Yamazaki Wataru, Tanino Yoshitsugu
Department of Physical Therapy, Faculty of Health Sciences, Kansai University of Health Sciences: 2-11-1 Wakaba, Kumatori, Sennan, Osaka 590-0482, Japan.
J Phys Ther Sci. 2017 Dec;29(12):2160-2164. doi: 10.1589/jpts.29.2160. Epub 2017 Dec 7.
[Purpose] To investigate lower-extremity joint torque during walking direction changes, focused on gender differences in pelvic width. [Subjects and Methods] Healthy males and females (n=10) changed direction while walking by side-stepping (SS) and crossover stepping (CS), stepping the left leg to the left or right, respectively, over the right leg. Movements were recorded using four infrared cameras, and ground reaction force of each lower extremity measured using two force platforms. Joint torque of each lower extremity was calculated, and each joint peak torque among walking, SS and CS was compared between genders. Moreover, correlation between joint torque showed a gender difference and width of pelvis normalized by width of shoulder (P/S ratio) was examined. [Results] Right external and internal rotation torques during CS were higher in males. Left- and right-ankle plantar flexion torques were also higher in males during CS, while the P/S ratio was larger in females, with a positive correlation between P/S ratio and hip external and internal rotation torques. [Conclusion] No gender differences were found in joint torque during walking and SS, but only during CS. The hip external and internal rotators are necessary for smooth CS in females in terms of P/S ratio.
[目的]研究行走方向改变过程中下肢关节扭矩,重点关注骨盆宽度的性别差异。[对象与方法]健康男性和女性(n = 10)在行走时通过侧步(SS)和交叉步(CS)改变方向,分别将左腿向左或向右跨过右腿。使用四个红外摄像机记录动作,并使用两个测力平台测量每个下肢的地面反作用力。计算每个下肢的关节扭矩,并比较男女在行走、侧步和交叉步过程中每个关节的峰值扭矩。此外,研究关节扭矩之间的相关性是否存在性别差异,并检查骨盆宽度与肩宽之比(P/S比)之间的关系。[结果]男性在交叉步过程中右外旋和内旋扭矩较高。男性在交叉步过程中左右踝关节跖屈扭矩也较高,而女性的P/S比更大,且P/S比与髋外旋和内旋扭矩呈正相关。[结论]在行走和侧步过程中未发现关节扭矩存在性别差异,但仅在交叉步过程中存在。就P/S比而言,髋外旋和内旋肌对于女性顺利完成交叉步是必要的。