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http://dx.doi.org/10.5392/JKCA.2010.10.5.267

Change in Gait Parameters by Arm Sling Types in Healthy Adults  

Lee, Ok-Kyoung (좋은강안병원 물리치료실)
An, Duk-Hyun (인제대학교 의생명공학대학 물리치료학과)
Publication Information
The Journal of the Korea Contents Association / v.10, no.5, 2010 , pp. 267-276 More about this Journal
Abstract
The purpose of this study was to investigate the variations in gait parameters according to arm slings used in healthy adults. Twenty healthy adults (9 males, 11 females) participated in this study and walked at self-selected speeds on a GAITRite-instrumented carpet. They were randomly assigned conditions: without an arm sling, a care sling, a Harris hemi arm sling, a CVA sling, and a Rolyan humeral cuff sling. The following gait parameters were analyzed: the temporo-spatial parameters of gait velocity, swing phase, single support, cadence. In the comparison of parameters in each trial, step length was statistically significantly changed(p=.002). The right step length was significantly decreased in the Harris hemi arm sling and increased in the Rolyan humeral cuff sling when compared with no sling. This study found that several different types arm slings varied gait pattern in healthy adults.
Keywords
Arm Sling; Gait Pattern; Limited Arm Swing;
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1 R. W. Bohannon, "Gait performance of hemiplegic stroke patient: Selected variables,"Archives of Physical Medicine and Rehabilitation, Vol.68, No.11, pp.777-781, 1987.
2 D. Webb, R. H. Tuttle, and M. Baksh, "Pendular activity of human upper limbs during slow and normal walking," American J. of Physical Anthropology, Vol.93, No.4, pp.477-489, 1994.   DOI   ScienceOn
3 M. LaFiandra, R. C. Wagenaar, K. G. Holt, and J. P. Obusek, "How do load carriage and walking speed influence trunk coordination and stride parameters," J. of Biomechanics, Vol.36, No.1, pp.87?.95, 2003.   DOI   ScienceOn
4 M. Kubo, K. G. Holt, E. Saltzman, and R. C. Wagenaar, "Changes in axial stiffness of the trunk as a function of walking speed," J. of Biomechanics, Vol.39, No.4, pp.750-757, 2006.   DOI   ScienceOn
5 R .C. Wagenaar and W. J. Beek, "Hemiplegic gait: a kinematic analysis using walking speed as a basis," J. of Biomechanics, Vol.25, No.9, pp.1007-1015, 1992.   DOI   ScienceOn
6 J. D. Ortega, L. A. Fehlman, and C. T. Farley, "Effects of aging and arm swing on the metabolic cost of stability in human walking," J. of Biomechanics, Vol.41, No.16, pp.3303-3308, 2008.   DOI   ScienceOn
7 M. M. Brooke, B. J. de Lateur, G. C. Diana-Rigby, and K. A. Questad, "Shoulder subluxation in hemiplegia: effects of three different supports," Archives of Physical Medicine and Rehabilitation, Vol.72, No.8, pp.582-586, 1991.
8 한경희, 김경덕, 장기언, "팔걸이의 4가지 유형에 따른 견관절 아탈구 교정효과의 방사선학적 비교 ", 대한재활의학회지, 제18권, 제1호, pp.118-124, 1994.
9 G. Yavuzer and S. Ergin, "Effect of an arm sling on gait pattern in patients with hemiplegia," Archives of Physical Medicine and Rehabilitation, Vol.83, No.7, pp.960-963, 2002.   DOI   ScienceOn
10 김정태, 박성현, "팔걸이 착용이 편마비 환자의 보행지지기 동안 하지 근육의 활성도에 미치는 영향", 한국체육학회지, 제46권, 제1호, pp.713-722, 2007.
11 윤성익, "성인편마비환자에서 팔걸이가 보행 중 에너지 소모량에 미치는 영향", 한양대학교 대학원 석사학위논문, 2004.
12 이도경, 한승진, 윤성익, 김미정, 이규훈, “팔걸이가 편마비환자의 기립자세 균형에 미치는 영향”, 대한재활의학회지, 제28권, 제6호, pp.532-536, 2004.
13 R. W. Kressing, R. J. Gregor, A. Oliver, D. Waddell, W. Smith, M. O'Grady, A. T. Curns, and M Kutner, "Temporal and spatial features of gait in older adults transitioning to frailty," Gait Posture, Vol.20, No.1, pp.30-35, 2004.   DOI   ScienceOn
14 J. Duysens and T. Tax, Interlimb reflexes during gait in cat and human. In: S.P. Swimmen, H. Heuer, J. Massion, P. Casaer(eds), Interlimb Coordination: neural, dynamic, and cognitive constraints. Academic Press, pp.97-126, 1994.
15 B. Bilney, M Morris, and K. Webster, "Concurrent related validity of the GAITRite walkway system for quantification of the spatial and temporal parameters of gait," Gait Posture, Vol.17, No.1, pp.68-74, 2003.   DOI   ScienceOn
16 H. B. Menz, M. D. Latt, A. Tiedemann A, M. Mun San Kwan, and S. R. Lord, "Reliability of the GAITRite walkway system for the quantification of temporo-spatial parameters of gait in young and older people," Gait Posture, Vol.20, No.1, pp.20-25, 2004.   DOI   ScienceOn
17 A. L. McDonough, M. Batavia, P. C. Chen, S. Kwon, and J. Ziai, "The validity and reliability of the GAITRite system's measurements: A preliminary evaluation," Archives of Physical Medicine and Rehabilitation, Vol.82, No.3, pp.419-425, 2001.   DOI   ScienceOn
18 D. P. Ferris, H. J. Huang, and P. C. Kao, "Moving the arms to activate the legs,"Exercise and Sport Science Reviews, Vol.34, No.3, pp.113-120, 2006.   DOI   ScienceOn
19 K. M. Jackson, J. Joseph, and S. J. Wyard, "The upper limbs during human walking, Part2: Function," Electromyography Clinical Neurophysiology, Vol.23, No.6, pp.435-446, 1983.
20 M. Kubo, R. C. Wagenaar, E. Saltzman, and K. G. Holt, "Biomechanical mechanism for transitions in phase and frequency of arm and leg during walking," Biological Cybernetics, Vol.91, No.2, pp.91-98, 2004.
21 R. W. Bohannon, "Gait performance of hemiplegic stroke patient: Selected variables,"Archives of Physical Medicine and Rehabilitation, Vol.68, No.11, pp.777-781, 1987.
22 L. K. Smith, E .I. Weiss, and L. D. Lehmkuhl, Brunnstrom's Clinical Kinesiology. 5th Ed, Philadelphia, FA Davis Company, 1996.
23 R. D. Zorowitz, D. Idank, T. Ikai, M. B. Hughes, and M. V. Johnston, "Shoulder subluxation after stroke: a comparison of four supports," Archives of Physical Medicine and Rehabilitation, Vol.76, No.8, pp.763-771, 1995.   DOI   ScienceOn
24 S. V. Fisher and G. Gullickson Jr, "Energy cost of ambulation in health and disability: A literature review," Archives of Physical Medicine and Rehabilitation, Vol.59, No.3, pp.124-133, 1978.
25 J. Park, "Synthesis of natural arm swing motion in human bipedal walking," J. of Biomechanics, Vol.41, No.7, pp.1417-1426, 2008.   DOI   ScienceOn
26 S. T. Eke-Okoro, M. Gregoric, and L. E. Larsson, "Alterations in gait resulting from deliberate changes of arm-swing amplitude and phase," Clinical Biomechanics, Vol.12, No.7, pp.516-521, 1997.   DOI   ScienceOn
27 S. F. Donker, P. J. Beek, R. C. Wagenaar, and T. Mulder, "Coordination between arm and leg movements during locomotion," J. of Motor Behavior, Vol.33, No.1, pp.86-102, 2001.   DOI   ScienceOn
28 M. P. Ford, R. C. Wagenaar, and K. M. Newell, "Arm constraint and walking in healthy adults,"Gait Posture, Vol.26, No.1, pp.135-141, 2007.   DOI   ScienceOn
29 R. C. Wagenaar and R. E. van Emmerik, "Resonant frequencies of arms and legs identify different walking patterns," J. of Biomechanics, Vol.33, No.7, pp.853-861, 2000.   DOI   ScienceOn
30 J. Perry, Gait Analysis: Normal and pathological function, New Jersey, Slack, 1992.
31 J. R. Gage, Gait Analysis in Cerebral Palsy, London, Cambridge University Press, 1991.
32 B. R. Umberger, "Effects of suppressing arm swing on kinematics, kinetics, and energetics of human walking," J. of Biomechanics, Vol.41, No.11, pp.2575-2580, 2008.   DOI   ScienceOn
33 E. P. Zehr, K. L. Hesketh, and R. Chua, "Differential regulation of cutaneous and H-reflexes during leg cycling in humans," J. of Neurophysiology, Vol.85, No.3, pp.1178-1184, 2001.
34 S. Grillner and P. Zangger, "How detailed is the central pattern generation for locomotion?"Brain Research, Vol.88, No.2, pp.367-371, 1975.   DOI   ScienceOn
35 K. I. Ustinova, A. G. Feldman, and M. F. Levin, "Central resetting of neuromuscular steady states may underlie rhythmical arm movements," J. of Neurophysiology, Vol.96, No.3, pp.1124-1134, 2006.   DOI   ScienceOn
36 E. P. Zehr and 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.