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对经历过长距离步行的健康老年人进行的综合步态分析。

Comprehensive Gait Analysis of Healthy Older Adults Who Have Undergone Long-Distance Walking.

作者信息

Elhadi Mustafa M O, Ma Christina Z, Wong Duo W C, Wan Anson H P, Lee Winson C C

出版信息

J Aging Phys Act. 2017 Jul;25(3):367-377. doi: 10.1123/japa.2016-0136. Epub 2017 Jun 28.

Abstract

Many older adults do not adhere to the recommended physical activity levels. This study examines the gait changes upon long-distance walking among healthy older adults. Gait tests of 24 adults aged 65 or more were conducted at baseline and at the end of 30 and 60 min of treadmill walking. Spatial temporal, kinematic, and kinetic gait data were computed. Perceived level of exertion was evaluated for each subject. Ten subjects (group B) perceived higher exertion levels than the remaining 14 subjects (group A). After walking, group B had significant reductions in dominant-side ankle joint range of motion and power, suggesting lower-leg muscle fatigue, which appeared to be compensated by significantly increased nondominant-side knee and hip motions. These changes were not observed in group A. Differences in gait parameters between groups A and B implied that some biomechanical factors might contribute to the lack of walking of some older adults.

摘要

许多老年人未达到推荐的身体活动水平。本研究调查了健康老年人长距离行走后的步态变化。对24名65岁及以上的成年人在基线时以及在跑步机上行走30分钟和60分钟结束时进行了步态测试。计算了时空、运动学和动力学步态数据。评估了每个受试者的主观用力程度。10名受试者(B组)的主观用力程度高于其余14名受试者(A组)。行走后,B组优势侧踝关节活动范围和力量显著降低,提示小腿肌肉疲劳,这似乎通过非优势侧膝关节和髋关节活动显著增加得到了代偿。A组未观察到这些变化。A组和B组之间步态参数的差异表明,一些生物力学因素可能导致一些老年人缺乏行走。

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