Kokue Tomoya, Takenaka Yuma, Matsue Yuuga, Tsuchida Masayuki, Sugawara Kenichi
Division of Physical Therapy Science, Graduate Course of Health and Social Work, Kanagawa University of Human Services: 1-10-1 Heisei-cho, Yokosuka, Kanagawa 238-8522, Japan.
Department of Rehabilitation, Saiseikai Yokohamashi Tobu Hospital, Japan.
J Phys Ther Sci. 2024 May;36(5):226-233. doi: 10.1589/jpts.36.226. Epub 2024 May 1.
[Purpose] The ability to actively adjust walking speed is fundamental and the factors enabling it should be assessed. The present study aimed to demonstrate how active gait speed is kinematically adjusted. [Participants and Methods] Walking acceleration and deceleration were evaluated in 16 healthy adults using three-axis accelerometers and surface electromyographs. The root mean square (RMS) of each axis in the center-of-gravity acceleration was calculated as an index of gait stability. Electron myograph data were obtained from images captured of the right lower muscles, and the integral value of total muscle activity per gait cycle was calculated. [Results] The RMS of each axis increased during acceleration and decreased during deceleration. The integral values of total activity of the gastrocnemius, biceps femoris, and tibialis anterior muscles increased in acceleration. In contrast, the values increased in the biceps femoris but decreased in other muscles during deceleration. [Conclusion] These results suggest that the specific kinematic mechanisms of each factor regulate the acceleration and deceleration of walking. In addition, these mechanisms and factors indicate how exercise therapy may be used in rehabilitation to improve the ability to adjust walking speed in daily life.
[目的] 主动调节步行速度的能力至关重要,应对其影响因素进行评估。本研究旨在展示主动步态速度在运动学上是如何调节的。[参与者与方法] 使用三轴加速度计和表面肌电图对16名健康成年人的步行加速和减速情况进行评估。计算重心加速度各轴的均方根(RMS)作为步态稳定性指标。从右下肢肌肉的图像中获取肌电图数据,并计算每个步态周期总肌肉活动的积分值。[结果] 各轴的RMS在加速过程中增加,在减速过程中降低。腓肠肌、股二头肌和胫骨前肌总活动的积分值在加速时增加。相反,在减速过程中,股二头肌的值增加,而其他肌肉的值降低。[结论] 这些结果表明,各因素的特定运动学机制调节着步行的加速和减速。此外,这些机制和因素表明了运动疗法在康复中如何用于提高日常生活中调节步行速度的能力。