重庆医科大学附属四川省康复医院
Published:2017,
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[1]梁亚利,张静.健康儿童在不同坡度上行走时的步态分析[J].保健医学研究与实践,2017,14(05):50-53.
Liang Yali, Zhang Jing. Analysis of walking gaits on different slopes in healthy children. [J]. Health Medicine Research and Practice 14(5):50-53(2017)
目的探讨健康儿童在0°和10°运动平板上行走时的步态特征。方法选取2015年2月-2016年6月在四川省某医院体检的50名健康儿童为研究对象
采用荷兰进口的计算机辅助康复系统(CAREN)收集所有研究对象在0°和10°运动平板上步行的步态数据
并比较儿童在0°和10°运动平板上行走时的3个时空参数和12个运动学参数。结果儿童在10°运动平板上行走时的速度低于在0°运动平板上行走时的速度
差异有统计学意义(P<0.05);儿童在10°运动平板上行走时的跨步长长于在0°运动平板上行走时
差异有统计学意义(P<0.05);儿童在10°运动平板上行走时的步宽短于在0°的运动平板上行走时
差异有统计学意义(P<0.05)。儿童在10°运动平板上行走时的躯干最大前倾角度、骨盆前倾角度、髋关节最大屈曲角度、髋关节最大伸展角度、首次触地时髋关节角度、膝关节承重期最大屈曲角度、膝关节最大伸展角度、首次触地时膝关节角度、踝关节最大背曲角度均大于在0°运动平板上行走时
差异均有统计学意义(P<0.05);儿童在10°运动平板上行走时的首次触地时踝关节角度均小于在0°的运动平板上行走时
差异均有统计学意义(P<0.05);儿童在10°运动平板上行走时的膝关节摆动期最大屈曲角度及踝关节最大跖曲角度与在0°运动平板上行走时比较
差异均无统计学意义(P>0.05)。结论儿童通过调节下肢运动模式
能较好地适应坡度行走。但如果膝关节长期处于过度屈曲状态则会加重膝关节的负荷
导致膝关节疼痛。因此
坡度行走应用于康复训练或日常身体锻炼时
必须关注膝关节在站立期的改变。
Objective To explore the gait characteristics of healthy children when walking on a treadmill at different slopes(0°and 10°).Methods A total of 50 healthy children who underwent a routine health check-up at a Sichuan hospital from February 2015 to June 2016 were included in this study.All children were asked to walk on a treadmill at different slopes(0°and 10°).A Computer Assisted Rehabilitation Environment(CAREN)system was used to collect gait data.Three temporal-spatial parameters and 12 kinematic parameters were compared between the walking giants on 0°versus 10°treadmill.Results The walking speed on a10°treadmill was significantly slower than that on a 0°treadmill(P<0.05).The stride length on a 10°treadmill was significantly longer than that on a 0°treadmill(P<0.05)
while the stride width on a 10°treadmill was significantly narrower than that on a 0°treadmill(P<0.05).The maximal trunk anterior inclination angle
pelvic inclination angle
maximal hip flexion angle
maximal hip extension angle
hip angle at initial contact
maximal knee flexion angle during the loading phase
maximal knee extension angle
knee angle at initial contact
and maximal ankle dorsiflexion angle on a 10°treadmill were significantly larger than those on a 0°treadmill(all P<0.05).The ankle angle at initial contact on a 10°treadmill was significantly smaller than that on a 0°treadmill(P<0.05).The maximal knee flexion angle during the swing phase and maximal ankle plantar-flexion angle were comparable when children were walking on either 10°or 0°treadmill(P>0.05).Conclusion Healthy children are generally able to adapt to the 10°slope by adjusting the motor pattern of their lower limbs.However
In case of the knee joint is in a long-term hyperflexion
it will become overloaded and lead to knee pain.Thus
changes to the knee joint during the standing phase should be monitored when slope walking is used for rehabilitation training or daily physical exercise.
步态分析稳定性时空参数运动学参数
Gait analysisStabilityTemporal-spatial parametersKinematic parameters
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