보행 방향 전환 시 입각기 하지 및 체간의 운동형상학적 분석

A Study on Kinematic Analysis of Trunk and Lower Extremities in Stance Phase of Walking according to Turning Direction

  • 오태영 (신라대학교 의생명과학대학 물리치료학과)
  • Oh, Tae-Young (Department of Physical Therapy, College of Medical and Life Sciences, Silla University)
  • 투고 : 2013.03.13
  • 심사 : 2013.04.15
  • 발행 : 2013.04.25

초록

Purpose: The purpose of this study was to conduct an analysis of kinematics of lower extremities and trunk in stance phase of walking according to turning direction. Methods: Ten university students (five male, five female) who were in their 20s (mean age was 20.6 years old) participated in this study. Participants did not have participants did not have any problem with skeletal muscular system. We used the "Qualisys motion capture system" for analysis of trunk and lower extremity movement in stance phase of walking according to turning direction. We collected data while subjects walked a distance of 10 m, and at the 6 m line, subjects were required to turn to the left side and the right leg was positioned in stance phase and the left leg was positioned in swing. For data analysis, the SPSS for Windows ver. 20.0 statistics program was used in performance of one way analysis of variance according to turning direction. Results: Significant difference of trunk and lower extremities was observed for turning direction according to walking cycle (p<0.05). Upper trunk movement showed a greater increase at three dimensions than lower trunk, and in heel off phase, pelvic movement showed a greater increase than lower trunk (p<0.05). In 45 degree and 90 degrees of turning direction, all movements of trunk and lower extremities were significantly different among three events of stance phase (p<0.05). Conclusion: We suggest that three-dimensional movement analysis of trunk and lower extremities during turning movement was very important in order to indicate increasing balance or walking ability for people with impaired movement or walking.

키워드

참고문헌

  1. Jeong WS, Park SK, Park JH et al. Effect of PNF combination patterns on muscle activity of the lower extremities and gait ability in stroke patients. JKCA. 2012;12(1):318-28.
  2. Napier J. The antiquity of human walking. Sci Am. 1967;216(4):56-66.
  3. Glaister BC, Bernatz GC, Klute GK et al. Video task analysis of turning during activities of daily living. Gait Posture. 2007;25(2):289-94. https://doi.org/10.1016/j.gaitpost.2006.04.003
  4. Courtine G, Schieppati M. Human walking along a curved path. I. Body trajectory, segment orientation and the effect of vision. Eur J Neurosci. 2003;18(1):177-90. https://doi.org/10.1046/j.1460-9568.2003.02736.x
  5. Meinhart-Shibata P, Kramer M, Ashton-Miller JA et al. Kinematic analyses of the 180 degrees standing turn: effects of age on strategies adopted by healthy young and older women. Gait Posture. 2005;22(2):119-25. https://doi.org/10.1016/j.gaitpost.2004.08.005
  6. Trott PH, Pearcy MJ, Ruston SA et al. Three-dimensional analysis of active cervical motion: the effect of age and gender. Clin Biomech (Bristol, Avon). 1996;11(4):201-6. https://doi.org/10.1016/0268-0033(95)00072-0
  7. Lord SR, Rogers MW, Howland A et al. Lateral stability, sensorimotor function and falls in older people. J Am Geriatr Soc. 1999;47(9):1077-81.
  8. Jung KS, Chung YJ. Effects of the support surface condition on muscle activity of trunk muscles during weight shifting exercise. J Korean Soc Phys Ther. 2012;24(5):300-5.
  9. Thigpen MT, Light KE, Creel GL et al. Turning difficulty characteristics of adults aged 65 years or older. Phys Ther. 2000;80(12):1174-87.
  10. Wall JC, Bell C, Campbell S et al. The Timed Get-up-and-Go test revisited: measurement of the component tasks. J Rehabil Res Dev. 2000;37(1):109-13.
  11. Dite W, Temple VA. Development of a clinical measure of turning for older adults. Am J Phys Med Rehabil. 2002;81(11):857-66. https://doi.org/10.1097/00002060-200211000-00010
  12. Patla AE, Adkin A, Ballard T. Online steering: coordination and control of body center of mass, head and body reorientation. Exp Brain Res. 1999;129(4):629-34. https://doi.org/10.1007/s002210050932
  13. Hase K, Stein RB. Turning strategies during human walking. J Neurophysiol. 1999;81(6):2914-22.
  14. Hwang YJ, Woo BH. Kinematic analysis on height of footpath stair riser during gait of old women. Journal of Korean Physical Education Association for Girls and Women. 2012;26(1):1-13.
  15. Choi JW, Kim SJ, Seo KS et al. Three dimensional gait analysis of normal adults with electrogoniometer domotion? Korean J Clin Neurophysiol. 2003;5(2):197-201.
  16. Baird JL, Van Emmerik RE. Young and older adults use different strategies to perform a standing turning task. Clin Biomech (Bristol, Avon). 2009;24(10):826-32. https://doi.org/10.1016/j.clinbiomech.2009.08.006
  17. Yune SH, Kim BO, Lee JW et al. Analysis of normal gait with a 3-dimensional motion analyzer. J Korean Acad Rehabil Med. 1992;16(4):399-406.
  18. Yoon NM, Yoon HJ, Park JS et al. The comparative study on ageassociated gait analysis in normal Korean. J Korean Soc Phys Ther. 2010;22(2):15-24.
  19. Taylor MJ, Dabnichki P, Strike SC. A three-dimensional biomechanical comparison between turning strategies during the stance phase of walking. Hum Mov Sci. 2005;24(4):558-73. https://doi.org/10.1016/j.humov.2005.07.005
  20. Hicheur H, Vieilledent S, Berthoz A. Head motion in humans alternating between straight and curved walking path: combination of stabilizing and anticipatory orienting mechanisms. Neurosci Lett. 2005;383(1-2):87-92. https://doi.org/10.1016/j.neulet.2005.03.046
  21. Segal AD, Orendurff MS, Czerniecki JM et al. Local dynamic stability in turning and straight-line gait. J Biomech. 2008;41(7):1486-93. https://doi.org/10.1016/j.jbiomech.2008.02.012
  22. Han JT, Ryu TB, Lee HJ. Analysis of plantar foot pressure distribution for walking direction switch during walking in healthy adults. Exercise Science. 2008;17(4):515-23.
  23. Kim MG, Kim JH, Park JW. The effect of turning training on figure of 8 tract on stoke patients' balance and walking. J Korean Soc Phys Ther. 2012;24(2):143-50. https://doi.org/10.1589/jpts.24.143
  24. Lim JH, Park JS, Seo SK. Correlation of curved walking ability with straight walking ability and motor function in patients with hemiplegia. J Korean Soc Phys Ther. 2011;23(3):13-9. https://doi.org/10.1589/jpts.23.13