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平衡图谱分析在人体行走平衡可视化和量化中的应用。

Balance Map Analysis for Visualization and Quantification of Balance in Human Walking.

出版信息

IEEE Trans Neural Syst Rehabil Eng. 2021;29:2153-2163. doi: 10.1109/TNSRE.2021.3120429. Epub 2021 Oct 28.

DOI:10.1109/TNSRE.2021.3120429
PMID:34653003
Abstract

Evaluation of stability or loss of balance in walking persists as an open question. Although an inverted pendulum model is often adopted to evaluate stance leg balance, a stumbling-related balance loss should be associated with the swing leg. We propose a new framework based on a compass gait model that determines whether the current state (i.e., position and velocity) in the swing phase can maintain steady state walking or, instead, fall without active joint torque, which is termed as balance map analysis. The forward and backward balance loss regions are derived by a linear compass gait model. To test the balance map analysis, measurement experiments of steady state walking and stumbled walking are used to validate two hypotheses: 1) the state during steady-state walking is not located in the balance loss region; and 2) if stumbling occurs, the state moves toward the forward balance loss region. The results of the balance map analysis showed good agreement with our prediction in the hypotheses. The minimum Euclid distance from the balance loss region is defined as the margin, and the margin from forward balance loss rapidly decreased after the stumbling perturbation. The statistical results reveal that the margin from the forward balance loss region after perturbation is significantly smaller than the margin in steady state walking. These results suggest that balance map analysis provides a new aspect of walking balance, expanded for the stumbling and recovery behavior of human walking.The code for the balance map analysis is available at https://github.com/TakahiroKagawa/GaitAnalysis_BM.

摘要

行走稳定性或平衡丧失的评估仍然是一个悬而未决的问题。虽然倒立摆模型常用于评估站立腿平衡,但与跌倒相关的平衡丧失应与摆动腿相关。我们提出了一个基于指南针步态模型的新框架,该模型确定摆动阶段的当前状态(即位置和速度)是否能够保持稳定的行走状态,或者在没有主动关节扭矩的情况下是否会跌倒,这被称为平衡图分析。前进和后退平衡损失区域由线性指南针步态模型得出。为了测试平衡图分析,我们使用稳态行走和绊倒行走的测量实验来验证两个假设:1)稳态行走期间的状态不在平衡损失区域内;2)如果发生绊倒,状态会向前进的平衡损失区域移动。平衡图分析的结果与我们在假设中的预测非常吻合。从平衡损失区域的最小欧几里得距离定义为裕度,并且绊倒干扰后向前平衡损失的裕度迅速减小。统计结果表明,干扰后来自前进平衡损失区域的裕度明显小于稳态行走时的裕度。这些结果表明,平衡图分析为人类行走的平衡提供了一个新的方面,扩展了对绊倒和恢复行为的研究。平衡图分析的代码可在 https://github.com/TakahiroKagawa/GaitAnalysis_BM 上获得。

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