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年龄、身高、体重、体重指数和握力对步态周期中足底压力站立期曲线轨迹的影响。

Effects of age, body height, body weight, body mass index and handgrip strength on the trajectory of the plantar pressure stance-phase curve of the gait cycle.

作者信息

Wolff Christian, Steinheimer Patrick, Warmerdam Elke, Dahmen Tim, Slusallek Philipp, Schlinkmann Christian, Chen Fei, Orth Marcel, Pohlemann Tim, Ganse Bergita

机构信息

German Research Center for Artificial Intelligence (DFKI), Saarbrücken, Germany.

Department of Trauma, Hand and Reconstructive Surgery, Saarland University, Homburg, Germany.

出版信息

Front Bioeng Biotechnol. 2023 Feb 15;11:1110099. doi: 10.3389/fbioe.2023.1110099. eCollection 2023.

Abstract

The analysis of gait patterns and plantar pressure distributions insoles is increasingly used to monitor patients and treatment progress, such as recovery after surgeries. Despite the popularity of pedography, also known as baropodography, characteristic effects of anthropometric and other individual parameters on the trajectory of the stance phase curve of the gait cycle have not been previously reported. We hypothesized characteristic changes of age, body height, body weight, body mass index and handgrip strength on the plantar pressure curve trajectory during gait in healthy participants. Thirty-seven healthy women and men with an average age of 43.65 ± 17.59 years were fitted with Moticon OpenGO insoles equipped with 16 pressure sensors each. Data were recorded at a frequency of 100 Hz during walking at 4 km/h on a level treadmill for 1 minute. Data were processed a custom-made step detection algorithm. The loading and unloading slopes as well as force extrema-based parameters were computed and characteristic correlations with the targeted parameters were identified multiple linear regression analysis. Age showed a negative correlation with the mean loading slope. Body height correlated with Fmean and the loading slope. Body weight and the body mass index correlated with all analyzed parameters, except the loading slope. In addition, handgrip strength correlated with changes in the second half of the stance phase and did not affect the first half, which is likely due to stronger kick-off. However, only up to 46% of the variability can be explained by age, body weight, height, body mass index and hand grip strength. Thus, further factors must affect the trajectory of the gait cycle curve that were not considered in the present analysis. In conclusion, all analyzed measures affect the trajectory of the stance phase curve. When analyzing insole data, it might be useful to correct for the factors that were identified by using the regression coefficients presented in this paper.

摘要

对鞋垫上的步态模式和足底压力分布进行分析,越来越多地用于监测患者及治疗进展,比如手术后的恢复情况。尽管足印法(也称为压力足印法)很受欢迎,但人体测量学及其他个体参数对步态周期站立相曲线轨迹的特征性影响此前尚未见报道。我们推测健康参与者在步态过程中,年龄、身高、体重、体重指数和握力会对足底压力曲线轨迹产生特征性变化。37名平均年龄为43.65±17.59岁的健康女性和男性,每人都配备了装有16个压力传感器的Moticon OpenGO鞋垫。在水平跑步机上以4公里/小时的速度行走1分钟期间,以100赫兹的频率记录数据。数据通过定制的步长检测算法进行处理。计算加载和卸载斜率以及基于力极值的参数,并通过多元线性回归分析确定与目标参数的特征相关性。年龄与平均加载斜率呈负相关。身高与平均力及加载斜率相关。体重和体重指数与所有分析参数相关,但加载斜率除外。此外,握力与站立相后半段的变化相关,而对前半段没有影响,这可能是由于蹬地更强。然而,年龄、体重、身高、体重指数和握力只能解释高达46%的变异性。因此,必然有其他因素影响步态周期曲线的轨迹,而本分析中未考虑这些因素。总之,所有分析的指标都会影响站立相曲线的轨迹。在分析鞋垫数据时,利用本文给出的回归系数对已识别的因素进行校正可能会有所帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bfb/9975497/5117a3d60212/fbioe-11-1110099-g001.jpg

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