Architecture College, Inner Mongolia University of Technology (IMUT), Hohhot 010051, China.
UCL Institute for Environmental Design and Engineering, The Bartlett, University College London (UCL), London WC1H 0NN, UK.
Int J Environ Res Public Health. 2021 Nov 16;18(22):12029. doi: 10.3390/ijerph182212029.
Crawling is recommended for avoiding high heat and toxic fumes and for obtaining more breathable air during evacuations. Few studies have evaluated the effects of crawling on physical joints and velocity, especially in children. Based on motion capture technology, this study proposes a novel method of using wearable sensors to collect exposure (e.g., mean duration, frequency) on children's joints to objectively quantify the impacts of different locomotion methods on physical characteristics. An on-site experiment was conducted in a kindergarten with 28 children (13 boys and 15 girls) of different ages (4-6 years old) who traveled up to 22 m in three different postures: upright walking (UW), stoop walking (SW), and knee and hand crawling (KHC). The results showed that: (1) The level of joint fatigue for KHC was heavier than bipedal walking ( < 0.05), which was evidenced by higher mean duration and frequency. There was no significant difference between UW and SW ( > 0.05). (2) The physical characteristics of the children in the different postures observed in this study were different ( < 0.05). The ankle was more fatigued than other joints during bipedal walking. Unlike infants, the wrists and hips of the children became fatigued while crawling. The key actions flexion/extension are more likely to induce joint fatigue vs. other actions. (3) Crawling velocity was significantly slower than the bipedal velocities, and UW was 10.6% faster than SW ( < 0.05). The bipedal walking velocity started to decrease after the children had travelled up to 13 m, while the KHC velocity started to decrease after traveling up to 11.6 m. (4) In a severe fire, the adoption of SW is suggested, as the evacuees can both evacuate quickly and avoid overworking their joints. (5) There were no significant differences in the age ( > 0.05) and gender ( > 0.05) of the children on the joints in any of the three postures. To conclude, KHC causes more damage to body joints compared to bipedal walking, as evidenced by higher exposure (mean duration, frequency), whereas UW and SW are similar in terms of the level of joint fatigue. The above findings are expected to provide a useful reference for future applications in the children's risk assessment and in the prevention design of buildings.
爬行有助于避免高温和有毒烟雾,并在疏散时获得更可呼吸的空气。很少有研究评估爬行对身体关节和速度的影响,尤其是在儿童中。本研究基于运动捕捉技术,提出了一种使用可穿戴传感器收集儿童关节暴露(例如,平均持续时间、频率)的新方法,以客观地量化不同运动方式对身体特征的影响。在一家幼儿园进行了现场实验,共有 28 名不同年龄(4-6 岁)的儿童(13 名男孩和 15 名女孩)以三种不同姿势行进了 22 米:直立行走(UW)、弯腰行走(SW)和膝手爬行(KHC)。结果表明:(1)KHC 的关节疲劳程度比双足行走更重(<0.05),这表现为更高的平均持续时间和频率。UW 和 SW 之间没有显著差异(>0.05)。(2)本研究观察到的不同姿势下儿童的身体特征不同(<0.05)。双足行走时脚踝比其他关节更容易疲劳。与婴儿不同,儿童在爬行时手腕和臀部会感到疲劳。屈伸等关键动作比其他动作更容易引起关节疲劳。(3)爬行速度明显慢于双足速度,UW 比 SW 快 10.6%(<0.05)。儿童行进至 13 米后,双足行走速度开始下降,而 KHC 速度在行进至 11.6 米后开始下降。(4)在严重火灾中,建议采用 SW,因为疏散人员可以快速疏散,并且避免关节过度劳累。(5)在任何三种姿势下,儿童的关节年龄(>0.05)和性别(>0.05)均无显著差异。总之,与双足行走相比,KHC 对身体关节的损伤更大,这表现为更高的暴露(平均持续时间、频率),而 UW 和 SW 在关节疲劳程度方面相似。上述发现有望为未来在儿童风险评估和建筑物预防设计中的应用提供有用的参考。