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地面行走过程中步速对身体质心相对于压力中心运动的影响。

Effects of gait speed on the body's center of mass motion relative to the center of pressure during over-ground walking.

作者信息

Lu Hsuan-Lun, Kuo Mei-Ying, Chang Chu-Fen, Lu Tung-Wu, Hong Shih-Wun

机构信息

Institute of Biomedical Engineering, National Taiwan University, Taiwan, ROC.

Department of Physical Therapy, China Medical University, Taiwan, ROC.

出版信息

Hum Mov Sci. 2017 Aug;54:354-362. doi: 10.1016/j.humov.2017.06.004. Epub 2017 Jul 5.

Abstract

Preferred walking speed (PWS) reflects the integrated performance of the relevant physiological sub-systems, including energy expenditure. It remains unclear whether the PWS during over-ground walking is chosen to optimize one's balance control because studies on the effects of speed on the body's balance control have been limited. The current study aimed to bridge the gap by quantifying the effects of the walking speed on the body's center of mass (COM) motion relative to the center of pressure (COP) in terms of the changes and directness of the COM-COP inclination angle (IA) and its rate of change (RCIA). Data of the COM and COP were measured from fifteen young healthy males at three walking speeds including PWS using a motion capture system. The values of IAs and RCIAs at key gait events and their average values over gait phases were compared between speeds using one-way repeated measures ANOVA. With increasing walking speed, most of the IA and RCIA related variables were significantly increased (p<0.05) but not for those of the frontal IA. Significant quadratic trends (p<0.05) with highest directness at PWS were found in IA during single-limb support, and in RCIA during single-limb and double-limb support. The results suggest that walking at PWS corresponded to the COM-COP control maximizing the directness of the RCIAs over the gait cycle, a compromise between the effects of walking speed and the speed of weight transfer. The data of IA and RCIA at PWS may be used in future assessment of balance control ability in people with different levels of balance impairments.

摘要

偏好步行速度(PWS)反映了包括能量消耗在内的相关生理子系统的综合表现。尚不清楚地面行走时的PWS是否是为了优化平衡控制而选择的,因为关于速度对身体平衡控制影响的研究有限。本研究旨在通过量化步行速度对身体质心(COM)相对于压力中心(COP)运动的影响来填补这一空白,具体是通过COM-COP倾斜角(IA)及其变化率(RCIA)的变化和方向性来进行量化。使用运动捕捉系统,从15名年轻健康男性在包括PWS在内的三种步行速度下测量COM和COP的数据。使用单向重复测量方差分析比较不同速度下关键步态事件的IA和RCIA值及其在步态阶段的平均值。随着步行速度的增加,大多数与IA和RCIA相关的变量显著增加(p<0.05),但额向IA的变量除外。在单腿支撑期间的IA以及单腿和双腿支撑期间的RCIA中,发现了在PWS时具有最高方向性的显著二次趋势(p<0.05)。结果表明,以PWS行走对应于COM-COP控制,可在步态周期内使RCIA的方向性最大化,这是步行速度和体重转移速度影响之间的一种折衷。PWS时的IA和RCIA数据可用于未来评估不同平衡障碍程度人群的平衡控制能力。

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