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Effects of Somatosensory Stimulation on Lower-Limb Joint Kinetic of Older Adult During Stair Descent

계단 하강 보행 동안 체성감각 자극이 노인의 하지 관절 역학에 미치는 영향

  • Kwak, K.Y. (Department of Healthcare Engineering, Chonbuk National University) ;
  • So, H.J. (Department of Healthcare Engineering, Chonbuk National University) ;
  • Kim, S.H. (Center for Healthcare Technology Development) ;
  • Yang, Y.S. (Division of Biomedical Engineering, Chonbuk National University) ;
  • Kim, N.G. (Sixty Plus Co.) ;
  • Kim, D.W. (Division of Biomedical Engineering, Chonbuk National University)
  • 곽기영 (전북대학교 대학원 헬스케어공학과) ;
  • 소하주 (전북대학교 대학원 헬스케어공학과) ;
  • 김성현 (전북대학교 헬스케어기술개발사업단) ;
  • 양윤석 (전북대학교 공과대학 바이오메디컬공학부) ;
  • 김남균 ((주) 식스티 플러스) ;
  • 김동욱 (전북대학교 공과대학 바이오메디컬공학부)
  • Received : 2010.11.08
  • Accepted : 2011.04.08
  • Published : 2011.04.30

Abstract

The purpose of this study was to investigate lower-limb joint torque of the two groups as it changed by somatosensory stimulation during the descent down three stairs of different heights and to describe the difference between the two groups, which are young people group and elderly people group. Subjects of each groups climbed down a stair at four stimulation conditions, which are non-stimulation, tibialis anterior tendon stimulation, achilles tendon stimulation, tibialis anterior - achilles tendon stimulation. Motion capture data were collected using 3D optoelectric motion tracking system that utilizes active infrared LEDs, near infrared sensor and force plate. The obtained motion capture data was used to build 3D computer simulation model. The results show that lower-limb joint torque of the two groups changed with somatosensory stimulation as they descended the stairs and the joint torque of the two groups differed from each other.

Keywords

References

  1. J. Perry, Gait Analysis: Normal and Pathological Function, New Jersey, USA, SLACK, 1992, pp. XV-3.
  2. R. R. Neptune, D. J. Clark, and S. A. Kautz, "Modular control of human walking: A simulation study," Journal of Biomechanics, vol 42, Issue 9, pp. 1282-1287, 2009. https://doi.org/10.1016/j.jbiomech.2009.03.009
  3. T. P. Andracchi, J. O. Galante, and R. W. Fermier, "The influence of total knee-replacement design on walking and stair-climbing," Journal of Bone and Joint Surgery, 64-A, pp. 1328-1335, 1982.
  4. T. P. Andracchi, and R. P. Mikosz, "Musculoskeletal dynamics locomotion and clinical applications," Basic Orthopaedic Biomechanics, New York, USA: Raven Press, pp. 51-92, 1991.
  5. J. K. Startzell, D. A. Owens, L. M. Mulfinger, and P. R. Cavanagh, "Stair negotiation in older people: a review," Journal of the American Geriatrics Society, vol. 48, no. 5, pp. 567-580, 2000. https://doi.org/10.1111/j.1532-5415.2000.tb05006.x
  6. S. D. Eun, "An investigation of the effect of the height of steps on the joint moment of lower extremities of the elderly while walking downstairs," Korean Journal of Sport Biomechanics, vol 16, no. 4, pp. 31-38, 2006. https://doi.org/10.5103/KJSB.2006.16.4.031
  7. N. D. Reeves, M. Spanjaard, A. A. Mohagheghi, V. Baltzopoulos, C. N. Maganaris, "The demands of stair descent relative to maximum capacities in elderly and young adults," Journal of Electromyography and Kinesiology, vol. 18, pp. 218-227, 2008. https://doi.org/10.1016/j.jelekin.2007.06.003
  8. B. J. McFadyen and D. A. Winter, "An integrated biomechanical analysis of normal stair ascent and descent," Journal of biomechanics, vol. 21, pp. 733-733, 1988. https://doi.org/10.1016/0021-9290(88)90282-5
  9. R. Riener, M. Rabuffetti, and C. Frigo, "Stair ascent and descent at different inclinations," Gait and Posture, vol. 15, Issue. 1, no. pp. 32-44, 2002. https://doi.org/10.1016/S0966-6362(01)00162-X
  10. T. P. Andriacchi, G. B. J. Andersson, and R. W. Fermier, "A study of lower-limb mechanics during stair-climbing," Journal of bone and joint surgery, 62-A, pp. 749-757, 1980.
  11. D. L. Kowalk, J. A. Duncan, and C. L. Vaughan, "Abduction-adduction moment at the knee during stair ascent and descent," Journal of biomechanics, vol. 29, pp. 383-388, 1996. https://doi.org/10.1016/0021-9290(95)00038-0
  12. S. D. Eun, and Y. S. Lee, "The effect fo the stair heights on the lower extremity joint moment in stair-ascent activity of elderly persons," The korean journal of physical education, vol. 43, no. 5, pp. 405-414, 2004.
  13. H. Cohen, C. A. Blatchly and L. L. Combash, "A study of the clinical test of sensory interaction and balance," Physical Therapy, nol. 73, pp. 346-354.
  14. A. M. Galica, H. G. Kang, A. A. Priplata, S. E. D'Andrea, O. V. Starobinets, F. A. Sorond, L. Adrenne Cupples, and L. A. Lipsitz, "Subsensory vibrations to the feet reduce gait variability in elderly fallers," Gait & Posture, vol. 30, pp. 383-387, 2009. https://doi.org/10.1016/j.gaitpost.2009.07.005
  15. Y. P. Ivanenko, I. A. Solopova and Y. S. Levik, "The direction of postural instability affects postural reactions to ankle muscle vibration in humans," Neuroscience Letters, vol. 292, pp. 103-106, 2000. https://doi.org/10.1016/S0304-3940(00)01438-5
  16. M. Yu, H. I. Eun, D. W. Kim, T. K. Kwon, and N. G. Kim, "Effects of Vibratory Stimulus on Postural Balance Control during Standing on a Stable and an Unstable Support," Journal of Biomedical Engineering Research, vol. 28, no. 5, pp. 647-656, 2007.
  17. H. I. Eun, M. Yu, D. W. Kim, T. K. Kwon, and N. G. Kim, "The Effect of Human Lower Limb Vibration on Postural Stability during Unstable Posture," Journal of Biomedical Engineering Research, vol. 28, no. 5, pp. 628-635, 2007.
  18. C. Mauter, T. Mergner, B. Bolha and F. Hlavacka, "Human balance control during cutaneous stimulation of the plantar soles," Neuroscience letters, vol. 302, pp. 45-48, 2001. https://doi.org/10.1016/S0304-3940(01)01655-X
  19. M. Spanjaard, N. D. Reeves, J. H. van Dieen, V. Baltzopoulos, and C. N. Maganaris, "Gastrocnemius muscle fascicle behavior during stair negotiation in humans," J Appl Physiol, vol. 102, pp. 1618-1623, 2007. https://doi.org/10.1152/japplphysiol.00353.2006
  20. M. Spanjaard, N. D. Reeves, J. H. van Dieen, V. Baltzopoulos, and C. N Maganaris, "Lower-limb biomechanics during stair descent: influence of step-height and body mass," The Journal of Experimental Biology, vol. 211, pp. 1368-1375, 2008. https://doi.org/10.1242/jeb.014589
  21. A. C. Novak and B. Brouwer, "Sagittal and frontal lower limb joint moments during stair ascent and descent in young and older adults," Gait&Posture, vol. 33, pp. 54-60, 2011.
  22. R. Nisell, J. Mizrahi, J. Ekholm, "Knee and ankle load during step-down activities," Biomechanics, X-B, Champaign, IL: Human Kinetics, pp. 1137-1142, 1987.
  23. S. Y. Lee, M. Yu, N. G. Kim, and D. W. Kim, "Evaluation of Postural Stability according to characteristics of Electrical Stimulation on the ankle muscles," Journal of Biomedical Engineering Research, vol. 30, no. 6, pp. 521-528, 2009.
  24. R. J. Peterka, "Sensorimotor integration in human postural control.," J Neurophys, vol. 88, pp. 1097-1118, 2002. https://doi.org/10.1152/jn.2002.88.3.1097
  25. G. Eklund, "General features of vibration-induced effects on balance," Upsala Journal of Medical Sciences, vol. 77, pp. 112-124, 1972. https://doi.org/10.1517/03009734000000016
  26. Y. P. Ivanenko, R. Grasso, and F. Lacquaniti, "Effect of gaze on postural responses to neck proprioceptive and vestibular stimulation in humans," The Journal of Physiology, vol. 519, pp. 301-314, 1999. https://doi.org/10.1111/j.1469-7793.1999.0301o.x