Gender differences in pelvic motions and center of mass displacement during walking: stereotypes quantified.

Lynnelle K. Smith, Jennifer L. Lelas, D. Kerrigan
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引用次数: 121

Abstract

OBJECTIVES A general perception that women and men walk differently has yet to be supported by quantitative walking (gait) studies, which have found more similarities than differences. Never previously examined, however, are pelvic and center of mass (COM) motions. We hypothesize the presence of gender differences in both pelvic obliquity (motion of the pelvis in the coronal plane) and vertical COM displacement. Quantifiable differences may have clinical as well as biomechanical importance. METHODS We tested 120 subjects separated into four groups by age and gender. Pelvic motions and COM displacements were recorded using a 3-D motion analysis system and averaged over three walking trials at comfortable walking speed. Data were plotted, and temporal values, pelvic angle ranges, and COM displacements normalized for leg length were quantitatively compared among groups. RESULTS Comparing all women to all men, women exhibited significantly more pelvic obliquity range (mean ISD): 9.4 +/- 3.5 degrees for women and 7.4 +/- 3.4 degrees for men (p = 0.0024), and less vertical COM displacement: 3.7 +/- 0.8% of leg length for women and 3.3 +/- 0.9% for men (p = 0.0056). CONCLUSIONS Stereotypically based gender differences were documented with greater pelvic obliquity and less vertical COM displacement in women compared with men. It is unclear if these differences are the intrinsic result of gender vs. social or cultural effects. It is possible that women use greater pelvic motion in the coronal plane to reduce their vertical COM displacement and, thus, conserve energy during walking. An increase in pelvic obliquity motion may be advantageous from an energy standpoint, but it is also associated with increased lumbosacral motion, which may be maladaptive with respect to the etiology and progression of low back pain.
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行走时骨盆运动和重心位移的性别差异:刻板印象量化。
目的:定量步行(步态)研究已经证实了男性和女性走路方式不同的普遍看法,这些研究发现了更多的相似点而不是差异。然而,以前从未检查过骨盆和质心(COM)运动。我们假设在骨盆倾斜(骨盆在冠状面运动)和垂直COM位移方面存在性别差异。可量化的差异可能具有临床和生物力学的重要性。方法120例受试者按年龄、性别分为4组。使用三维运动分析系统记录骨盆运动和COM位移,并在舒适的步行速度下进行三次步行试验。绘制数据,并定量比较各组间时间值、骨盆角范围和COM位移归一化的腿长。结果与所有男性相比,女性表现出更大的骨盆倾斜范围(平均ISD):女性为9.4 +/- 3.5度,男性为7.4 +/- 3.4度(p = 0.0024),而垂直COM位移较小:女性为3.7 +/- 0.8%,男性为3.3 +/- 0.9% (p = 0.0056)。结论基于刻板印象的性别差异表明,与男性相比,女性骨盆倾斜更大,COM垂直移位更少。目前尚不清楚这些差异是否是性别与社会或文化影响的内在结果。这可能是女性在冠状面使用更大的骨盆运动来减少垂直COM位移,从而在行走时保存能量。从能量的角度来看,骨盆倾斜运动的增加可能是有利的,但它也与腰骶运动的增加有关,这可能与腰背痛的病因和进展不适应。
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