DOI QR코드

DOI QR Code

Lower Extremity Biomechanics while Walking on a Triangle-Shaped Slope

삼각경사면 보행 시 하지 관절 생체역학적 분석

  • 홍윤노 (서강대학교 기계공학과) ;
  • 정지영 (서강대학교 기계공학과) ;
  • 김판권 (서강대학교 기계공학과) ;
  • 신충수 (서강대학교 기계공학과)
  • Received : 2016.04.22
  • Accepted : 2016.12.26
  • Published : 2017.03.01

Abstract

Gait analysis has been conducted in various environments, but the biomechanics during the transition from uphill walking to downhill walking have not been reported. The purpose of this study is to investigate the knee and ankle joint kinematics and kinetics during walking on a triangle-shaped slope compared with those during level walking. Kinematic and kinetic data of eighteen participants were obtained using a force plate and motion capture system. The greater peak ankle dorsiflexion angle and moment and the peak knee extension moment were observed (p<0.05) during both uphill and downhill walking on the triangle-shaped slope. In summary, uphill walking on a triangle-shaped slope, which showed a peak knee flexion of more than $50^{\circ}$ with greater peak knee extension moment, could increase the risk of patellofemoral pain syndrome. Downhill walking on a triangle-shaped slope, which involved greater ankle dorsiflexion excursion and peak ankle dorsiflexion, could cause gastrocnemius muscle strain and Achilles tendon overuse injury.

보행 분석은 다양한 지형에서 수행되고 있으나 지형이 변화되는 시점에서의 보행 분석 연구는 보고된 바 없다. 본 연구의 목적은 삼각경사 보행 시 지형이 변화되는 시점에서 발목 및 무릎 관절의 운동학과 운동역학을 평지 보행과 비교 분석하는 것이다. 3차원 동작분석 시스템과 지면 반력기를 사용하여 성인 남성 18명의 하지 운동학 및 운동역학 자료를 획득하였다. 삼각경사 보행에서 최대 발목 배측굴곡각 및 모멘트와 최대 무릎 신전 모멘트가 평지보행과 비교하였을 때 증가하였다(p<0.05). 삼각경사의 상승경사 보행 시 $50^{\circ}$가 넘는 무릎 굽힘각과 그 시기에 발생하는 큰 무릎 신전 모멘트는 슬개대퇴증후군의 위험을 높일 수 있을 것으로 보인다. 또한 삼각경사의 하강경사 보행에서 증가된 발목 배측굴곡 운동범위는 비복근과 아킬레스건 부상 위험을 높일 수 있을 것으로 보인다.

Keywords

References

  1. Kuster, M., Sakurai, S. and Wood, G. A., 1995, "Kinematic and Kinetic Comparison of Downhill and Level Walking," Clinical Biomechanics (Bristol, Avon), Vol. 10, No. 2, pp. 79-84. https://doi.org/10.1016/0268-0033(95)92043-L
  2. Redfern, M. S. and DiPasquale, J., 1997, "Biomechanics of Descending Ramps," Gait & Posture, Vol. 6, No. 2, pp. 119-125. https://doi.org/10.1016/S0966-6362(97)01117-X
  3. Lay, A. N., Hass, C. J. and Gregor, R. J., 2006, "The Effects of Sloped Surfaces on Locomotion: a Kinematic and Kinetic Analysis," Journal of Biomechanics, Vol. 39, No. 9, pp. 1621-1628. https://doi.org/10.1016/j.jbiomech.2005.05.005
  4. Wannop, J. W., Worobets, J. T., Ruiz, R. and Stefanyshyn, D. J., 2014, "Footwear Traction and Three-dimensional Kinematics of Level, Downhill, Uphill and Cross-slope Walking," Gait & Posture, Vol. 40, No. 1, pp. 118-122. https://doi.org/10.1016/j.gaitpost.2014.03.004
  5. Sheehan, R. C. and Gottschall, J. S., 2011, "Stair Walking Transitions are an Anticipation of the Next Stride," Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology, Vol. 21, No. 3, pp. 533-541. https://doi.org/10.1016/j.jelekin.2011.01.007
  6. Gottschall, J. S., Okorokov, D. Y., Okita, N. and Stern, K. A., 2011, "Walking Strategies during the Transition Between Level and Hill Surfaces," Journal of Applied Biomechanics, Vol. 27, No. 4, pp. 355-361. https://doi.org/10.1123/jab.27.4.355
  7. Hong, Y. G., Yoon, Y., Kim, P. and Shin, C. S., 2014, "The Kinematic/Kinetic Differences of the Knee and Ankle Joint during Single-leg Landing Between Shod and Barefoot Condition," International Journal of Precision Engineering Manufacturing, Vol. 15, No. 10, pp. 2193-2197. https://doi.org/10.1007/s12541-014-0581-9
  8. Winter, D. A., Patla, A. E., Frank, J. S. and Walt, S. E., 1990, "Biomechanical Walking Pattern Changes in the Fit and Healthy Elderly," Physical Therapy, Vol. 70, No. 6, pp. 340-347. https://doi.org/10.1093/ptj/70.6.340
  9. Bovi, G., Rabuffetti, M., Mazzoleni, P. and Ferrarin, M., 2011, "A Multiple-task Gait Analysis Approach: Kinematic, Kinetic and EMG Reference Data for Healthy Young and Adult Subjects," Gait & Posture, Vol. 33, No. 1, pp. 6-13. https://doi.org/10.1016/j.gaitpost.2010.08.009
  10. Sheehan, R. C. and Gottschall, J. S., 2012, "At Similar Angles, Slope Walking has a Greater Fall Risk than Stair Walking," Applied Ergonomics, Vol. 43, No. 3, pp. 473-478. https://doi.org/10.1016/j.apergo.2011.07.004
  11. Hong, S., Leu, T., Wang, T., Li, J., Ho, W. and Lu, T., 2015, "Control of Body's Center of Mass Motion Relative to Center of Pressure during Uphill Walking in the Elderly," Gait & Posture, Vol. 42, No. 4, pp. 523-528. https://doi.org/10.1016/j.gaitpost.2015.08.007
  12. Prentice, S. D., Hasler, E. N., Groves, J. J. and Frank, J. S., 2004, "Locomotor Adaptations for Changes in the Slope of the Walking Surface," Gait & Posture, Vol. 20, No. 3, pp. 255-265. https://doi.org/10.1016/j.gaitpost.2003.09.006
  13. Hong, S., Wang, T., Lu, T., Li, J., Leu, T. and Ho, W., 2014, "Redistribution of Intra- and Inter-limb Support Moments during Downhill Walking on Different Slopes," Journal of Biomechanics, Vol. 47, No. 3, pp. 709-715. https://doi.org/10.1016/j.jbiomech.2013.11.028
  14. Kaufman, K. R., Brodine, S. K., Shaffer, R. A., Johnson, C. W. and Cullison, T. R., 1999, "The Effect of Foot Structure and Range of Motion on Musculoskeletal Overuse Injuries," The American Journal of Sports Medicine, Vol. 27, No. 5, pp. 585-593. https://doi.org/10.1177/03635465990270050701
  15. Kibler, W. B., Goldberg, C. and Chandler, T. J., 1991, "Functional Biomechanical Deficits in Running Athletes with Plantar Fasciitis," The American Journal of Sports Medicine, Vol. 19, No. 1, pp. 66-71. https://doi.org/10.1177/036354659101900111
  16. Mason-Mackay, A. R., Whatman, C. and Reid, D., 2015, "The Effect of Reduced Ankle Dorsiflexion on Lower Extremity Mechanics during Landing: A Systematic Review," Journal of Science and Medicine in Sport (Epub ahead of print).
  17. Mahieu, N. N., Witvrouw, E., Stevens, V., Van Tiggelen, D. and Roget, P., 2006, "Intrinsic Risk Factors for the Development of Achilles Tendon Overuse Injury: a Prospective Study," The American Journal of Sports Medicine, Vol. 34, No. 2, pp. 226-235. https://doi.org/10.1177/0363546505279918
  18. Orchard, J. W., Alcott, E., James, T., Farhart, P., Portus, M. and Waugh, S. R., 2002, "Exact Moment of a Gastrocnemius Muscle Strain Captured on Video," British Journal of Sports Medicine, Vol. 36, No. 3, pp. 222-223. https://doi.org/10.1136/bjsm.36.3.222
  19. Escamilla, R. F., Zheng, N., MacLeod, T. D., Edwards, W. B., Hreljac, A., Fleisig, G. S., Wilk, K. E., Moorman III, C. T. and Imamura, R., 2008, "Patellofemoral Compressive Force and Stress during the Forward and Side Lunges with and without a Stride," Clinical Biomechanics, Vol. 23, No. 8, pp. 1026-1037. https://doi.org/10.1016/j.clinbiomech.2008.05.002
  20. Wirtz, A. D., Willson, J. D., Kernozek, T. W. and Hong, D. A., 2012, "Patellofemoral Joint Stress during Running in Females with and without Patellofemoral Pain," The Knee, Vol. 19, No. 5, pp. 703-708. https://doi.org/10.1016/j.knee.2011.09.006