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Analysis of Kinematic Parameters of Gait in Normal Subject

정상 성인의 운동 형상학적 보행 분석

  • Jung, Hwa-Su (Dept. of Occupational Therapy, Division of Health, Seonam University)
  • 정화수 (서남대학교 보건학부 작업치료학과)
  • Received : 2014.01.21
  • Accepted : 2014.05.08
  • Published : 2014.05.31

Abstract

This study was to performed to get the reference data of the kinematic parameters for normal subjects according to the arm movement type. Forty-five normal subjects participated in this study and preformed four sequence according to the arm movement type : normal arm movement, one arm movement, no arm movement, fitness arm movement. The study data was collected from June to August 2010. The kinematic data were measured using Vicon motion system 6MX3 cameras while each subjects walked through a 10m walkway. There were significant differences according arm movement type in the kinematic parameters such as range of motion (ROM) of the right pelvic, hip in sagittal plane, and ROM of the pelvic, hip, lumbar in coronal plane and ROM of the pelvic, thoracic, lumbar in transverse plane. This study can be utilized as the basic reference data in gait analysis for patients with pathologic gaits.

본 연구는 정상 성인의 팔 움직임 종류에 따른 운동형상학적인 변화를 알아보기 위함이다. 45명의 정상 성인을 대상으로 네 가지 팔 움직임 종류인, 정상 팔 움직임 보행, 한 팔 움직임 보행, 두 팔 움직임 억제 보행, 파워 보행의 순서대로 실시하였다. 실험 대상자가 10m의 보행거리를 자연스럽게 걷는 동안 3차원 보행분석기인 Vicon동작 분석기의 6MX3카메라를 이용해서 측정을 하였다. 이 실험의 자료는 2010년 6월부터 8월까지 수집되었다. 팔 움직임에 따른 운동 형상학적 보행변수의 변화는 정상과 비교해 시상면에서 오른쪽 골반, 엉덩관절의 관절 운동범위, 관상면에서 골반, 엉덩관절, 허리부위에 관절 운동범위, 횡단면에서는 골반, 가슴부위, 허리부위의 관절 운동범위에서 차이를 나타냈다(p<.05). 본 연구의 결과 팔 움직임의 형태에 따라 보행을 하게 되면 운동 형상학적 변화를 나타내고, 이러한 연구 결과는 임상에서 정상인과 환자들의 보행 비교 자료로 사용될 수 있을 것이다.

Keywords

References

  1. S. Y. An, S. B. Kim and K. K. Lee, "A comparative study of characters of muscle activity in lover limb and gait pattern on type of heel Rockers", Korean Journal of Sports Biomechanics, Vol. 17, No. 1, pp. 111-119, 2007. DOI: http://dx.doi.org/10.5103/KJSB.2007.17.1.111
  2. I. H. Lee, "Reliability of visual gait analysis according to clinical experience level of physical therapists", J Korean Soc Phys Ther, Vol. 25, No. 4, pp. 174-179, August, 2013.
  3. B. K. Kim, T. H. Kim, "The change of lower-limb muscle activity according to gait speed when normal and assistive gait of older", Korean J Orhtop Manu Ther, Vol. 14, No. 2, pp. 60-67, 2008.
  4. B. R. Umberger, "Effects of suppressing arm swing on kinematics, kinetics, and energetics of human walking", Journal of Biomechanics, Vol. 41, No. 11, pp. 2575-2580, 2008. DOI: http://dx.doi.org/10.1016/j.jbiomech.2008.05.024
  5. K. I. Ustinova, A. G. Feldman, M. F. Levin, "Central resetting of neuromuscular steady states may underlie rhythmical arm movements", Journal of Neurophysiology, Vol. 96, No. 3, pp. 1124-1134, 2006. DOI: http://dx.doi.org/10.1152/jn.01152.2005
  6. E. P. Zehr, C. Haridas, "Modulation of cutaneous reflexes in arm muscles during walking: further evidence of similar control mechanisms for rhythmic arm and leg movements", Experimental Brain Research, Vol. 149, No. 2, pp. 260-266, 2003. https://doi.org/10.1007/s00221-003-1377-9
  7. O. K. Lee, D. H. An, "Changes in Gait parameters by arm sling types in healthy adults", The Journal of Korea Contents Association, Vol. 10, No. 5, pp. 267-276, 2010. DOI: http://dx.doi.org/10.5392/JKCA.2010.10.5.267
  8. J. S. Kim, O, H. Kwon, "The effects of arm swing on gait in post-stroke hemiparesis", Journal of the Korean Society of Physical Medicine, Vol. 8, No. 3, pp. 407-415, 2013. DOI: http://dx.doi.org/10.13066/kspm.2013.8.3.407
  9. L. M. Schutte, U. Narayanan, J. L. Stout, P. Selber, J. R. Gage, M. H. Schwartz, "An index for quantifying deviatios from normal gait", Gait & Posture, Vol. 11, pp. 25-31, 2000. DOI: http://dx.doi.org/10.1016/S0966-6362(99)00047-8
  10. N. M. Yoon, H. J. Yoon, J. S. Park, H. S. Jung, G. Kim, "The comparative study on age-assocated gait analysis in normal korean", J Kor Soc Phys Ther, Vol. 22, No. 2, pp. 15-24, 2010.
  11. G. Kim, N. M. Yoon, " A study on kinetic gait analysis of the normal adult:, J Kor Soc Phys Ther, Vol. 21, No. 2, pp. 87-95, 2009.
  12. X. Huang, J. M. Mahoney, M. M. Lewis, Du. Guangwei, S. J. Piazza, J. P. Cusumano, "Both coordination and symmetry of arm swing are reduce in Parkinson's disease", Gait & Posture, Vol. 35, No. 3, pp. 373-377, 2012. DOI: http://dx.doi.org/10.1016/j.gaitpost.2011.10.180
  13. H. H. Son, E. J. Kim, "Arm swing asymmetry and effect of auditory cues on amplitude in the patient with Parkinson's disease", Journal of the Korea Academia-Industrial, Vol. 14, No. 1, pp. 344-350, 2013. DOI: http://dx.doi.org/10.1016/j.gaitpost.2011.10.180
  14. S. S. Bae, T. Y. Kim, H. A. Chung, J. H. Bae, " A comprehensive kinetic approach to pelvis", The Journal of Korean Society of Physical Therapy, Vol. 11, No. 2, pp. 93-102, 1999.
  15. B. J. Kim, "The study on difference of gait asymmetry ration according to static pelvic inclination level in hemiplegic patient", The Journal of Korean Society of Physical Therapy, Vol. 18, No. 3, pp. 1-7, 2006. https://doi.org/10.1589/jpts.18.1
  16. Y. Ohsato, "Relationships between trunk roation and arm swing in human walking", Japanese Orthopedic Assocation, Vol. 87, No. 5, pp. 440-448, 1993.
  17. J. M. Song, S. M. Kim, " The effect of trunk stability exercise on balance and gait in stroke patient", Journal of the Korean Society of Physical Medicine, Vol. 5, No. 3, pp. 413-420, 2010.
  18. M. Kubo, R. C. Wagenaar, E. Saltzman, K. G. Holt, "Biomechanical mechanism for transitions in phase and frequency of arm and leg swing during walking", Biological Cybernetics, Vol. 91, No. 2, pp. 91-98, 2004. DOI: http://dx.doi.org/10.1007/s00422-004-0503-5
  19. M. LaFinadra, R. C. Wagenaar, K. G. Holt, J. P. Obusek, "How do load carriage and walking speed influence trunk coordination and stride parameters?", Journal of biomechanics, Vol. 36, No. 1, pp. 87-95, 2003. DOI: http://dx.doi.org/10.1016/S0021-9290(02)00243-9
  20. M. P. Ford, R. C. Wagenaar, K. M. Newell, "Arm constraint and walking in healthy adults", Gait & Posture, Vol. 26, No. 1, pp. 135-141, 2007. DOI: http://dx.doi.org/10.1016/j.gaitpost.2006.08.008
  21. P. Meyns, L. Van Gestel, F. Massaad, K. Desloovere, G. Molenaers, J. Duysens, "Arm swing during walking at different speeds in children with cerebral palsy and typically developing children", Res Dev Disabil, Vol. 32, No. 5, pp. 1957-1964, 2011. DOI: http://dx.doi.org/10.1016/j.ridd.2011.03.029