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在徒步过程中,轴刚度对关节运动学和动力学的影响。

The influence of shaft stiffness on joint kinematics and kinetics during hiking.

机构信息

Sport Sciences, Department of Health, Science and Technology, Aalborg University, Aalborg, Denmark; Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne, Germany.

Sport Sciences, Department of Health, Science and Technology, Aalborg University, Aalborg, Denmark.

出版信息

J Biomech. 2021 Sep 20;126:110643. doi: 10.1016/j.jbiomech.2021.110643. Epub 2021 Jul 22.

Abstract

Hiking boots provide an interface for walking in challenging environments, typically equipped with a shaft to provide ankle joint stability in rough terrains. Currently it is unclear if the ankle joint is stabilized to an extent that protects against ankle injuries, and if so, to what degree this added ankle stability sacrifices ankle mobility and hence decreases efficient gait propulsion. The aim of the present study was to compare the effect of shaft construction and stiffness on lower extremity kinematics and kinetics during level and step-down walking to simulate hiking conditions. Thirteen healthy males walked in one low-cut and three shafted commercially available hiking shoes with varying shaft stiffness. Lower extremity kinematics and ground reaction forces were recorded simultaneously. During level walking, ankle plantar-dorsiflexion range of motion was significantly reduced for the stiffest shaft hiking shoe compared to the low-cut shoe. A reduction in the muscle contribution to ankle joint work was found for all shafted shoes compared to the low-cut shoe. The reduced ankle joint work for the shafted shoes conversely increased eccentric knee joint work. Kinematic and kinetic differences between shoes diminished during box step-down walking. The present study shows that shaft height and stiffness can influence ankle joint range of motion, and ankle and knee joint work, with the high-shaft shoes redistributing load from the ankle to the knee joint. This may have implications for gait efficiency and increase the risk of knee joint loading or injuries.

摘要

徒步靴为在具有挑战性的环境中行走提供了一个接口,通常配备有一个筒部,以在崎岖地形中提供踝关节稳定性。目前尚不清楚踝关节是否稳定到足以防止踝关节受伤的程度,如果是这样,那么这种额外的踝关节稳定性会牺牲踝关节的灵活性,从而降低有效的步态推进。本研究的目的是比较在模拟徒步条件的水平和下台阶行走过程中,筒部结构和刚度对下肢运动学和动力学的影响。13 名健康男性穿着一种低帮和三种筒部高度不同、刚度不同的市售徒步鞋进行行走。同时记录下肢运动学和地面反作用力。在水平行走时,与低帮鞋相比,最硬筒部徒步鞋的踝关节跖屈-背屈活动范围明显减小。与低帮鞋相比,所有筒部鞋的踝关节关节工作的肌肉贡献都减少了。相反,由于脚踝关节工作的减少,膝关节的离心工作增加。在箱式下台阶行走过程中,鞋之间的运动学和动力学差异减小。本研究表明,筒部高度和刚度会影响踝关节的活动范围以及踝关节和膝关节的工作,高筒部鞋会将负荷从踝关节重新分配到膝关节。这可能会对步态效率产生影响,并增加膝关节负荷或受伤的风险。

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