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健康成年人在不同步行速度下的腿部和下肢动态关节刚度。

Leg and lower limb dynamic joint stiffness during different walking speeds in healthy adults.

机构信息

Faculty of Physical Education (Abo Qir), Alexandria University, Abo Qir, 21913, Alexandria, Egypt; Porto Biomechanics Laboratory (LABIOMEP), Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal; University of Vienna, Department of Biomechanics, Kinesiology and Applied Computer Science, Austria.

University of Vienna, Department of Biomechanics, Kinesiology and Applied Computer Science, Austria.

出版信息

Gait Posture. 2020 Oct;82:294-300. doi: 10.1016/j.gaitpost.2020.09.023. Epub 2020 Sep 28.

Abstract

BACKGROUND

The differences and relationship between joint stiffness and leg stiffness can be used to characterize the lower limb behavior during different walking speeds.

RESEARCH QUESTION

This study aimed to investigate the differences in whole leg and lower limb joint stiffness at different walking speeds and the interactions between leg and lower limb joint stiffness.

METHODS

Twenty-seven healthy adults, seventeen males (age: 19.6 ± 2.2 years, height: 176.0 ± 6.0 cm, mass: 69.7 ± 8.9 kg), and ten females (age: 19.1 ± 1.9 years, height: 164.0 ± 3.0 cm, mass: 59.6 ± 3.8 kg), were recruited. Dynamic leg and joint stiffness were calculated during eccentric loading from data recorded using 3D infrared motion analysis and force plates at slow, normal, and fast walking speeds. Differences in dynamic stiffness, joint angles and moments were explored between the walking speeds using Repeated Measures ANOVA with Sidak post-hoc tests. Correlations between leg, joint stiffness, and walking speed were also explored.

RESULTS

The results indicated that the leg dynamic stiffness is decreased by walking speed, however, hip and ankle joint stiffness were increased (p < 0.001) and knee stiffness was unaffected. Leg stiffness showed no correlation with hip, knee, or ankle stiffness. A positive significant correlation was seen between hip and ankle stiffness (p < 0.01) and between knee and ankle stiffness (p < 0.001), however, no correlation was seen between hip and knee stiffness.

SIGNIFICANCE

These results suggest leg stiffness is not associated with lower limb joint stiffness during eccentric loading. This provides new information on the responses of ankle, knee and hip joint stiffness to walking speed.

摘要

背景

关节刚度和腿部刚度的差异和关系可用于描述不同步行速度下下肢的行为。

研究问题

本研究旨在探讨不同步行速度下整个腿部和下肢关节刚度的差异,以及腿部和下肢关节刚度之间的相互作用。

方法

招募了 27 名健康成年人,17 名男性(年龄:19.6±2.2 岁,身高:176.0±6.0cm,体重:69.7±8.9kg)和 10 名女性(年龄:19.1±1.9 岁,身高:164.0±3.0cm,体重:59.6±3.8kg)。在从 3D 红外运动分析和力板记录的数据中,在偏心加载下计算动态腿部和关节刚度,在慢、正常和快步行速度下进行。使用重复测量方差分析和 Sidak 事后检验,研究了不同步行速度下动态刚度、关节角度和力矩的差异。还探索了腿部、关节刚度和步行速度之间的相关性。

结果

结果表明,腿部动态刚度随步行速度的降低而降低,而髋部和踝关节刚度增加(p<0.001),膝关节刚度不受影响。腿部刚度与髋、膝、踝关节刚度无关。髋部和踝关节刚度之间存在显著正相关(p<0.01),膝关节和踝关节刚度之间也存在显著正相关(p<0.001),但髋部和膝关节刚度之间没有相关性。

意义

这些结果表明,在偏心加载下,腿部刚度与下肢关节刚度无关。这为踝关节、膝关节和髋关节刚度对步行速度的反应提供了新的信息。

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