Browne Michael G, Franz Jason R
Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill, NC, USA.
Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill, NC, USA.
J Biomech. 2017 Apr 11;55:48-55. doi: 10.1016/j.jbiomech.2017.02.011. Epub 2017 Feb 21.
Walking speed is modulated using propulsive forces (F) during push-off and both preferred speed and F decrease with aging. However, even prior to walking slower, reduced F may be accompanied by potentially unfavorable changes in joint power generation. For example, compared to young adults, older adults exhibit a redistribution of mechanical power generation from the propulsive plantarflexor muscles to more proximal muscles acting across the knee and hip. Here, we used visual biofeedback based on real-time F measurements to decouple and investigate the interaction between joint-level coordination, whole-body F, and walking speed. 12 healthy young subjects walked on a dual-belt instrumented treadmill at a range of speeds (0.9-1.3m/s). We immediately calculated the average F from each speed. Subjects then walked at 1.3m/s while completing a series of biofeedback trials with instructions to match their instantaneous F to their averaged F from slower speeds. Walking slower decreased F and total positive joint work with little effect on relative joint-level contributions. Conversely, subjects walked at a constant speed with reduced F, not by reducing total positive joint work, but by redistributing the mechanical demands of each step from the plantarflexor muscles during push-off to more proximal leg muscles during single support. Interestingly, these naturally emergent joint- and limb-level biomechanical changes, in the absence of neuromuscular constraints, resemble those due to aging. Our findings provide important reference data to understand the presumably complex interactions between joint power generation, whole-body F, and walking speed in our aging population.
在蹬离阶段,行走速度通过推进力(F)进行调节,且偏好速度和推进力都会随着年龄增长而下降。然而,甚至在行走速度变慢之前,推进力降低可能就伴随着关节功率产生的潜在不利变化。例如,与年轻人相比,老年人在机械功率产生方面表现出从推进性跖屈肌向跨越膝盖和髋部的更靠近身体近端的肌肉重新分配。在此,我们基于实时推进力测量使用视觉生物反馈来分离并研究关节水平协调、全身推进力和行走速度之间的相互作用。12名健康的年轻受试者在双带式仪器化跑步机上以一系列速度(0.9 - 1.3米/秒)行走。我们立即计算出每个速度下的平均推进力。然后,受试者以1.3米/秒的速度行走,同时完成一系列生物反馈试验,并按照指令将其瞬时推进力与较慢速度下的平均推进力相匹配。行走速度变慢会降低推进力和总的正向关节功,而对相对关节水平的贡献影响不大。相反,受试者以恒定速度行走且推进力降低,并非通过减少总的正向关节功,而是通过将每一步的机械需求从蹬离阶段的跖屈肌重新分配到单支撑阶段更靠近身体近端的腿部肌肉。有趣的是,在没有神经肌肉限制的情况下,这些自然出现的关节和肢体水平的生物力学变化类似于因衰老而产生的变化。我们的研究结果为理解老年人群中关节功率产生、全身推进力和行走速度之间可能复杂的相互作用提供了重要的参考数据。