Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

Gluteus Medius Muscle Activities According to Various Angle of Mediolateral Ramp During Cross Walking and One-leg Standing

다양한 각도의 경사로 횡단 조건에서 보행과 한발 서기 시 중둔근 활성도

  • Kim, Seon-Chil (Dept. of Biomedical Engineering, School of Medicine, Keimyung University) ;
  • Lee, Sang-Yeol (Dept. of Physical Therapy, Kyungsung University)
  • Received : 2017.02.13
  • Accepted : 2017.03.03
  • Published : 2017.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: The purpose of study was to clear up the environmental risk factor that can be easily occurred unstability of hip during gait and one leg standing at various ramp angle. METHODS: Twenties healthy males of 69 subjects is participated in this study. Participants was measured activation on gluteus medius muscle during both conditions (walk across the ramp and one leg stand in the transverse direction) of seven different angle. The measured data were analyzed using one-way ANOVA to investigate the effect of muscle activation on the each condition. The statistical analyses were performed using SPSS ver. 18.0 and p-value less than .05 were considered significant for all cases. A post-hoc test was performed by Bonferoni method. RESULTS: The study showed that more muscle activities on gluteus medius is increased by increasing the ramp angle. Post-hoc analysis demonstrated that the peak and mean of muscle activity increased significantly with a ramp angle of $15^{\circ}$ and $25^{\circ}$ during gait and one-leg stand. CONCLUSION: According to the study results, impaired balance can be easily occurred when cross walk and one-leg stand on a ramp from higher than $15^{\circ}$, and highest risk was angle of $25^{\circ}$ or more. As a people with gluteus medius muscle weakness walks a ramp, the ramp angle has a cross relationship with the impaired balance. If people with gluteus medius weakness walk on the more than $10^{\circ}$ of ramp angle, they will need a lot of attention for prevent impaired balance.

Keywords

References

  1. Finch L, Barbeau H, Arsenault B. Influence of body weight support in normal human gait: develop of a gait retraining strategy. PhysTher. 1991;71(11):842-56.
  2. Granat MH, Maxwell DJ, Ferguson ACB, et al. Peroneal stimulator: Evaluation for the correction of spastic drop foot in hemiplegia. Arch Phys Med Rehabil. 1996;77(1):19-24. https://doi.org/10.1016/S0003-9993(96)90214-2
  3. Han JT, Nam TH, Shin HS, et al. The Study of Muscle Activity Change with Lower Extremity during Stair and Ramp Walking in Young Adults. J Korean Soc Phys Med. 2008;3(3):177-83.
  4. Hermens HJ, Freriks B, Disselhorst-Klug C, et al. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000;10(5):361-74. https://doi.org/10.1016/S1050-6411(00)00027-4
  5. Jefferson RJ, Whittle MW. Performance of three walking orthoses for the paralysed: a case study using gait analysis. Prosthet OrthotInt. 1990;14(3):103-10.
  6. Kim SP, Yuan WX, Lee MH. Balance Adjustments of Gait Pattern to Prevent Slip and Fall. The Korea Journal of Physical Education. 2001;40(2):821-31.
  7. Kisner C, Colby LA. Therapeutic Exercise : Foundations and Techniques (5th ed). Philadelpia. F.A. Davis Company. 2007.
  8. Kuster M, Sakurai S, Wood GA. Kinematic and kinetic comparison of downhill and level walking. Clinical Biomechanics. 1995;10(2):79-84. https://doi.org/10.1016/0268-0033(95)92043-L
  9. Lee SK, Jung JM, Lee SY. Gluteus medius muscle activation on stance phase according to various vertical load. J Back Musculoskelet Rehabil. 2013;26:159-61. https://doi.org/10.3233/BMR-2012-00361
  10. Lee SW, Kim SY, Yang JM, et al. Comparison of Difference of the Gluteus Medius Muscle Fiber Thickness during maximum muscle. J Korean Soc Phys Med. 2015;10(1):71-82. https://doi.org/10.13066/kspm.2015.10.1.71
  11. Nadeau S, Arsenault AB, Gravel D, et al. Analysis of the clinical factors determining natural and maximal gait speeds in adults with a stroke. Am J Phys Med Rehabil. 1999;78(2):123-30. https://doi.org/10.1097/00002060-199903000-00007
  12. Neumann DA. Hip abductor muscle activity in persons with a hip prosthesis while carrying loads in one hand. Phys Ther. 1996;76(12):1320-30. https://doi.org/10.1093/ptj/76.12.1320
  13. Neumann DA. Kinesiology of the Musculoskeletal System : Foundations for Rehabilitation. St Louis. Mosby. 2010.
  14. Saravanakumar K, Hendrie M, Smith F, et al. Influence of reverse Trendelenburg position on aortocaval compression in obese pregnant women. Int J Obstet Anesth. 2016;26:15-8. https://doi.org/10.1016/j.ijoa.2015.09.007

Cited by

  1. The study of trunk and pelvic movement on mediolateral ramps of various ramp angles during one-legged standing vol.13, pp.4, 2017, https://doi.org/10.12965/jer.1735040.520
  2. Comparison of Lower Limb Muscle Activities by Various Angles of a Medio-lateral Ramp During Gait vol.12, pp.3, 2017, https://doi.org/10.13066/kspm.2017.12.3.93
  3. Peroneal muscle activity during different types of walking vol.11, pp.1, 2018, https://doi.org/10.1186/s13047-018-0291-0
  4. Comparison of Trunk Strategy to Maintain Balance during the One-Leg Stance on a Medio-Lateral Ramp and an Anterior-Posterior Ramp vol.29, pp.4, 2017, https://doi.org/10.18857/jkpt.2017.29.4.223
  5. 경사로 횡단 보행 시 경사로 각도에 따른 안·바깥쪽 장딴지근의 활성 비율 변화 vol.15, pp.3, 2017, https://doi.org/10.21598/jkpnfa.2017.15.3.253