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Ankle knee and hip joint contribution to body support duringgait

机译:踝关节膝盖和髋关节对身体支撑的作用步态

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摘要

[Purpose] Support moment was defined as the sum of ankle plantar flexion, knee and hip extension moments. There are some mechanical relationships among the 3 joints. If these relationships were understood, it might be possible to determine which joint should be strengthened to improve gait. The aims of this study were to examine the mutual relationship among kinetic variables of the 3 joints during different phases. [Subjects and Methods] Twenty-five healthy subjects volunteered for this study. They were asked to walk on a platform at a self-selected speed. Correlation coefficients between support moment and vertical ground reaction force were calculated for each subject. Pearson correlation analysis was performed among the 3 joint moments and between each joint moment and vertical ground reaction force. [Results] Knee and hip extension moments showed negative correlation throughout the stance. Ankle moment had a positive with hip but a negative correlation with knee moment except in the initial contact and pre-swing. Hip moment in the initial contact, knee moment in the loading response, and ankle moment from the terminal stance to pre-swing had a high correlation with vertical ground reaction force. [Conclusion] The results may indicate which joint should be strengthened to improve gait pattern.
机译:[目的]支撑力矩定义为脚踝plant屈,膝盖和髋部伸展力矩之和。 3个关节之间存在一些机械关系。如果了解了这些关系,则可以确定应该加强哪个关节以改善步态。这项研究的目的是检查在不同阶段的三个关节的动力学变量之间的相互关系。 [对象和方法] 25名健康受试者自愿参加了这项研究。他们被要求以自行选择的速度在平台上行走。计算每个受试者的支撑力矩和垂直地面反作用力之间的相关系数。在三个关节力矩之间以及每个关节力矩与垂直地面反作用力之间进行了皮尔逊相关分析。 [结果]膝关节和髋关节的伸展力矩在整个姿势中均呈负相关。踝关节力矩与髋关节呈正相关,但与膝关节力矩呈负相关,除了在初次接触和预摆时。初次接触时的髋关节力矩,负荷响应中的膝关节力矩以及从末端姿势到预摆的踝关节力矩与垂直地面反作用力高度相关。 [结论]结果可能表明应加强哪个关节以改善步态。

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