한국운동역학회지 (Korean Journal of Applied Biomechanics)

  • 제17권2호
  • /
  • Pages.1-9
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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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노인의 보행보조기구 사용 보행시 보행패턴의 변화연구

Biomechanical Analysis of the Elderly Gait with a Walking Assistive Device

  • 윤석훈 (텍사스 주립 여자 대학교)
  • 발행 : 2007.06.30
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초록

Walking is not only an essential component of the human mobility, but also is a good exercise. Inability to walk freely can reduce an individual's quality of life and independence substantially. Being a relatively low impact activity, walking is particularly good for the elderly and research has shown that regular walking in the elderly reduces the chance of fall-related injuries and mental diseases as well. In spite of the documented benefits of regular walking, it is still difficult to walk without the aid of assistive devices for the frail elderly who have lower extremity problems. Assistive walking devices(AWD), such as crutches, canes, hiking-poles, T-Poles and walkers, are often prescribed to the elderly to make their walking be safe and efficient. Many researchers have demonstrated the effects of AWDs such as reducing lower extremity loading, improved dynamic/gait stability, yet, no study has been done for gait pattern when the elderly gait with AWDs. Therefore, the purpose of this study was to examine whether T-Poles, one of the AWDs, change the elderly gait pattern. Eight community-dwelling female elderly participated in this study. Laboratory kinematics during walking with T-Poles(PW) and with out T-Poles(NPW) was assessed. PW showed significant increase in step width, stride length, gait velocity and decrease in swing time. No significances were found in lower body joint angles but meaningful trend and pattern were found. Maybe the reason was due to the participants. Our participants were healthy enough so that the effect of T-Poles was minimum. PW also showed typical gait phases which are no single support phase during a gait cycle. It indicates that walking with T-Poles may guarantee safe and confident walking to the frail elderly.

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참고문헌

  1. 박성순, 송주호(2001). 트레이닝 전후 남녀 노인의 보행 분석. 한국운동역학회지, 11(2), 59-75.
  2. 은선덕, 이기광(2004). 노인의 트레드밀 보행시 속도에 따른 보행 패턴의 변화 연구. 한국체육학회지, 43(5), 397-404.
  3. Aminzadeh, F., & Edwards, N.(1998). Exploring seniors' views on the use of assistive devices in fall prevention. Public Health Nursing, 15, 297-304. https://doi.org/10.1111/j.1525-1446.1998.tb00353.x
  4. Andrews, J.D.(2005). A walk a day keeps cancer away. Prevention, 57-36.
  5. Blount, W.P.(1956). Don't Throw Away the Cane. Journal of Bone and Joint Surgery-American Volume, 38, 695-711.
  6. Brunelle, E., & Miller, M.(1998). The effects of walking poles on ground reaction forces. Research Quarterly Exercise and Sport, 69, A30. https://doi.org/10.1080/02701367.1998.10607664
  7. Chad, K.E., Reeder, B.A., Harrison, E.L., Ashworth, N.L., Sheppard, S.M., Schultz, S.L., Bruner, B.G., Fisher, K.L., & Lawson, J.A.(2005). Profile of physical activity levels in community-dwelling older adults. Medicine and science in sports and exercise, 37, 1774-1784. https://doi.org/10.1249/01.mss.0000181303.51937.9c
  8. Chen, C.L., Chen, H.C., Wong, M.K., Tang, F.T., & Chen, R.S.(2001). Temporal stride and force analysis of cane-assisted gait in people with hemiplegic stroke. Archives Of Physical Medicine And Rehabilitation, 82, 43-48. https://doi.org/10.1053/apmr.2001.18060
  9. Dean, E., & Ross, J.(1993). Relationships among Cane Fitting, Function, and Falls. Physical Therapy, 73, 494-504.
  10. Hopkins, T.J.(2004). Walking protects elderly people from dementia, studies show. British Medical Journal, 329, 761.
  11. Kwon, Y., Silver, T., Ryu, J., Yoon, S., Newton, R., & Shim, J.(2006). Effect of walking poles on dynamic gait stability. 30th American Society of Biomechanics Annual Meeting, 274.
  12. Li, S., Armstrong, C.W., & Cipriani, D.(2001). Three-point gait crutch walking: variability in ground reaction force during weight bearing. Archives Of Physical Medicine And Rehabilitation, 82, 86-92. https://doi.org/10.1053/apmr.2001.16347
  13. Manini, T.M., Druger, M. & Ploutz-Snyder, L(2005). Misconceptions about strength exercise among older adults. Journal of Aging & Physical Activity, 13, 422.
  14. Massey, B.F.(2005). Walking for exercise. Magazine of Physical Therapy, 13, 10.
  15. McDevitt, J., Wilbur, J. Kogan, J., & Briller, J.(2005). A walking program for outpatients in psychiatric rehabilitation: Pilot Study. Biological Research for Nursing, 7, 87-97. https://doi.org/10.1177/1099800405278116
  16. Murray, M.P., Seireg, A.H., & Scholz, R.C.(1969) A Survey of Time Magnitude and Orientation of Forces Applied to Walking Sticks by Disabled Men. American Journal of Physical Medicine, 48, 1-7.
  17. Ostrosky, K.M., VanSwearingen, J.M., Burdett, R.G., & Gee, Z.(1994). A comparison of gait characteristics in young and old subjects. Physical Therapy, 74, 637.
  18. Rosenberg, I..H.(2005). Walking: take the right steps to better health. Tufts University Health & Nutrition Letter, 23, 4-5.
  19. Schwameder, H., Roithner, R., Miller, E., Niessen, W., & Raschner, C.(1999). Knee joint forces during downhill walking with hiking poles. Journal of sports sciences, 17, 969-978. https://doi.org/10.1080/026404199365362
  20. Shabas, D. & Scheiber, M.(1986). Suprascapular neuropathy related to the use of crutches. American Journal Of Physical Medicine, 65, 298-300. https://doi.org/10.1097/00002060-198612000-00001
  21. Shim, J.(2002). Kinetic analysis of pole-walking in elderly subjects : variability in ground reaction force during weight bearing. Unpublished Master's Thesis, Ball State University.
  22. Upton, J.(2005) Walk yourself well: EN's Step-By-Step Guide To Good Health. Environmental Nutrition, 28, 1-6.
  23. Willson, J., Torry, M.R., Decker, M.J., Kernozek, T., & Steadman, J.R.(2001). Effects of walking poles on lower extremity gait mechanics. Medicine and science in sports and exercise, 33, 142-147. https://doi.org/10.1097/00005768-200105001-00807
  24. Youdas, J.W., Kotajarvi, B.J., Padgett, D.J., & Kaufman, K.R.(2005). Partial weight-bearing gait using conventional assistive devices. Archives Of Physical Medicine And Rehabilitation, 86, 394-398. https://doi.org/10.1016/j.apmr.2004.03.026