기립균형시 슬관절 전략이 안정성 한계에 미치는 영향

The Effect of Knee Strategy on Limits of Stability in Standing Balance

  • 권혁철 (대구대학교 재활과학대학 재활과학과) ;
  • 정동훈 (대구대학교 대학원 재활과학과 물리치료전공)
  • Kwon, Hyuk-Cheol (Dept. of Rehabilitation Technology, College of Rehabilitation Science, Taegu University) ;
  • Jeong, Dong-Hoon (Dept. of Rehabilitation Science, The Graduate School, Taegu University)
  • 발행 : 1999.09.17

초록

Human balance is maintained through a complex process involving sensory detection of body motions, integration of sensorimotor information within the central nervous system, and execution of appropriate musculoskeletal responses. The basic task of balance is to position the body center of gravity (COG) over some portion of the support base. When the COG extends beyond the base of support, the person has exceeded the limits of stability (LOS). At this point, a step or stumble is required to prevent a fall. Automatic postural responses operate to keep the COG over the base of support. They are a set of functionally organized, long-loop responses that act to keep the body in a state of equilibrium. There are four commonly identified automatic postural responses, or strategies. These are ankle strategy, hip strategy, suspensory (knee) strategy, and stepping strategy. Thus, the purpose of this study was to evaluate the LOS using various knee strategies. Forty subjects participated in this study. The subjects were comprised of 20 males and 20 females who were without neurologic, orthopaedic or balance performance impairments. The LOS was measured with a Balance Performance Monitor (BPM) Dataprint Software Version 5.3. The results of this study were as follows: 1) Knee joint angle which is to increase stability of standing balance with using knee strategy was at mid-range. 2) There were statistically significant differences in anteroposterior LOSs according to the knee strategy. 3) There were no statistically significant differences in mediolateral LOSs according to the knee strategy. 4) There were statistically significant differences of anteroposterior LOSs with using knee strategy according to gender. 5) There were no statistically significant differences in mediolateral LOSs with using knee strategy according to gender.

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