한국운동역학회지 (Korean Journal of Applied Biomechanics)

  • 제17권4호
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  • Pages.141-148
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  • 2007
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  • 1226-2226(pISSN)
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  • 2093-9752(eISSN)
한국운동역학회 (Korean Society of Applied Biomechanics)
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파킨슨 환자들의 장애물 보행 향상을 위한 하지의 근육 활동 규명

Lower Extremity Muscle Activity on the Obstacle Gait in Older Parkinson Diseases

  • 발행 : 2007.12.31
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초록

Falls associated with tripping over an obstacle can be dangerous, yet little is known about the strategies used for stepping over obstacles in older Parkinson disease. The purpose of this study was to investigate the lower extremity muscle activity on the obstacle gait according to obstacle height in older Parkinson diseases. The obstacle gait of 7 older Parkinson disease was examined during a 5.0 m approach to, and while stepping over, obstacles of 0, 25, 52, and 152mm. Seven pairs of surface electrodes(Noraxon MyoResearch, USA) were attached to the right-hand side of the body to monitor the adductor longus(AL), gluteus medius(GME), gluteus maximus(GMA), biceps femoris(BF), rectus femoris(RF), gastrocnemius(GA), tibialis anterior(TA). Electromyography data were filtered using a 10Hz to 350 Hz Butterworth band-pass digital filter and normalized to the maximum value in the analyzed phases. A one-way ANOVA for repeated measures was employed for selected electromyography variables to analyze the differences of the height of four obstacles. The results showed significant differences between 0.0mm and 25, 52, and 152mm obstacle height in TA and GA activities during the second phase(swing phase). But the more increase obstacle height, the more not increase the muscle activities. This means that the Parkinson disease stepping over obstacle inefficiency. To prevent and reduce the frequency of falls, elderly Parkinson disease maintained and improved their balance, muscular strength, neuromuscular control and mobility.

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참고문헌

  1. 임비오(2005). 다운증후군 아동의 평지 보행과 장애물 보행의 운동학 및 지면반력의 차이 규명. 체육과학연구. 16(4), 51-59.
  2. 정철수, 윤태진, 유연주, 최치선(2004). 장애물 보행에 의한 노인 낙상의 운동학 및 근전도 분석. 한국체육학회지, 43(5), 423-436.
  3. 채원식, 임영태, 이민형, 김정자, 김연정, 장재익, 박원균, 진재홍(2006). 롤러신발과 일반신발의 착용 후 보행 시 하지근의 근전도 비교. 한국운동역학회지, 16(3), 137-148.
  4. Austin, G. P., Garrett G. E., & Bohannon R. W.(1999). Kinematic analysis of obstacle clearance during locomotion. Gait and Posture, 10. 109-120. https://doi.org/10.1016/S0966-6362(99)00022-3
  5. Bishop M., Brunt D., Pathare N, & Marjama-Lyons, J. (2005). Changes in distal muscle timing may contribute to slowness during sit-to-stand in parkinsons disease. Clinical Biomechanics, 20. 112-117. https://doi.org/10.1016/j.clinbiomech.2004.08.002
  6. Bloem B. R., Beckley D. J., Remler M. P., Roos R. A., & Van Dijk J. G. (1995). Postural reflexes in Parkinson's disease during 'resist' and 'yield' tasks. Journal of Neurological Sciences, 129(2). 109-119. https://doi.org/10.1016/0022-510X(94)00253-K
  7. Brod M., Mendelsohn G. A., & Roberts B. (1998). Patients' experiences of Parkinson's disease. The journals of gerontology. Series B, Psychological sciences and social sciences, 53(4). 213-222.
  8. Chen H., Ashton-Miller J. A., Alexander N. B., & Schultz A. B.(1991). Stepping over obstacles: gait patterns of healthy young and old adults. Journal of Gerontology, 46(6). M196-203. https://doi.org/10.1093/geronj/46.6.M196
  9. Cram J. R., & Kasman G. S. (1998). Introduction to surface electromyography. Gaithersburg, Maryland: An Aspen publication. Aspen Publishers, Inc..
  10. Hobson P. (1999). Measuring the impact of parkinson's disease with the parkinsons's disease quality of life questionnaire. Age Ageing, 28. 341-346. https://doi.org/10.1093/ageing/28.4.341
  11. Marsden C. D.(1984). Function of the basal ganglia as revealed by cognitive and motor disorders in Parkinson's disease. Canadian Journal of Neurological Sciences, 11. 129-135.
  12. McFadyen B. J. & Prince F.(2002). Avoidance and accommodation of surface height changes by healthy, community-dwelling, young, and elderly men. Journal of Gerontology. Series A, Biological Sciences Medical Sciences, 57(4). B166-174. https://doi.org/10.1093/gerona/57.4.B166
  13. Sparrow W. A, Shinkfield A. J, Chow S, & Begg R. K.(1996). Characteristics of gait in stepping over obstacles. Human Movement Science, 15. 605-622. https://doi.org/10.1016/0167-9457(96)00022-X

피인용 문헌

  1. Effects of Hoehn-Yahr Scale on the Activation of Lower-Extremity Muscles during Walking with Parkinson's Patients vol.24, pp.3, 2014, https://doi.org/10.5103/KJSB.2014.24.3.287
  2. A Literature Review of Parkinson's Disease Rating, Balance, Fall and Gait Scales vol.25, pp.4, 2015, https://doi.org/10.5103/KJSB.2015.25.4.441
  3. Analysis of Obstacle Gait Using Spatio-Temporal and Foot Pressure Variables in Children with Autism vol.21, pp.4, 2011, https://doi.org/10.5103/KJSB.2011.21.4.459
  4. Analysis of Lower Extremity Muscle Activities in Parkinson's Patients for Improving to Stop Task vol.22, pp.3, 2012, https://doi.org/10.5103/KJSB.2012.22.3.333