정상인의 경사로 보행 시 경사각에 따른 시공간적 보행 특성 분석

The Spatio-temporal Analysis of Gait Characteristics during Ramp Ascent and Descent at Different Inclinations

  • 한진태 (포항삼성병원 물리치료실) ;
  • 조정선 (선린대학교 물리치료과) ;
  • 배성수 (대구대학교 재활과학대학 물리치료학과)
  • Han, Jin-Tae (Phohang Samsung Hospital) ;
  • Cho, Jeoung-Sun (Department of Physical Therapy, Sunlin College) ;
  • Bae, Sung-Soo (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 발행 : 2006.02.24

초록

Purpose: The aim of this study was to investigate the kinematics of young adults during ramp climbing at different inclinations. Methods: Twenty-three subjects ascended and descended four steps at four different inclinations(level, $8^{\circ},\;16^{\circ},\;24^{\circ}$). Temporal-spatial parameters were measured by GaitRite system(standard mat). Groups difference was analysed with on-way ANOVA and Student-Newman-Keuls test. Results: The different kinematics of ramp ascent and descent were analysed and compared to level walking patterns. In ascending ramps, step length and stride length decreased with $24^{\circ}$ inclination (p<.000). Stance duration increased with $24^{\circ}$, but swing duration decreased with $24^{\circ}$ inclination (p<.000). Step time and velocity decreased with $16^{\circ}C,\;24^{\circ}$ inclination (p<.000). Cadence decreased with all inclination($8^{\circ},\;16^{\circ},\;24^{\circ}$)(p<.000). In descending ramps, step length and stride length, velocity decreased with all inclination($8^{\circ},\;16^{\circ},\;-24^{\circ}$)(p<.000). Stance duration increased with all inclination($8^{\circ},\;-16^{\circ},\;-24^{\circ}$) and swing duration decreased with all inclination($-8^{\circ},\;-16^{\circ},\;-24^{\circ}$)(p<.000). But Step time was not differentiated with different inclinations. Cadence decreased with only. $8^{\circ}$ inclination(p<.05). Conclusion: These results suggest that there is a certain inclination angle or angular range where subjects do switch between level walking and ramp walking gait pattern. This shows their motor control strategy between level and ramp walking. Further studies are necessary to confirm and detect the ascent and descent ramp gait patterns.

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