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보행로 형태가 여성노인들의 하지관절에 미치는 영향

The Effects of Age and Walkway Type on Lower Extremities Kinematics in Elderly Women

  • 우병훈 (경기대학교 체육대학 사회체육학과) ;
  • 박양선 (한양대학교 예술체육대학 체육학과)
  • Woo, Byung-Hoon (Major of Sport & Leisure Studies, College of Physical Education, Kyonggi University) ;
  • Park, Yang-Sun (Department of Physical Education, College of Performing Arts and Sport, Hanyang University)
  • 투고 : 2015.08.28
  • 심사 : 2015.09.30
  • 발행 : 2015.09.30

초록

Objective : The purposes of this study was to perform a kinematical analysis on age and walkway types in elderly women subjects. Method : Forty subjects participated in the experiment (A1 group - age: $67.30{\pm}1.49yrs$, height: $153.81{\pm}4.47cm$, weight: $61.80{\pm}5.24kg$, A2 group - age: $71.70{\pm}1.10yrs$, height: $152.01{\pm}2.84cm$, weight: $59.69{\pm}7.34kg$, A3 group - age: $76.80{\pm}0.98yrs$, height: $150.16{\pm}6.08cm$, weight: $57.27{\pm}6.42kg$, A4 group - age: $81.80{\pm}0.60yrs$, height: $152.18{\pm}4.77cm$, weight: $55.80{\pm}7.78kg$). The study method adopted was the 3D analysis with six cameras. Ground type were classifed as gait pattern on flat, ascent and descent ramp. For the statistical analysis, the SPSS 21.0 was used to perform Repeated measured Two-way ANOVA. Results : In velocity of CM, there was faster movement on flat ground. When it came to the velocity of right toe, there was no significance in early mid-swing of right foot, but A4 was the slowest in late mid-swing of right foot on flat ground. In joint angle in left foot strike, the left hip joint and knee joint were more flexed in descent ramp, In addition left and right ankle joints were more plantarflexed in descent ramp, and left ankle joint was more plantarflexed in the over 75 yrs age groups. Conclusion : The higher age group were more flexed in lower body joints during descent ramp.

키워드

참고문헌

  1. Abdel-Aziz, Y. I., & Karara, H. M. (1971). Direct Linear Transformation from Comparator Coordinates in Object-space coordinates in close range photogrammetry. Proceedings of the ASP Symposium of Close-Range Photogrammetry. Urbana: University of Illinois.
  2. Andriacchi, T. P., Galante, J. O., & Fermier, R. W. (1982). The influence of total knee-replacement design on walking and stair-climbing. The Journal of Bone & Joint Surgery, 64, 1328-1335. https://doi.org/10.2106/00004623-198264090-00008
  3. Brouwer, B., & Olney, S. J. (2004). Aging skeletal muscle and the impact of resistance exercise. Physiotherapy Canada, 56, 80-87. https://doi.org/10.2310/6640.2004.00002
  4. Cho, K. K. (2005). Analysis of kinematics in adolescents gait motions on different grades. Korea Sport Research, 16(3), 3-12.
  5. Choi, J. S., Kang, D. W., Mun, K. R., Bang, Y. H., & Tack G. R. (2010). Comparison of kinematic factors between old and young people during walking on level and uneven inclined surfaces. Korean Journal of Sport Biomechanics, 21(1), 33-39.
  6. Eun, S. D., Lee, K. K., & Seo, J. S. (2004). The study on the gait pattern in stair-ascent activity of elderly persons. Journal of Sport and Leisure Studies, 22, 511-522.
  7. Eun, Y., Song, M. S., & Gu, M. O. (2008). Barrieres to health behaviors in male and female elderly people in korea. Journal of Korean Academy of Nursing, 38, 332-343. https://doi.org/10.4040/jkan.2008.38.2.332
  8. Han, J. T., & Hwangbo, G. (2009). Kinemaitc 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
  9. Han, J. T., Kim, S. H., & Bae, S. S. (2006). The 3-D motion analysis of kinematic variety on lower extremities during ramp descent at different inclinations. Korean Academy of University Trained Physical Therapists, 13(2), 16-25.
  10. Jette, A. M., & Branch, L. G. (1981). The framingham disability study: II. physical disability among the aging. American Journal of Public Health, 71(11), 1211-1216. https://doi.org/10.2105/AJPH.71.11.1211
  11. Karamanidis, K., & Arampatzis, A. (2008). Evidence of mechanical load redistribution at the knee joint in the elderly when ascending stairs and ramps. Annals of Biomedical Engineering, 37(3), 467-476. https://doi.org/10.1007/s10439-008-9624-7
  12. Kim, R. B., Choi, J. Y., & Shin, J. M. (2001). The influence of step length and walking speed on the angle and ROM of the lower limb joint. The Korean Journal of Physical Education, 40(4), 997-1009.
  13. Kim, S. H. (2007). The association between expectations regarding aging and health promoting behaviors among korean older adults. Journal of Korean Academy of Nursing, 37, 932-940. https://doi.org/10.4040/jkan.2007.37.6.932
  14. Kim, S. P., Yuan, W. X., & Lee, M. H. (2001). Balance adjustments of gait pattern to prevent slip and fall. The Korean Journal of Physical Education, 40(2), 821-831.
  15. Kwon, Y. K., & Byun, S. N. (1999). Introduction of new biomechanics. Seoul: Cheong Moon Gak.
  16. Kwong, E. W., & Kwan, A. Y. (2007). Participation in health-promoting behavior: Influences on community-dwelling older Chinese people. Journal of Advanced Nursing, 57, 522-534. https://doi.org/10.1111/j.1365-2648.2006.04132.x
  17. Lee, C. M., Jeong, E. H., & Freivalds, A. (2001). Biomechanical effects of wearing high-heeled shoes. International Journal of Industrial Ergonomics, 28(6), 321-326. https://doi.org/10.1016/S0169-8141(01)00038-5
  18. Lee, T. Y. (2010). The Effect on Muscle activities by the heights of Shoe heels and The Gradient of Pedestrian Road. Unpublished Master's Thesis, InJe University.
  19. Masani, K., Kouzaki, M., & Fukunaga, T. (2002). Variability of ground reaction forces during treadmill walking. Journal of Applied Physiology, 92, 1885-1890. https://doi.org/10.1152/japplphysiol.00969.2000
  20. McFadyen, B. J., & Winter, D. A. (1988). An integrated biomechanical analysis of normal stair ascent and descent. Journal of Biomechanics, 21(9), 733-744. https://doi.org/10.1016/0021-9290(88)90282-5
  21. Nadeau, S., McFadyen, B. J., & Malouin, F. (2003). Frontal and sagittal plane analyses of the stair climbing task in healthy adults aged over 40 years: what are the challenges compared to level walking?. Clinical Biomechanics, 18, 950-959. https://doi.org/10.1016/S0268-0033(03)00179-7
  22. Nevitt, M. C., Cummings, S. R., & Hudes, E. S. (1991). Risk factors for injurious falls: a prospective study. Journal of Gerontology, 46, M164-170. https://doi.org/10.1093/geronj/46.5.M164
  23. Nova, A. C., & Brouwer, B. (2011). Sagittal and frontal lower limb joint moments during stair ascent and descent in young and older adults. Gait & Posture, 33, 54-60. https://doi.org/10.1016/j.gaitpost.2010.09.024
  24. Perry, J. (1992). Gait Analysis: normal and pathological function. Thorofare, NJ: Slack Inc.
  25. Plagenhoef, S. C., Evans, F. G., & Abdelnour, T. (1983). Anatomical data for analyzing human motion. Research Quarterly for Exercise and Sports, 54(2), 169-178. https://doi.org/10.1080/02701367.1983.10605290
  26. Protopapadaki, A., Drechsler, W. I., Cramp, M. C., Coutts, F. J., & Scott, O. M. (2007). Hip, knee, ankle kinematics and kinetics during stair ascent and descent in healthy young individuals. Clinical Biomechanics, 22, 203-210. https://doi.org/10.1016/j.clinbiomech.2006.09.010
  27. Ryu, J. S. (2009). The Temporal Coordination of the lower extremity by in creasing high-height during walking. Korean Journal of Sport Biomechanics, 19(3), 593-601. https://doi.org/10.5103/KJSB.2009.19.3.593
  28. Ryu, N. H. (1995). Walk ability on ramps by gait analysis. Journal of the Korean Institute of Landscape Architecture, 23(2), 157-166.
  29. Son, N. K., & Kim, H. D. (2014). Age effects on center of mass during obstacle crossing. Journal of the Korean Society of Physical Medicine, 9(1), 93-99. https://doi.org/10.13066/kspm.2014.9.1.93
  30. Startzell, J. K., Owens, D. A., Mulfinger, L. M., & Cavanagh, P. R. (2000). Stair negotiation in older people: A review. Journal of the American Geriatrics Society, 48(5), 567-580. https://doi.org/10.1111/j.1532-5415.2000.tb05006.x
  31. Statistics Korea (2010). Aged Person Statistics. Retrieved from http://kostat.go.kr.
  32. Tinetti, M. E., Speechley, 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
  33. Williamson, J. D., & Fried, L. P. (1996) Characterization of older adults who attribute functional decrements to "old age". Journal of the American Geriatric Society, 44, 1429-1434. https://doi.org/10.1111/j.1532-5415.1996.tb04066.x
  34. Woo, B. H., & Park, Y. S. (2015). The effects of lower limb muscle activity on postural stability and ground type dur ing gait in elderly women. Korean Journal of Sport Biomechanics, 25(1), 77-84. https://doi.org/10.5103/KJSB.2015.25.1.077
  35. Yoon, N. S., Yi, K. O., & Kim, J. Y. (1998). Kinematic comparison of walking on various inclined walkways. Journal of Korean Physical Education Association for Girls and Women, 13(1), 89-101.