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佩戴腰带或背带负重行走时足部受力、步态时间及躯干屈伸偏移情况

Forces at the Feet, Gait Timing, and Trunk Flexion/Extension Excursion While Walking with a Gear Belt or Gear Vest Load.

作者信息

Maher Shane S, Dill Laura L, Hein Jennifer L, Nessler Jeff A, Schmidt Deanna J

机构信息

Department of Kinesiology, California State University San Marcos, San Marcos, CA, USA.

出版信息

Int J Exerc Sci. 2021 Dec 1;15(1):36-44. doi: 10.70252/QODZ7485. eCollection 2022.

Abstract

Law enforcement personnel often carry gear loads, which have a history of causing low back pain. The aim of this study was to evaluate the differences in gait and trunk posture for gear load carried on a gear belt and a gear vest. Twenty-nine participants performed load carriage in three conditions: a no load control trial (C), a symmetrically loaded gear belt (GB), and an anterior-loaded gear vest (ALV). Gear conditions had 9.07 kg of additional mass. Motion capture and insole force sensors were used to collect data while participants walked on a treadmill for three minutes per condition. Mean insole reaction force was significantly greater in both GB and ALV conditions as compared to C ( < 0.001). Mean gait cadence in the GB or ALV condition were not significantly different from the C condition. However, double support time in the ALV condition was significantly longer compared to C condition ( = 0.023). Stance duration on the left foot was significantly longer with the GB ( = 0.001) and ALV ( = 0.028) when compared to C. Results showed trunk flexion/extension excursion was significantly less in the GB condition when compared to the C condition ( = 0.002). These findings demonstrate that law enforcement and other personnel who walk while carrying gear loads may experience altered biomechanics compared to unloaded walking. Altered biomechanics and increased forces on the feet could potentially increase risk of musculoskeletal injury while carrying gear loads.

摘要

执法人员经常携带装备负重,而这些负重历来会导致下背部疼痛。本研究的目的是评估在装备腰带和装备背心上携带装备负重时步态和躯干姿势的差异。29名参与者在三种条件下进行负重行走:无负重对照试验(C)、对称负重的装备腰带(GB)和前部负重的装备背心(ALV)。每种负重条件下额外增加9.07千克重量。当参与者在跑步机上每种条件下行走三分钟时,使用动作捕捉和鞋垫力传感器收集数据。与C条件相比,GB和ALV条件下的平均鞋垫反作用力均显著更大(<0.001)。GB或ALV条件下的平均步态步频与C条件无显著差异。然而,与C条件相比,ALV条件下的双支撑时间显著更长(=0.023)。与C相比,GB(=0.001)和ALV(=0.028)条件下左脚的站立持续时间显著更长。结果显示,与C条件相比,GB条件下躯干屈伸偏移显著更小(=0.002)。这些发现表明,与无负重行走相比,执法人员和其他携带装备负重行走的人员可能会经历生物力学改变。携带装备负重时生物力学改变和脚部受力增加可能会增加肌肉骨骼损伤的风险。

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