踝关节活动度对下肢步态生物力学的影响

IF 2.4 3区 医学 Q3 BIOPHYSICS
Michael J. Rose , Will Flanagan , Brandon T. Peterson , Paige K. Steffler , Brandon T. Tran , Lisa Su , Rachel Gehlhar Humann , Tyler R. Clites
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引用次数: 0

摘要

在正常运动中,踝关节的运动有几个目的,包括稳定和推进。虽然健康的踝关节可以达到71°的足底/背屈范围,但在平地行走时只能达到30°左右。对于踝关节活动范围(RoM)的孤立限制如何影响步态,我们所知甚少。为了研究这一点,我们开发了一种简单的外骨骼来限制脚踝的活动范围,并评估了10名没有脚踝病变的年轻人在平地跑步机上以两种速度行走时外骨骼的影响。我们发现,即使有30°的活动范围(±15°),与没有限制运动时相比,也会发生明显的硬停止接触,并且在这种情况下,个体不会调整步态以避免接触。在不允许运动的情况下,硬停止接触时间更长,但我们没有发现除踝关节外任何关节的整体运动学不对称性有显著差异,只有在其他情况下与模拟融合的比较中才有显著差异(p<;所有比较为0.02);在踝关节处提供±10°并没有导致我们观察到运动不对称性的显著差异。我们还观察到,在RoMs低于±15°时,踝关节正功发生了显著变化(p<0.03),但除了模拟融合外,在任何情况下,我们都没有观察到下肢任何其他关节在步态周期内的净功发生显著变化。这些结果表明,硬停止接触对步态的干扰不足以使使用者适应避免接触的步态策略,并且在平地行走时可以限制脚踝的运动范围,而不会造成步态运动学和关节工作的显着差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of ankle range of motion on lower-limb gait biomechanics
Movement at the ankle joint serves several purposes during unimpaired locomotion, including stabilization and propulsion. While the healthy ankle can achieve 71°range of plantar/dorsiflexion, only about 30°is used in level-ground walking. Little is known about how gait is affected by isolated limitation of ankle range of motion (RoM) using end-range hard stops. To study this, we developed a simple exoskeleton that restricts ankle range of motion and evaluated the impact of this exoskeleton during level-ground treadmill walking at two speeds, in ten young adults with no ankle pathology. We found that even with 30°range of motion (±15°), significant hard-stop contact occurred compared to when there was no restricted motion, and that individuals did not adjust their gait to avoid contact in this condition. Hard-stop contact time was greater for conditions with less permitted motion, but we did not find significant differences in global kinematic asymmetry at any joint except the ankle, and only in comparisons of other conditions against simulated fusion (p<0.02 for all comparisons); providing even ±10°at the ankle did not lead us to observe significant differences in kinematic asymmetry. We also observed significant changes to ankle positive work at RoMs lower than ±15°(p<0.03 for all comparisons), but we did not observe significant changes in net work over the gait cycle at any other joint of the lower limb in any conditions except simulated fusion. These results suggest that hard-stop contact does not disturb gait enough for users to adapt to gait strategies that avoided contact, and that ankle range of motion can be restricted in level-ground walking without causing significant differences in gait kinematics and joint work.
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来源期刊
Journal of biomechanics
Journal of biomechanics 生物-工程:生物医学
CiteScore
5.10
自引率
4.20%
发文量
345
审稿时长
1 months
期刊介绍: The Journal of Biomechanics publishes reports of original and substantial findings using the principles of mechanics to explore biological problems. Analytical, as well as experimental papers may be submitted, and the journal accepts original articles, surveys and perspective articles (usually by Editorial invitation only), book reviews and letters to the Editor. The criteria for acceptance of manuscripts include excellence, novelty, significance, clarity, conciseness and interest to the readership. Papers published in the journal may cover a wide range of topics in biomechanics, including, but not limited to: -Fundamental Topics - Biomechanics of the musculoskeletal, cardiovascular, and respiratory systems, mechanics of hard and soft tissues, biofluid mechanics, mechanics of prostheses and implant-tissue interfaces, mechanics of cells. -Cardiovascular and Respiratory Biomechanics - Mechanics of blood-flow, air-flow, mechanics of the soft tissues, flow-tissue or flow-prosthesis interactions. -Cell Biomechanics - Biomechanic analyses of cells, membranes and sub-cellular structures; the relationship of the mechanical environment to cell and tissue response. -Dental Biomechanics - Design and analysis of dental tissues and prostheses, mechanics of chewing. -Functional Tissue Engineering - The role of biomechanical factors in engineered tissue replacements and regenerative medicine. -Injury Biomechanics - Mechanics of impact and trauma, dynamics of man-machine interaction. -Molecular Biomechanics - Mechanical analyses of biomolecules. -Orthopedic Biomechanics - Mechanics of fracture and fracture fixation, mechanics of implants and implant fixation, mechanics of bones and joints, wear of natural and artificial joints. -Rehabilitation Biomechanics - Analyses of gait, mechanics of prosthetics and orthotics. -Sports Biomechanics - Mechanical analyses of sports performance.
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