Department of Mechanical Science and Bioengineering, Graduate School of Engineering Science, Osaka University, 1-3 Machikaneyama, Toyonaka, Osaka, 560-8531, Japan.
Japan Society for the Promotion of Science, Tokyo, Japan.
Sci Rep. 2023 Sep 7;13(1):14770. doi: 10.1038/s41598-023-41706-0.
Excessive hip flexion torque to prioritize leg swings in the elderly is likely to be a factor that reduces their propulsive force and gait stability, but the mechanism is not clear. To understand the mechanism, we investigated how propulsive force, hip flexion torque, and margin of stability (MoS) change when only the hip spring stiffness is increased without changing the walking speed in the simple walking model, and verified whether the relationship holds in human walking. The results showed that at walking speeds between 0.50 and 1.75 m/s, increasing hip spring stiffness increased hip flexion torque and decreased the propulsive force and MoS in both the model and human walking. Furthermore, it was found that the increase in hip flexion torque was explained by the increase in spring stiffness, and the decreases in the propulsive force and MoS were explained by the increase in step frequency associated with the increase in spring stiffness. Therefore, the increase in hip flexion torque likely decreased the propulsive force and MoS, and this mechanism was explained by the intervening hip spring stiffness. Our findings may help in the control design of walking assistance devices, and in improving our understanding of elderly walking strategies.
老年人过度的髋关节屈肌扭矩优先于腿部摆动,这可能是降低其推进力和步态稳定性的一个因素,但机制尚不清楚。为了了解这一机制,我们研究了在不改变行走速度的情况下,仅增加髋关节弹簧刚度时,推进力、髋关节屈肌扭矩和稳定裕度(MoS)如何变化,并验证了这一关系在人类行走中的适用性。结果表明,在 0.50 至 1.75m/s 的行走速度下,增加髋关节弹簧刚度会增加髋关节屈肌扭矩,并降低模型和人类行走中的推进力和 MoS。此外,还发现髋关节屈肌扭矩的增加可以用弹簧刚度的增加来解释,而推进力和 MoS 的降低则可以用与弹簧刚度增加相关的步频增加来解释。因此,髋关节屈肌扭矩的增加可能会降低推进力和 MoS,而这一机制可以用髋关节弹簧刚度的介入来解释。我们的研究结果可能有助于行走辅助设备的控制设计,并有助于我们更好地理解老年人的行走策略。