Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
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Biomechanical Alternation of the Elderly Depending on the Type of Gait Termination

멈춤 유형에 따른 노인 보행의 생체역학적 변화

  • Yi, Jae-Hoon (Sport & Health Management, School of Sport Health & Welfare, Korea National Sport University) ;
  • Ryu, Ji-Seon (Sport & Health Management, School of Sport Health & Welfare, Korea National Sport University)
  • 이재훈 (한국체육대학교 스포츠건강복지학부 스포츠건강관리) ;
  • 류지선 (한국체육대학교 스포츠건강복지학부 스포츠건강관리)
  • Received : 2011.04.29
  • Accepted : 2011.06.21
  • Published : 2011.06.30
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Abstract

The purpose of this study was to verify the difference in biomechanical variation and pattern of the lower limb between planned and unexpected termination, which is related to the prevention of fatal fall in the elderly. Therefore, selected twenty subjects for each group which composed of females(age: $73.5{\pm}4.63$ year, height: $153.2{\pm}6.46$ cm, body mass: $58.98{\pm}5.82$ kg) and women(age: $23.4{\pm}2.5$ year, height: $164.65{\pm}3.9$ cm, body mass: $58.47{\pm}5.53$ kg) in their twenties. As a result, lower limb's extension moment and power were increased significantly in statistics(p<.05). Also, knee joint power showed instant changes from concentric contraction to eccentric contraction and hip joint power from eccentric contraction to concentric contraction. During unexpected termination there were dramatical increase in eccentric contraction and power(p<.05). In both planned and unexpected termination, ankle joint moment were higher in young group, but the moment of the hip joint were higher in the elderly group(p<.05). In contrast to younger group, there were no changes in knee extension moment in elderly group(p<.05). but showed relatively higher hip joint extension moment and power(p<.05).

Keywords

References

  1. Bishop, M., Brunt, D., Pathare, N., & Patel, B.(2004). The effect of velocity on the strategies used during gait termination. Gait & Posture, 20, 134-139. https://doi.org/10.1016/j.gaitpost.2003.07.004
  2. Bishop, M., Pathare, N., & Patel, B.(2002). The interaction between leading and trailing limbs during stopping in humans. Neuroscience Letters, 323, 1-4. https://doi.org/10.1016/S0304-3940(01)02525-3
  3. Braun, B. L.(1998). Knowledge and perception of fall-related risk factors and fall-reduction techniques among community-dwelling elderly individuals. Physical Therapy, 78(12), 1262-1276.
  4. Cao, C., Ashton-Miller, J. A., Schultz, A. B., & Alexander, N. B.(1998). Effects of age, available response time and gender on ability to stop suddenly when walking. Gait & Posture, 8, 103-109. https://doi.org/10.1016/S0966-6362(98)00029-0
  5. Jian, Y., Winter, D. A., Ishac, M. G., & Gilchrist, L.(1993). Trajectory of the COG and COP during initiation and termination of gait. Gait & Posture, 1, 9-22. https://doi.org/10.1016/0966-6362(93)90038-3
  6. Kenndy, T. E., & Coppard, L. C.(1987). The prevention of falls in later life. Danish Medical Bulletin, 34, 1-24.
  7. 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
  8. McGibbon, C. A., Krebs, D. E., Punello, M. S.(2001). Mechanical energy analysis identifies compensatory stratagies in disabled elder's gait. Journal of Biomechanics, 34, 481-490. https://doi.org/10.1016/S0021-9290(00)00220-7
  9. O'Brein, K., Culbam, E., Pickles, B.(1997). Balance and sklectal alignmaent in a group of elferly female and nonfallers. Journal of Gerontology, 52, 221-226.
  10. O'Loughlin, J. L., Robitaille, Y., Boivin, J. F., & Suissa, S.(1993). Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. American Journal of Epidemiology, 137, 342-354.
  11. Overstall, P. W., Exton-smith, A. N., Imms, F. J. & Johnson, A. L.(1977). Falls in the elderly realted to postural imbalance. British Medical Journal, 1, 261-264. https://doi.org/10.1136/bmj.1.6056.261
  12. Riley, P. O., DellaCroce, U., & Kerrigan, D. C.(2001). Effect of age on lower extremity joint moment contributions to gait speed. Gait & Posture, 14, 264-270. https://doi.org/10.1016/S0966-6362(01)00133-3
  13. Statistics Korea.(2007). 2007 Statistics of the aged.
  14. Tinetti, M. E., Mendes de Leon, C. F., Doucette, J. T., & Baker, D. I.(1994). Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. Journal of Gerontology, 49, M140-147. https://doi.org/10.1093/geronj/49.3.M140
  15. Tinetti, M. E., Speechly, M., & Ginter, S. F.(1988). Risk factors for falls among elderly persons living in the community. The New England Journal of Medicine, 319, 1701-1707. https://doi.org/10.1056/NEJM198812293192604
  16. Tirosh, O., & Sparrow, W. A.(2004). Gait termination in young and older adult: effects of stopping stimulus probability and stimulus delay. Gait and Posture, 19, 243-251. https://doi.org/10.1016/S0966-6362(03)00063-8
  17. Wall, J. C., Hogan, D. B., Tumbull, G. I., & Fox, R. A.(1991). The kinematics of idiopathic gait disorder. A comparison with healthy young and elderly females. Scandinavian Journal of Rehabilitation Medicine, 23, 159-164.
  18. Winter, D. A., Patla, A. E., Frank, J. S., & Walt, S. E.(1990). Biomechanical walking pattern changes in the fit and healthy elderly. Physical Therapy, 70, 340-347.
  19. Yi, J. H.(2010). Biomechanical alternation on the type of gait termination in the elderly. Unpublished Doctor's Thesis, Graduate School of Korea National Sport University.

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