Balance Recovery Mechanisms Against Anterior Perturbation during Standing

직립자세에서의 전방향 동요 시 균형회복 기전

  • 태기식 (연세대학교 의공학과, 의공학연구소, 의용계측 및 재활공학 연구센터, 첨단의료기기 기술혁신센터) ;
  • 김영호 (연세대학교 의공학과, 의공학연구소, 의용계측 및 재활공학 연구센터, 첨단의료기기 기술혁신센터)
  • Published : 2003.10.01

Abstract

In this paper, biomechanical aspects of dynamic대학교postural responses against forward perturbations were experimentally determined simultaneous measurements of joint angles, accelerations. EMG activations, center of pressure(CoP) movements and ground reaction forces(GRF), Thirteen young healthy volunteers, stood on a flat platform, were translated into the forward direction by an AC servo-motor at two separate velocities(0.1m and 0.2m/s). In order to recover postural balance against the forward perturbation, joint motions were observed in the sequence of the ankle dorsiflexion, the knee flexion and then the hip flexion during the later acceleration phase. Both acceleration patterns at the heel and the sacrum were shown the forward acceleration pattern during the later acceleration phase and early of constant velocity phase as increasing platform velocity, respectively. Tibialis anterior(TA) for the ankle dorsiflexion and biceps femoris(BF) for the knee flexion. the primary muscle to recover the forward perturbation, was activated during the half of acceleration phase. Ankle strategy was used for slow-velocity perturbation, but mixed strategy of both ankle and hip used for the fast-velocity perturbation. In addition, parameters of perturbation such as timing and magnitude influenced the postural response against the perturbation.

Keywords

References

  1. R Tideiksaar, Falling in Old Age: Its Prevention and Treatment, New York, Springer, 1987
  2. P.H. Honeycutt and P. Ramsry, 'Factors Contributing to Falls in Elderly Men Living in the Cornmunity' J Geriatric Nursing, Vol. 23, pp.250-257, 2002
  3. A Shumway, 'Predicting the probability for falls in the community-dwelling older adults', J Phys Ther. Vol. 77, pp.812-819, 1997
  4. N.D. Harada, V. Chiu, A.L. Stewart, 'Mobility-related function in older adults: Assessment with 6-minute walk test', Arch Phys Med Rehabil. Vol. 80, pp.837-841, 1999
  5. L. Nashner and G. McCollum, 'The organization of human postural movements: a formal basis and experimental synthesis' Behav. Brain Sci. Vol. 8 pp. 135-172, 1985
  6. D.A. Winter, Anatomy biomechanics and control of balance during standing and walking, Waterloo Biomechanics Inc., pp.5-32, 1990
  7. F.B. Horak, 'Clinical assessment of balance disorder', Gait and Posture, Vol. 6, pp.76-84, 1997
  8. J,Y. You, Y.L. Chou, C.J, Lin, and F.C. Su, 'Effect of slip on movement of body center of mass relative to base of support', Clinical Biomechanics, Vol. 16, pp.167-173, 2001
  9. R. Cham, and M.S. Redfern, 'Lower extremity corrective reactions to slip events', J Biomechanics, Vol. 34, pp.1439-1445, 2001
  10. M.A Hughes, M.L Schenkman, J,M Chandler and S.A Studenski, 'Postural responses to platform perturbation: kinematics and electromyography', Clinical Biomechanics, Vol. 10, pp.318-322, 1995
  11. Y.C. Pai, M.W. Rogers, J, Patton, T.D. Cain, and T.A. Hanke, 'Static versus dynamic predictions of protective stepping following waist-pull perturbations in young and older adults', J Biomechanics, Vol. 31, pp.1111-1118, 1995
  12. C.F Runge, C.L shupert, F.B Horak and F.E Zajac, 'Ankle and hip postural strategies defined by joint torques', Gait and Posture, Vol. 10, pp.161-170, 1999
  13. R. Ferber, L.R. Osterning, M.H. Woollacott, N.J. Wasielewski and J.H. Lee, 'Reactive balance adjustments to unexpectived perturbations during human walking', Gait and Posture, Vol. 16, pp.23S-248, 2002
  14. R. Ferber, L.R. Osterning, M.H. Woollacott, N.J. Wasielewski and J,H. Lee, 'Gait perturbation response in chronic anterior cruciate ligament deficiency and repair', Clinical Biomechanics, Vol. 18, pp.132-141, 2003
  15. R.M. Nilssen and J,L. Helbostad, 'Trunk accelerometry as a measure of balance control during quiet standing', Gait and Posture, Vol. 16, pp.60-68, 2002
  16. G. Kamen, C. Patten, C. Duke and S. Silson, 'An Accelerometry: Based system for the Assessment of Balance and Postural Sway' J Gerontology, Vol. 44, pp.40-45, 1998
  17. R.E. Mayagoitia, J.C Lotters, P.H. Veltink and H. Hermens, 'Standing balance evaluation using a triaxial accelerometer', Gait and Posture, Vol. 6, pp. 55-59, 2002
  18. R.M. Nilssen, 'A new method for evaluating motor control in gait under real-life environmental conditions. Part 2: Gait analysis', Clinical Biomechanics, Vol. 13, pp.328-335, 1998
  19. 이진복, 강성재, 김영호, '정상보행 시 체중심의 수직 가속도 측정', 한국 전문 물리치료학회지, Vol. 9, pp.39-46, 2002