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Interlimb Coordination during Forward and Backward Walking in Primary School-Aged Children

机译:小学龄儿童向前和向后行走期间的肢体协调

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摘要

Previous studies comparing forward (FW) and backward (BW) walking suggested that the leg kinematics in BW were essentially those of FW in reverse. This led to the proposition that in adults the neural control of FW and BW originates from the same basic neural circuitry. One aspect that has not received much attention is to what extent development plays a role in the maturation of neural control of gait in different directions. BW has been examined either in adults or infants younger than one year. Therefore, we questioned which changes occur in the intermediate phases (i.e. in primary school-aged children). Furthermore, previous research focused on the lower limbs, thereby raising the question whether upper limb kinematics are also simply reversed from FW to BW. Therefore, in the current study the emphasis was put both on upper and lower limb movements, and the coordination between the limbs. Total body 3D gait analysis was performed in primary school-aged children (N = 24, aged five to twelve years) at a preferred walking speed to record angular displacements of upper arm, lower arm, upper leg, lower leg, and foot with respect to the vertical (i.e. elevation angle). Kinematics and interlimb coordination were compared between FW and BW. Additionally, elevation angle traces of BW were reversed in time (revBW) and correlated to FW traces. Results showed that upper and lower limb kinematics of FW correlated highly to revBW kinematics in children, which appears to be consistent with the proposal that control of FW and BW may be similar. In addition, age was found to mildly alter lower limb kinematic patterns. In contrast, interlimb coordination was similar across all children, but was different compared to adults, measured for comparison. It is concluded that development plays a role in the fine-tuning of neural control of FW and BW.
机译:先前比较向前(FW)和向后(BW)行走的研究表明,BW中的腿部运动学本质上是反向的FW。这导致了这样的主张,在成年人中,FW和BW的神经控制源自相同的基本神经回路。尚未引起广泛关注的一个方面是发展在不同方向上对步态的神经控制的成熟中起多大作用。 BW已在成人或1岁以下婴儿中进行了检查。因此,我们质疑在中间阶段(即小学学龄儿童)会发生哪些变化。此外,先前的研究集中在下肢,因此提出了一个问题,即上肢运动学是否也从FW简单地转换为BW。因此,在本研究中,重点放在上肢和下肢的运动以及肢体之间的协调上。以首选步行速度对小学生(N = to24,五岁至十二岁)进行全身3D步态分析,以记录上臂,下臂,大腿,小腿和足部相对的角度位移垂直(即仰角)。在FW和BW之间比较了运动学和肢体协调。此外,BW的仰角迹线在时间上反转(revBW),并与FW迹线相关。结果表明,FW的上肢和下肢运动学与儿童的revBW运动学高度相关,这似乎与控制FW和BW可能相似的提议相一致。此外,发现年龄会轻度改变下肢的运动学模式。相比之下,所有儿童的肢体协调性都相似,但与成年人相比,差异有所不同。结论是,发育在FW和BW的神经控制的微调中起作用。

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