在背负身体负荷持续行走时胫骨的压缩。

Tibial compression during sustained walking with body borne load.

机构信息

Biomedical Engineering, Boise State University, Boise, ID, USA.

Dept. of Mechanical and Biomedical Engineering, Boise State University, Boise, ID, USA.

出版信息

J Biomech. 2022 Mar;133:110969. doi: 10.1016/j.jbiomech.2022.110969. Epub 2022 Feb 2.

Abstract

This study determined if sustained walking with body borne load increases tibial compression, and whether increases in tibial compression are related to vertical GRFs. Thirteen participants had tibial compression and vertical GRF measures quantified while walking at 1.3 m/s for 60 min with body borne load. Each tibial compression (maximum and impulse) and GRF measure (peak, impulse, impact peak and loading rate) were submitted to a RM ANOVA to test the main effect and interaction between load (0, 15, and 30 kg) and time (minute 0, 30 and 60), and correlation analyses determined the relation between tibial compression and vertical GRF measures for each load and time. Each tibial compression and GRF measure increased with the addition of body borne load (all: p < 0.001). Time impacted impact peak (p = 0.034) and loading rate (p = 0.017), but no other GRF or tibial compression measure (p > 0.05). Although both tibial compression and vertical GRFs increased with load, vertical GRF measures exhibited negligible to weak (r: -0.37 to 0.35), and weak to moderate (r: -0.62 to 0.59) relation with maximum and impulse of tibial compression with each body borne load. At each time point, GRF measures exhibited negligible to weak (r: -0.39 to 0.27), and weak to moderate (r: -0.53 to 0.65) relation with maximum and impulse of tibial compression, respectively. Walking with body borne load increased tibial compression, and may place compressive forces on the tibia that lead to stress fracture. But, increases in tibial compression may not stem from concurrent increases in vertical GRFs.

摘要

本研究旨在确定负重步行是否会持续增加胫骨压缩,以及胫骨压缩的增加是否与垂直 GRF 相关。13 名参与者在携带身体负荷以 1.3m/s 的速度行走 60 分钟时,对胫骨压缩和垂直 GRF 进行了量化测量。每个胫骨压缩(最大和脉冲)和 GRF 测量(峰值、脉冲、冲击峰值和加载率)都提交给 RM ANOVA 进行测试,以检验负荷(0、15 和 30kg)和时间(0 分钟、30 分钟和 60 分钟)之间的主效应和相互作用,相关性分析确定了在每个负荷和时间下胫骨压缩与垂直 GRF 测量之间的关系。随着身体负荷的增加,每个胫骨压缩和 GRF 测量都增加(所有:p<0.001)。时间影响冲击峰值(p=0.034)和加载率(p=0.017),但其他 GRF 或胫骨压缩测量值没有影响(p>0.05)。虽然胫骨压缩和垂直 GRF 都随负荷增加而增加,但垂直 GRF 测量值与每个身体负荷的胫骨压缩最大值和脉冲值的关系为弱至中度(r:-0.37 至 0.35)和弱至中度(r:-0.62 至 0.59)。在每个时间点,GRF 测量值与胫骨压缩最大值和脉冲值的关系为弱至中度(r:-0.39 至 0.27)和弱至中度(r:-0.53 至 0.65)。携带身体负荷行走会增加胫骨压缩,并可能对胫骨造成压缩力,导致应力性骨折。但是,胫骨压缩的增加可能不是由于垂直 GRF 的同时增加所致。

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