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使用新开发的步态分析系统可视化步行速度变化引起的下肢关节角度以及躯干和下肢肌肉活动的同步动态变化。

Visualization of walking speed variation-induced synchronized dynamic changes in lower limb joint angles and activity of trunk and lower limb muscles with a newly developed gait analysis system.

作者信息

Miura Kousei, Kadone Hideki, Koda Masao, Nakayama Keita, Kumagai Hiroshi, Nagashima Katsuya, Mataki Kentaro, Fujii Kengo, Noguchi Hiroshi, Funayama Toru, Abe Tetsuya, Suzuki Kenji, Yamazaki Masashi

机构信息

1 Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

2 Division of Regenerative Medicine for Musculoskeletal System, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

出版信息

J Orthop Surg (Hong Kong). 2018 May-Aug;26(3):2309499018806688. doi: 10.1177/2309499018806688.

Abstract

PURPOSE

To evaluate a newly developed system for dynamic analysis of gait kinematics and muscle activity.

METHODS

We recruited 10 healthy men into this study. Analyses of three-dimensional motion and wireless surface electromyogram (EMG) were integrated to achieve synchronous measurement. The participants walked continuously for 10 min under two conditions: comfortable and quick pace. Outcome measures were joint angles of the lower limbs determined from reflective markers and myoelectric activity of trunk and lower limbs determined from EMG sensors, comparing comfortable and quick gait pace.

RESULTS

Lower limb joint angle was significantly greater at the quick pace (maximum flexion of the hip joint: 4.1°, maximum extension of hip joint: 2.3°, and maximum flexion of the knee joint while standing: 7.4°). The period of maximum flexion of the ankle joint during a walking cycle was 2.5% longer at a quick pace. EMG amplitudes of all trunk muscles significantly increased during the period of support by two legs (cervical paraspinal: 55.1%, latissimus dorsi: 31.3%, and erector spinae: 32.6%). EMG amplitudes of quadriceps, femoral biceps, and tibialis anterior increased significantly by 223%, 60.9%, and 67.4%, respectively, between the periods of heel contact and loading response. EMG amplitude of the gastrocnemius significantly increased by 102% during the heel-off period.

CONCLUSION

Our gait analysis synchronizing three-dimensional motion and wireless surface EMG successfully visualized dynamic changes in lower limb joint angles and activity of trunk and lower limb muscles induced by various walking speeds.

摘要

目的

评估一种新开发的用于步态运动学和肌肉活动动态分析的系统。

方法

我们招募了10名健康男性参与本研究。将三维运动分析与无线表面肌电图(EMG)相结合以实现同步测量。参与者在两种条件下持续行走10分钟:舒适步速和快速步速。结果指标包括根据反光标记确定的下肢关节角度以及根据EMG传感器确定的躯干和下肢的肌电活动,比较舒适步态和快速步态。

结果

快速步速时下肢关节角度明显更大(髋关节最大屈曲:4.1°,髋关节最大伸展:2.3°,站立时膝关节最大屈曲:7.4°)。步行周期中踝关节最大屈曲的时长在快速步速时延长了2.5%。在双腿支撑期,所有躯干肌肉的EMG幅度均显著增加(颈旁肌:55.1%,背阔肌:31.3%,竖脊肌:32.6%)。在足跟接触期和承重反应期之间,股四头肌、股二头肌和胫前肌的EMG幅度分别显著增加了223%、60.9%和67.4%。在足跟离地期,腓肠肌的EMG幅度显著增加了102%。

结论

我们将三维运动与无线表面EMG同步的步态分析成功地可视化了不同步行速度引起的下肢关节角度以及躯干和下肢肌肉活动的动态变化。

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