在不同光滑表面行走时下肢肌肉的活动

Mariah W. Whitmore, L. Hargrove, E. Perreault
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引用次数: 3

摘要

滑倒引起的跌倒是下肢截肢者关注的主要原因,因为他们缺乏有助于避免滑倒的远端肌肉组织。先前已经证明,健全的个体可以通过调整肢体运动学和改变肌肉活动来减少滑倒,从而安全地与光滑的表面互动。新开发的假肢设备有可能为用户恢复特定的步态模式,比如在光滑的表面上行走,只要更多地了解每种模式下的机械特性应该如何调节。作为了解防滑相关力学的第一步,本研究试图量化在一系列光滑表面上稳定行走时的下肢肌肉活动。一个具体的目标是量化人们如何在中度光滑的表面上行走,这些表面会造成危险,但比之前研究的一些表面更容易在日常生活中发现。我们的结果显示,随着地面变得更滑,脚踝处的活动水平明显下降(p< 0.001)。相反,有一个显著的趋势(p< 0.001)是增加膝关节的活动量。这些发现提示了一种策略,即踝关节变得越来越柔顺,以最大限度地增加与地面接触的表面积,同时增加近端肌肉的活动,以帮助稳定腿部和躯干,从而提高安全性。
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Lower-limb muscle activity when walking on different slippery surfaces
Falls initiated by slipping are a major cause for concern for lower-limb amputees, due to their lacking the distal musculature that aids in avoiding the initiation of a slip. It has been previously demonstrated that able-bodied individuals can interact safely with slippery surfaces by adapting limb kinematics and altering muscle activity to minimize slipping. Newly developed prosthetic devices have the potential to restore specific gait modes to the user, such as walking on a slippery surface, if only more was known about how the mechanical properties should be regulated in each mode. As a first step towards understanding the mechanics relevant to slip prevention, this study sought to quantify lower-limb muscle activity during steady state walking on a range of slippery surfaces. A specific goal was to quantify how people walk on moderately slippery surfaces that pose a hazard, but are more likely to be found on an everyday basis than some of the surfaces previously studied. Our results showed a significant trend (p<;0.001) towards decreasing the level of activity used at the ankle as the floor becomes more slippery. In contrast, there is a significant trend (p<;0.001) towards increasing the level of activity used at the knee. These findings suggest a strategy in which the ankle becomes increasingly compliant to maximize the surface area in contact with the floor, while increased activity in proximal muscles is used to help stabilize the legs and trunk for increased safety.
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