Physical Therapy Rehabilitation Science

  • 제3권1호
  • /
  • Pages.43-48
  • /
  • 2014
  • /
  • 2287-7576(pISSN)
  • /
  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
권호 표지
DOI QR코드

DOI QR Code

Influence of mobile phone texting on gait parameters during ramp ascent and descent

  • Kim, Hyunjin (Department of Rehabilitation Medicine, Hanyang University Guri Hospital) ;
  • Park, Jaemyoung (Seoul Medical Center) ;
  • Cha, Jaeyun (Department of Rehabilitation Medicine, Hanyang University Guri Hospital) ;
  • Song, Chang-Ho (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • 투고 : 2014.05.16
  • 심사 : 2014.06.16
  • 발행 : 2014.06.26
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: The purpose of this study was to examine the influences on gait features during mobile phone use while ramp walking. Design: Cross-sectional study. Methods: Thirty-three healthy adult subjects performed four walking conditions on an outside ramp with a 5 m length, 1.5 m width, and a $5^{\circ}$ angle. All participants were touch screen mobile phone users. Four walking conditions were used: 1) ramp ascent, 2) ramp descent, 3) texting during ramp ascent, and 4) texting during ramp descent. In conditions 3) and 4), subjects texted the words of "Aegukga"-the song of patriotism-while walking. Upon the signal of start, the subjects walked the ramp during texting. Gait parameters were measured at the length of 3 m excluding 1 m of the start and end of the total length. Each situation was repeated three times for each subject, and mean values were calculated. For gait examination, a gait analyzer was used (OptoGait). Results: Subjects ranged in age from 23 to 38 years (mean age, 27.73). Eighty-three percent of subjects in our study had experienced an accident during mobile phone use. Texting on a mobile phone while walking significantly decreased ramp gait, speed, cadence, stride length, step length, and single support (p<0.05) and significantly increased stride time, step time, gait cycle, and double support (p<0.05). There was a significant difference in cadence, step length, stride time, step time, and single support during ramp ascent and descent (p<0.05). Conclusions: Texting on a mobile phone while walking significantly decreased gait quality.

키워드

참고문헌

  1. Gold JE, Driban JB, Thomas N, Chakravarty T, Channell V, Komaroff E. Postures, typing strategies, and gender differences in mobile device usage: an observational study. Appl Ergon 2012;43:408-12. https://doi.org/10.1016/j.apergo.2011.06.015
  2. Schabrun SM, van den Hoorn W, Moorcroft A, Greenland C, Hodges PW. Texting and walking: strategies for postural control and implications for safety. PLoS One 2014;9:e84312. https://doi.org/10.1371/journal.pone.0084312
  3. Nasar J, Hecht P, Wener R. Mobile telephones, distracted attention, and pedestrian safety. Accid Anal Prev 2008;40:69-75. https://doi.org/10.1016/j.aap.2007.04.005
  4. Lamberg EM, Muratori LM. Cell phones change the way we walk. Gait Posture 2012;35:688-90. https://doi.org/10.1016/j.gaitpost.2011.12.005
  5. Schwebel DC, Stavrinos D, Byington KW, Davis T, O'Neal EE, de Jong D. Distraction and pedestrian safety: how talking on the phone, texting, and listening to music impact crossing the street. Accid Anal Prev 2012;45:266-71. https://doi.org/10.1016/j.aap.2011.07.011
  6. Richtel M. Forget gum. Walking and using phone is risky. The New York Times 2010;17.
  7. Bungum TJ, Day C, Henry LJ. The association of distraction and caution displayed by pedestrians at a lighted crosswalk. J Community Health 2005;30:269-79. https://doi.org/10.1007/s10900-005-3705-4
  8. Hatfield J, Murphy S. The effects of mobile phone use on pedestrian crossing behaviour at signalized and unsignalized intersections. Accid Anal Prev 2007;39:197-205. https://doi.org/10.1016/j.aap.2006.07.001
  9. Neider MB, McCarley JS, Crowell JA, Kaczmarski H, Kramer AF. Pedestrians, vehicles, and cell phones. Accid Anal Prev 2010;42:589-94. https://doi.org/10.1016/j.aap.2009.10.004
  10. Demura S, Uchiyama M. Influence of cell phone email use on characteristics of gait. Eur J Sport Sci 2009;9:303-9. https://doi.org/10.1080/17461390902853069
  11. Melzer I, Kurz I, Shahar D, Levi M, Oddsson L. Application of the voluntary step execution test to identify elderly fallers. Age Ageing 2007;36:532-7. https://doi.org/10.1093/ageing/afm068
  12. Morioka S, Hiyamizu M, Yagi F. The effects of an attentional demand tasks on standing posture control. J Physiol Anthropol Appl Human Sci 2005;24:215-9. https://doi.org/10.2114/jpa.24.215
  13. Pellecchia GL, Shockley K, Turvey MT. Concurrent cognitive task modulates coordination dynamics. Cogn Sci 2005;29:531-57. https://doi.org/10.1207/s15516709cog0000_12
  14. Hausdorff JM, Schweiger A, Herman T, Yogev-Seligmann G, Giladi N. Dual-task decrements in gait: contributing factors among healthy older adults. J Gerontol A Biol Sci Med Sci 2008;63:1335-43. https://doi.org/10.1093/gerona/63.12.1335
  15. Harbluk JL, Noy YI, Trbovich PL, Eizenman M. An on-road assessment of cognitive distraction: impacts on drivers' visual behavior and braking performance. Accid Anal Prev 2007;39:372-9. https://doi.org/10.1016/j.aap.2006.08.013
  16. Lee MM, Song CH, Lee KJ, Jung SW, Shin DC, Shin SH. Concurrent validity and test-retest reliability of the OPTOGait photoelectric cell system for the assessment of spatio-temporal parameters of the gait of young adults. J Phys Ther Sci 2014;26:81-5. https://doi.org/10.1589/jpts.26.81
  17. Kuster M, Sakurai S, Wood GA. Kinematic and kinetic comparison of downhill and level walking. Clin Biomech (Bristol, Avon) 1995;10:79-84. https://doi.org/10.1016/0268-0033(95)92043-L
  18. Sheehan RC, Gottschall JS. At similar angles, slope walking has a greater fall risk than stair walking. Appl Ergon 2012;43:473-8. https://doi.org/10.1016/j.apergo.2011.07.004
  19. Redfern MS, DiPasquale J. Biomechanics of descending ramps. Gait Posture 1997;6:119-25. https://doi.org/10.1016/S0966-6362(97)01117-X
  20. Lacour M, Bernard-Demanze L, Dumitrescu M. Posture control, aging, and attention resources: models and posture-analysis methods. Neurophysiol Clin 2008;38:411-21. https://doi.org/10.1016/j.neucli.2008.09.005
  21. Prado JM, Stoffregen TA, Duarte M. Postural sway during dual tasks in young and elderly adults. Gerontology 2007;53:274-81. https://doi.org/10.1159/000102938
  22. Ebersbach G, Dimitrijevic MR, Poewe W. Influence of concurrent tasks on gait: a dual-task approach. Percept Mot Skills 1995;81:107-13. https://doi.org/10.2466/pms.1995.81.1.107
  23. Plummer-D'Amato P, Altmann LJ, Behrman AL, Marsiske M. Interference between cognition, double-limb support, and swing during gait in community-dwelling individuals poststroke. Neurorehabil Neural Repair 2010;24:542-9. https://doi.org/10.1177/1545968309357926
  24. Kawamura K, Tokuhiro A, Takechi H. Gait analysis of slope walking: a study on step length, stride width, time factors and deviation in the center of pressure. Acta Med Okayama 1991;45:179-84.
  25. Sun J, Walters M, Svensson N, Lloyd D. The influence of surface slope on human gait characteristics: a study of urban pedestrians walking on an inclined surface. Ergonomics 1996;39:677-92. https://doi.org/10.1080/00140139608964489
  26. McIntosh AS, Beatty KT, Dwan LN, Vickers DR. Gait dynamics on an inclined walkway. J Biomech 2006;39:2491-502. https://doi.org/10.1016/j.jbiomech.2005.07.025
  27. Monsch ED, Franz CO, Dean JC. The effects of gait strategy on metabolic rate and indicators of stability during downhill walking. J Biomech 2012;45:1928-33. https://doi.org/10.1016/j.jbiomech.2012.05.024
  28. Startzell JK, Owens DA, Mulfinger LM, Cavanagh PR. Stair negotiation in older people: a review. J Am Geriatr Soc 2000;48:567-80. https://doi.org/10.1111/j.1532-5415.2000.tb05006.x
  29. Cham R, Redfern MS. Heel contact dynamics during slip events on level and inclined surfaces. Safety Science 2002;40:559-76. https://doi.org/10.1016/S0925-7535(01)00059-5
  30. Chamberlin ME, Fulwider BD, Sanders SL, Medeiros JM. Does fear of falling influence spatial and temporal gait parameters in elderly persons beyond changes associated with normal aging? J Gerontol A Biol Sci Med Sci 2005;60:1163-7. https://doi.org/10.1093/gerona/60.9.1163
  31. Maki BE. Gait changes in older adults: predictors of falls or indicators of fear. J Am Geriatr Soc 1997;45:313-20. https://doi.org/10.1111/j.1532-5415.1997.tb00946.x
  32. Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture 2002;16:1-14.
  33. Langer P, Holzner B, Magnet W, Kopp M. Hands-free mobile phone conversation impairs the peripheral visual system to an extent comparable to an alcohol level of 4-5 g 100 ml. Hum Psychopharmacol 2005;20:65-6. https://doi.org/10.1002/hup.654
  34. Bruijn SM, Meijer OG, van Dieën JH, Kingma I, Lamoth CJ. Coordination of leg swing, thorax rotations, and pelvis rotations during gait: the organisation of total body angular momentum. Gait Posture 2008;27:455-62. https://doi.org/10.1016/j.gaitpost.2007.05.017
  35. Pijnappels M, Kingma I, Wezenberg D, Reurink G, van Dieen JH. Armed against falls: the contribution of arm movements to balance recovery after tripping. Exp Brain Res 2010;201:689-99. https://doi.org/10.1007/s00221-009-2088-7
  36. Yizhar Z, Boulos S, Inbar O, Carmeli E. The effect of restricted arm swing on energy expenditure in healthy men. Int J Rehabil Res 2009;32:115-23. https://doi.org/10.1097/MRR.0b013e32830d3675

피인용 문헌

  1. Possibility of Using Entropy Method to Evaluate the Distracting Effect of Mobile Phones on Pedestrians vol.18, pp.11, 2016, https://doi.org/10.3390/e18110390
  2. Texting While Walking Induces Gait Pattern Alterations in Healthy Older Adults vol.62, pp.1, 2014, https://doi.org/10.1177/1541931218621433
  3. Improving the safety of distracted pedestrians with in-ground flashing lights. A railway crossing field study vol.77, pp.None, 2014, https://doi.org/10.1016/j.jsr.2021.02.014
  4. Prevalence and dynamics of distracted pedestrian behaviour at railway level crossings: Emerging issues vol.165, pp.None, 2014, https://doi.org/10.1016/j.aap.2021.106508