Ryew Checheong, Hyun Seunghyun
Department of Kinesiology, College of Natural Science, Jeju National University, Jeju, Republic of Korea.
Iran J Public Health. 2020 Sep;49(9):1631-1636. doi: 10.18502/ijph.v49i9.4077.
Gait mechanism due to overloaded weight of the obese may be altered, but yet uncertain whether an added loaded weight on body weight can alter or not gait characteristics.
We applied with 0 kg (no load), 5 kg, 10 kg, and 15 kg of the load carriage respectively on the obese (n=11) to grasp a mechanism on the control of impact types and dynamic stability during gait. Gait characteristics was analyzed with three-dimensional cinematography and ground reaction force system consisted of a length of 1 stride, mean velocity of center of gravity during supporting phase, breaking force, propulsive force, dynamic posture stability index (DPSI), and extrapolated centre of mass (XCoM) respectively. We performed repeated measures one-way analysis of variance (0 kg, 5 kg, 10 kg, and 15 kg) and performed the post hoc test (Duncan) at (<0.05) in case of significant level respectively.
Onestride length and mean velocity were decreased according to gradual increase of a load carriage, but breaking and propulsive force were somewhat increased. Particularly a decrease of gait velocity and stride length kept the range for DPSI and XCoM theta of a level of no-load carriage.
Usually load carriage during prolonged time of the obese is few case, but rather a load carriage of 5 kg may alter a gait posture potentially with prolonged time of load carriage.
肥胖者因体重过重,其步态机制可能会发生改变,但体重额外增加负荷是否会改变步态特征尚不确定。
我们分别给11名肥胖者施加0千克(无负荷)、5千克、10千克和15千克的负重,以掌握步态过程中冲击类型控制和动态稳定性的机制。使用三维摄影和地面反作用力系统分析步态特征,分别包括一步的长度、支撑期重心平均速度、制动力、推进力、动态姿势稳定性指数(DPSI)和质心外推(XCoM)。我们进行了重复测量的单因素方差分析(0千克、5千克、10千克和15千克),并在显著水平时分别进行事后检验(邓肯检验)(<0.05)。
随着负重的逐渐增加,一步长度和平均速度降低,但制动力和推进力有所增加。特别是步态速度和步长的降低使DPSI和XCoM角度保持在无负重时的水平范围内。
通常肥胖者长时间负重的情况很少见,但负重5千克可能会随着负重时间的延长而潜在地改变步态姿势。