节伸展力矩最佳预测。在跑步时,峰值 HCF 可以通过髋关节内收力矩最佳预测。本研究为此更好地理解了在广泛速度范围内行走和跑步时的肌肉骨骼载荷,为探索骨载荷作为一种可能的非药物成骨刺激的临床医生和科学家提供了有价值的信息。© 2015 美国骨骼矿物质研究学会。