DOI QR코드

DOI QR Code

Comparative Analysis on Gait Patterns of the Elderly and the Young Regarding to Foot Pressure

고령자와 청장년층의 발바닥 압력분포에 따른 보행패턴 비교 분석

  • Lee, Kyung-Deuk (Footwear Biomechanics Team, Footwear Industrial Promotion Center, Busan Economic Promotion Agency) ;
  • Kim, Dae-Woong (Footwear Biomechanics Team, Footwear Industrial Promotion Center, Busan Economic Promotion Agency) ;
  • Yoo, Jung-Hyeon (Footwear Biomechanics Team, Footwear Industrial Promotion Center, Busan Economic Promotion Agency) ;
  • Kim, Kyung-Hun (Footwear Biomechanics Team, Footwear Industrial Promotion Center, Busan Economic Promotion Agency) ;
  • Lee, Tae-Yong (Division of Bioengineering, National University of Singapore) ;
  • Park, Kwang-Suk (Department of Biomedical Engineering, Seoul National University College of Medicine) ;
  • Chung, Gih-Sung (Department of Biomedical Engineering, Seoul National University College of Medicine) ;
  • Park, Seung-Bum (Footwear Biomechanics Team, Footwear Industrial Promotion Center, Busan Economic Promotion Agency)
  • 이경득 (부산경제진흥원 신발산업진흥센터 성능평가지원팀) ;
  • 김대웅 (부산경제진흥원 신발산업진흥센터 성능평가지원팀) ;
  • 유중현 (부산경제진흥원 신발산업진흥센터 성능평가지원팀) ;
  • 김경훈 (부산경제진흥원 신발산업진흥센터 성능평가지원팀) ;
  • 이태용 (싱가폴국립대학교 의용공학부) ;
  • 박광석 (서울대학교 의과대학 의공학교실) ;
  • 정기성 (서울대학교 의과대학 의공학교실) ;
  • 박승범 (부산경제진흥원 신발산업진흥센터 성능평가지원팀)
  • Received : 2010.11.28
  • Accepted : 2011.02.18
  • Published : 2011.03.31

Abstract

The purpose of this study was to find the difference in gait patterns when elderly and young people walk by analyzing COP, Gait Line, Foot pressure pattern, and ensuring the original biomechanics technology of developing high performance footwear for the elderly. The subjects who took part in the test consist of 20 elderly people and 20 young people. The physical features of the elderly people that were recruited for the study are as below: 20 healthy male subjects(elderly people) with an average age of 75.43 yrs(S.D 6.46 yrs), weight of 68.10 kg(S.D 0.94 kg) and a height of 168.65 cm(S.D 1.47 cm). Foot pressure pattern data was collected using a EMED-AT system(Novel Gmbh, Germany) operating at the 50 Hz during walking. The results are as follow : COP route of the elderly leans to lateral compared to the young, and Gait Line from heel to toe is not clear and laterally curved. At the same time, a contact are aonthe midfoot is high compared to the young, and maximum force of the forefoot is low. As a result of analysis, in order to develop high performance footwear for the elderly, it is necessary to develop lasts and soles reflecting the elderly's gait patterns.

Keywords

References

  1. Alexander, N. B.(1994). Postural control in older adults. Journal of the American Geriatrics Society, 42(1), 93. https://doi.org/10.1111/j.1532-5415.1994.tb06081.x
  2. Alexander, N. B.(1996). Gait disorders in order adults. Journal of the American Geriatrics Society, 44(4), 434-451. https://doi.org/10.1111/j.1532-5415.1996.tb06417.x
  3. Asikainen, T. M., Kukkonen-Harula, K., & Miilunpalo, S.(2004). Exercise for health for early postmenopausal women: a systematic review of randomised controlled trials. Sports Medicine, 34(11), 753-778. https://doi.org/10.2165/00007256-200434110-00004
  4. Best-Martini, E., & Botenhagen-DiGenova, K.(2003). Exercise for Frail Elders. Champaign, IL: Human Kinetics.
  5. 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
  6. Chou L. S., Kaufman, K. R., Hahn, M. E., & Brey, R. H.(2003). Medio-lateral motion of the center of mass during obstacle crossing distinguishes elderly individuals with imbalance. Gait & Posture, 18, 125-33.
  7. Cromwell, R L., Newton, R. A., & Forrest, G.(2002). Influence of vision on head stabilization strategies in older adults during walking. Journal of Gerontology, 442-448.
  8. Cromwell, R. L., Newton, R. A., Grisso, J. A., & Edwards, W. F.(2001). Relationship between select balance measure and a gait stability ratio in individuals who are known fallers. Paper presented at the Control of Posture and Gait. Maastricht, The Netherlands.
  9. Gross, M., Stevenson P., Charette S., Pyka, G., & Marcus R. (1998). Effect of muscle strength and movement speed on the biomechanics of rising from a chair in healthy elderly and young women. Gait & Posture, 8, 175- 185. https://doi.org/10.1016/S0966-6362(98)00033-2
  10. Han, J. T., & Hwang B. G.(2009). Kinematic Analysis of Lower Extremities during Stairs and Ramp Climbing with Older Adults. Korean Journal of Sport Biomechanics, 19(3), 435-448. https://doi.org/10.5103/KJSB.2009.19.3.435
  11. Hong, W. S., & Kim, G. W.(2002). Gait analysis of the healthy elderly over 65years of age. The Journal of Korean Society of Physical Therapy, 14(4), 59-65.
  12. Hopkins, T.J.(2004). Walking protects elderly people from dementia, studies show. British Medical Journal, 329, 761.
  13. Horlings, C. G., Carpenter,M. G., Honegger, F., & Allum, J. H.(2009). Vestibular and proprioceptive contributions to human balance corrections: aiding these with prosthetic feedback. Annals of the NewYork Academy of Sciences, 1164, 1-12. https://doi.org/10.1111/j.1749-6632.2009.03872.x
  14. Jason, K. G., & Uwe, G. K.(2008). Asymmetry between left and right plantar loading during gait in non-diabetic and neuropathic-diabetic populations. 2008 Emed Scientific Meeting, 76.
  15. Jeong, S. H., & Choi, D. W.(2008) The Effects of 16 Weeks` Dance Sports Program on the Balance and Gait Ability in Elderly Women. The Korean Journal of Growth and Development, 16(3), 225-231.
  16. Jones, C. J., & Rose, D.(2005). Physical Activity Instructions of Older Adults. Champaign, Hlinois Human Kinetics.
  17. Kang, H. G., & Dingwell, J. B.(2008). Effects of walking speed, strength and range of motion on gait stability in healthy older adults. Journal of Biomechanics, 41(1), 2899-2905. https://doi.org/10.1016/j.jbiomech.2008.08.002
  18. Kerrigan, D. C., Todd, M. K., Croce, U. D., Lipsitz, L. A., & Collins, J. J.(1998). Biomechanical gait alterations independent of speed in the healthy elderly: Evidence for specific limiting impairments. Archives of Physical Medicine and Rehabilitation, 79, 317-322. https://doi.org/10.1016/S0003-9993(98)90013-2
  19. Kerstin, B., Arne, N., Lars, W., & Dieter, R.(2008). From "First" to "Last" steps in life-pressure patterns of three generations. 2008 Emed Scientific Meeting, 30.
  20. Kim, C. B., & Shin, J. Y.(2007).Effects of 12-week Aquatic Exercise on Gait in the Falls Experienced Elderly Women. Korean Journal of Sport Biomechanics, 17(4), 9-16. https://doi.org/10.5103/KJSB.2007.17.4.009
  21. Kim, S. H.(2010). Effects of 12Weeks Core Exercise to Functional Fitness and Temporo-spatial Gait Parameters of Elderly Women. Korean. The Korean Journal of Physical Education, 49(3), 353-362.
  22. Krebs, D. E., McGibbon, C. A., & Goldvasser, D.(2001). Analysis of Postural Perturbation Responses. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 9, 76-80. https://doi.org/10.1109/7333.918279
  23. Kwon, H. C., & Kong, J. Y.(2003). Comparison of the Functional ambulation Performance Scores of Senior Adults With of Without a History of Falls. Physical Therapy Korea, 10(1), 1-11.
  24. Lee, L. W., & Kerrigan, C.(1999). Identification of kinetic difference between fallers and nonfallers in the elderly. American Journal of Physical Medicine and Rehabilitation, 78(3), 242-246. https://doi.org/10.1097/00002060-199905000-00011
  25. Lee, J. S., Yang, J. O., Lee, B. J., & Park S. M.(2009). Effects of 12-Week Somplex Training Program on Foot-Pressure Patterns of the Elderly Women. Korean Journal of Sport Biomechanics, 19(1), 117-126. https://doi.org/10.5103/KJSB.2009.19.1.117
  26. Lee, K. S.(2005). Analysis of Gait Pattern in Normal Women 20s and 60s. Unpublished Master's Thesis. Graduate School of Pusan National University.
  27. Leibson, C. L., Toteson, A., Gabriel, S. E., Ransom, J. E., & Melton, J. L.(2002). Mortality, disability, and nursing home use for persons with and without hip fracture: a population-based study. Journal of the American Geriatrics Society, 50, 1644-1650. https://doi.org/10.1046/j.1532-5415.2002.50455.x
  28. 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
  29. Liu-Ambrose, T., Khan, K. M., Eng, J. J., Janssen, P. A., Lord, S. R., & McKay, H. A.(2004). Resistance and agility training reduce fall risk in women aged 75 to 85 with low bone mass: a 6-month randomized, controlled trial. Journal of the American Geriatrics Society, 525, 657-665.
  30. Lord, S. R., Tiedemann, A., Chapman, K., Munro, B., Murray, S.M., & Gerontology, M.(2005). The effect of an individualized fall prevention program on fall risk and falls in older people: a randomized, controlled trial. Journal of the American Geriatrics Society, 53(8), 1296-1304. https://doi.org/10.1111/j.1532-5415.2005.53425.x
  31. Luukinen, H., Koski, K., Laippala, P., & Kivela, S. L.(1995). Risk factors for recurrent falls in the elderly in long-term institutional care. Public Health, 109, 57-65. https://doi.org/10.1016/S0033-3506(95)80076-X
  32. Menz, H. B., Lord, S. R., & Fitzpatrick, R. C.(2007). A structural equation model relating impaired sensorimotor function, fear of falling and gait patterns in older people. Gait & Posture, 25(2), 243-249. https://doi.org/10.1016/j.gaitpost.2006.04.005
  33. Nakamura, R., Watannane, S., Handa T., & Morohashi, I.(1988). The Relationship between walking speed and muscle strength for knee extension in hemiparetic stroke patients: a follow-up study. Tohoku Journal Experiment Medicine, 154, 111-113. https://doi.org/10.1620/tjem.154.111
  34. Olney, S. J., Griffin, M. P., Monga, T. N., & McBride, I. D.(1991). Work and power in gait of stroke patients. Archives of Physical Medicine Rehabilitation, 72, 309-14.
  35. Perry, J.(1992). Gait analysis: Normal and Pathological function. Thorofara, New Jersey : Slack, Inc.
  36. Prince, F., Corriveau, H., Hebert, R., & Winter, D. A.(1997). Gait in the elderly. Gait & Posture, 5, 128-135. https://doi.org/10.1016/S0966-6362(97)01118-1
  37. Rockwood, K, Howlett, S. E., MacKnight, C., Beattie, B. L., Bergman, H., Hebert, R., Hogan, D. B., Wolfson, C, & McDowell, I.(2004). Prevalence, alttributes, and outcomes of fitness and frailty in community-dwelling older adults: report from the Canadian study of health and aging. Journal of Gerontol Series A: Biological Sciences and Medical Sciences, 59(12), 1310-1317. https://doi.org/10.1093/gerona/59.12.1310
  38. Rogers, M. E., Fernandeze, J. E., & Bohlken, R. M.(2001). Training to reduce postural sway and increase functional reach in the elderly. Journal of Occupational Rehabilitation, 11, 291-298. https://doi.org/10.1023/A:1013300725964
  39. Schlicht, J., Camaione, D. N., & Owen, S. V.(2001). Effect of intense strength training on standing balance, walking speed, and sit-to-stand performance in older adults. Journal of Gerontology, 56, 282-286.
  40. Scoot, G., Menz, H. B., & Newcombe, L.(2007). Age-related differences in foot structure and function. Gait & Posture, 26(1), 68-75. https://doi.org/10.1016/j.gaitpost.2006.07.009
  41. Sung, S. C., Kang, C. G., & Lee, M. G.(2007). Effects of falling experience on physical fitness, isokinetic Leg strength, and balance in the elderly women. The Korean Journal of Physical Education, 46(3), 503-515.
  42. Wolfson, L., Judge, J., Whipple, R, & King, M.(1995). Strength is a major factor in balance, gait, and the occurrence of falls. Journals of Gerontology, Series A, Biological Sciences and Medical Sciences, 50, 64-67.
  43. 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

Cited by

  1. Characteristic Comparison of Ground Reaction Force of the Taekwondo's Apkubi Motion and the Walking on Older Persons vol.21, pp.3, 2011, https://doi.org/10.5103/KJSB.2011.21.3.289
  2. Comparative Analysis of Plantar Pressure and Comfort Level in Developed-Domestic and Import Comfort Shoes for Elderly vol.30, pp.4, 2013, https://doi.org/10.7736/KSPE.2013.30.4.442
  3. Analysis of GRF & Plantar Foot Pressure of Stepping Foot on Skilled & Unskilled Player's in the Soccer Instep Shoot vol.22, pp.1, 2012, https://doi.org/10.5103/KJSB.2012.22.1.017