Effects of Chair Rise Strategies on Joint Loads

S. Lou, Yan-Ren Lin, C. L. Lee
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Abstract

The ability to rise from a sitting position is considered as a key determinant of independence. An ergonomic analysis of sit-to-stand (STS) is needed for people to improve the daily activity, avoid the re-injury and be a reference by documenting the influences on human musculoskeletal system. The goal is to investigate the effects of arm postures and leg positions on joint motion and joint loads during sit to stand period. The twelve young college students without any musculoskeletal disorder were recruited. Three contexts of the sit-to-stand experiment were a normal sit posture with 90 degree of knee joint (N), a normal sit with feet backward 10 cm from sitting with 90 degree of knee joint (FB) and a normal sit posture with arms forward (AF). The height of the chair was adjusted with their leg length from ground to knee joint. The six-camera motion analysis capture system with two force plates were used to collect the segmental movement and ground reaction force. The movement time, kinematics and kinetics of joint were then analyzed. The results were found the range of motion of the hip, knee and ankle were significantly affected by chair raising strategies (p<0.05). FB groups had lower peak moments of the hip than N and AF groups. The largest peak knee moment occurred in FB groups. The peak knee moments among three groups are significantly different (p<0.05). The results of this research would be a reference for strategy use for older people or people who are difficult to rise from sit.
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椅子上升策略对关节载荷的影响
从坐姿站起来的能力被认为是独立性的关键决定因素。坐姿站立(STS)对人体肌肉骨骼系统的影响,有必要对其进行人体工程学分析,以提高人们的日常活动量,避免再次损伤,并为记录STS对人体肌肉骨骼系统的影响提供参考。目的是研究手臂姿势和腿的位置对关节运动和关节负荷的影响。招募了12名没有任何肌肉骨骼疾病的年轻大学生。坐立实验的三种情境分别是膝关节90度的正常坐姿(N)、膝关节90度的正常坐姿(FB)和手臂向前的正常坐姿(AF)。椅子的高度是根据他们从地面到膝关节的腿长来调整的。采用带两个测力板的六摄像头运动分析捕捉系统采集了机器人的节段运动和地面反作用力。分析了关节的运动时间、运动学和动力学。结果发现,椅子抬高策略对髋关节、膝关节和踝关节活动度有显著影响(p<0.05)。FB组髋部峰值矩低于N组和AF组。膝关节弯矩峰值出现在FB组。三组患者膝关节峰值弯矩值差异有统计学意义(p<0.05)。这项研究的结果将为老年人或难以站起来的人的策略使用提供参考。
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