基于膝关节支撑的人体坐立转换运动轨迹研究

doi:10.3969/j.issn.1006-9771.2020.00.001

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (6): 738-744.doi: 10.3969/j.issn.1006-9771.2020.00.001

• 辅助技术 • 上一篇

基于膝关节支撑的人体坐立转换运动轨迹研究

张辉¹,薛强¹(),王兴涛²

1.天津市轻工与食品工程机械装备集成设计与在线监控重点实验室,天津科技大学机械工程学院,天津市 300222
2.山东劳动职业技术学院智能制造系,山东济南市 250300

收稿日期:2019-07-26 修回日期:2019-08-27 出版日期:2020-06-25 发布日期:2020-06-29
通讯作者: 薛强 E-mail:qxue@tust.edu.cn
作者简介:张辉(1993-),男,汉族,山东日照市人,硕士研究生,主要研究方向：康复辅具设计。
基金资助:
天津市自然科学基金重点项目(19JCZDJC33200)

Knee Support-based Study on Sit to Stand Transfer Trajectory of Human Body

ZHANG Hui¹,XUE Qiang¹(),WANG Xing-tao²

1. Tianjin Key Laboratory of Integrated Design and On-line Monitoring for Light Industry and Food Engineering Machinery and Equipment, Department of Mechanical Engineering, Tianjin University of Science & Technology, Tianjin 300222, China
2. Shandong Labor Vocational and Technical College, Jinan, Shandong 250300, China

Received:2019-07-26 Revised:2019-08-27 Published:2020-06-25 Online:2020-06-29
Contact: XUE Qiang E-mail:qxue@tust.edu.cn
Supported by:
Tianjin Natural Science Foundation(Key)(19JCZDJC33200)

摘要/Abstract

摘要：

目的研究基于膝关节支撑的人体坐立转换轨迹及运动学规律,为设计具有膝关节支撑的转移辅具提供依据。方法 2019年4月至6月,招募20例健康志愿者,按照身高和性别分为三组,在膝关节支撑的前提下分别进行足间距离为20 cm和30 cm的坐立转换试验。每个试验重复两次,间隔1 min。采用高清相机记录试验过程中每个受试者肩部(腋窝处)和膝关节处的运动轨迹,分析不同身高和体质量受试者的运动学规律。结果身高172 cm以下的受试者,足间距离为20 cm时身体前倾距离小于30 cm时;身高173 cm以上的受试者,足间距离为30 cm时身体前倾距离小于20 cm时。体质量指数(BMI) < 23.9 kg/m²的受试者,足间距离为20 cm时躯干前屈位移小于30 cm时;BMI > 23.9 kg/m ²的受试者,足间距离为30 cm时躯干前屈位移小于20 cm时。受试者坐立转换过程平均用时(1.7±0.05) s。结论坐立转换过程中,不同足间距离影响关节的伸展方式以及躯干前屈的位移和身体前倾的距离。随着身高和体质量的增加,适当增大足间距离能够降低人体在坐立转换过程的难度,且随着BMI值的增加,坐立转换所用时间也随之增加;女性坐立转换时间略高于男性。

关键词: 坐立转换, 膝关节支撑, 足间距离, 运动轨迹, 运动规律

Abstract:

Objective To study the human body's sit to stand transfer trajectory and kinematics based on knee joint support to provide a basis for designing the transfer aid with knee joint support.Methods From April to June, 2019, 20 healthy volunteers were recruited and divided into three groups according to height and gender. Under the premise of knee support, the sit to stand transfer experiments with 20 cm and 30 cm between feet were conducted respectively. All subjects were repeated twice for each experiment with an interval of one minute. High-definition camera was used to record the motion trajectories of each subject's shoulder (armpit) and knee joint during the experiment, and the kinematics rules of subjects with different heights and masses were analyzed.Results The body forward leaning displacement was less with 20 cm between feet than with 30 cm for subjects less than 172 cm tall; and was less with 30 cm than with 20 cm for subjects more than 173 cm tall. The forward flexion displacement of trunk was less with 20 cm between feet than with 30 cm for subjects with body mass index (BMI) < 23.9 kg/m ²; and was less with 30 cm than with 20 cm for subjects with BMI > 23.9 kg/m ². The average time during sit to stand transfer was (1.7±0.05) s.Conclusion In the process of sit to stand transfer, distance between feet may affect the way of joint extension, the body forward leaning distance and the forward flexion displacement of trunk. With the increase of height and mass, appropriate increase of distance between feet can reduce the difficulty of sit to stand transfer. With the increase of BMI, the time of sit to stand transfer also increases. The time spent on sit to stand transfer is more in female than in male.

Key words: sit to stand transfer, knee support, distance between feet, motion trajectories, law of motion

中图分类号:

R496

张辉,薛强,王兴涛. 基于膝关节支撑的人体坐立转换运动轨迹研究[J]. 《中国康复理论与实践》, 2020, 26(6): 738-744.

ZHANG Hui,XUE Qiang,WANG Xing-tao. Knee Support-based Study on Sit to Stand Transfer Trajectory of Human Body[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(6): 738-744.

图/表 11

图1

图2

图3

图4

图5

图6

图7

图8

图9

表1

表2

参考文献 23

[1]	Bobbert M F, Kistemaker D A, Vaz M A, et al. Searching for strategies to reduce the mechanical demands of the sit-to-stand task with a muscle-actuated optimal control model[J]. Clin Biomech (Bristol, Avon), 2016, 37:83-90. doi: 10.1016/j.clinbiomech.2016.06.008
[2]	Dall P M, Kerr A. Frequency of the sit to stand task: an observational study of free-living adults[J]. Appl Ergon, 2010, 41(1):58-61. doi: 10.1016/j.apergo.2009.04.005
[3]	Wang T, Jeong H, Watanabe M, et al. Fault classification with discriminant analysis during sit-to-stand movement assisted by a nursing care robot[J]. Mech Syst Signal Pr, 2018, 113:90-101. doi: 10.1016/j.ymssp.2017.01.051
[4]	Ottaviano E, Castelli G. A procedure for experimental evaluation of the sit-to-stand for the design of assisting devices[M]// Viadero F, Ceccarelli M. New Trends in Mechanism and Machine Science. Dordrecht: Springer, 2013: 487-495.
[5]	Rea P, Ottaviano E. Functional design for customizing sit-to-stand assisting devices[J]. J Bionic Eng, 2018, 15(1):83-93. doi: 10.1007/s42235-017-0006-4
[6]	张勤良, 周旭, 倪朝民, 等. 性别对正常人坐站转移过程髋关节运动学参数及足底压力的影响[J]. 中国康复医学杂志, 2012, 27(4):320-323.
[7]	Zech A, Steib S, Freiberger E, et al. Functional muscle power testing in young, middle-aged, and community-dwelling nonfrail and prefrail older adults[J]. Arch Phys Med Rehabil, 2011, 92(6):967-971. doi: 10.1016/j.apmr.2010.12.031
[8]	杨慧馨, 刘晓蕾. 太极拳和八段锦对脑卒中患者偏瘫下肢运动功能和表面肌电的效果[J]. 中国康复理论与实践, 2019, 25(1):101-106.
[9]	梁康贵. 脑卒中偏瘫上肢康复外骨骼机器人的基础理论研究[D]. 哈尔滨:哈尔滨工业大学, 2016.
[10]	高天昊, 吴毅, 陆蓉蓉, 等. 健康人坐-站-坐运动中姿势图参数的重测信度研究[J]. 中国运动医学杂志, 2017, 36(7):605-609.
[11]	穆景颂, 倪朝民, 陈进, 等. 偏瘫患者上肢位置对坐站转移姿势稳定性的影响[J]. 中国康复, 2017, 32(1):37-38.
[12]	Kawagoe S, Tajima N, Chosa E. Biomechanical analysis of effects of foot placement with varying chair height on the motion of standing up[J]. J Orthop Sci, 2000, 5(2):124-133. pmid: 10982646
[13]	Kwong P W, Ng S S, Chung R C, et al. Foot placement and arm position affect the five times sit-to-stand test time of individuals with chronic stroke[J]. Biomed Res Int, 2014, 2014:636530.
[14]	Kinoshita S, Kiyama R, Yoshimoto Y. Effect of handrail height on sit-to-stand movement[J]. PLoS One, 2015, 10(7):e0133747. doi: 10.1371/journal.pone.0133747
[15]	Gilleard W, Smith T. Effect of obesity on posture and hip joint moments during a standing task, and trunk forward flexion motion[J]. Int J Obes, 2007, 31(2):267-271. doi: 10.1038/sj.ijo.0803430
[16]	Gilleard W, Crosbie J, Smith R. Effect of pregnancy on trunk range of motion when sitting and standing[J]. Acta Obstet Gynecol Scand, 2002, 81(11):1011-1020. doi: 10.1034/j.1600-0412.2002.811104.x
[17]	Jeon W, Jensen J L, Griffin L. Muscle activity and balance control during sit-to-stand across symmetric and asymmetric initial foot positions in healthy adults[J]. Gait Posture, 2019, 71:138-144. doi: 10.1016/j.gaitpost.2019.04.030
[18]	Turcot K, Lachance B. How toe-out foot positioning influences body-dynamics during a sit-to-stand task[J]. Gait Posture, 2019, 70:185-189. doi: S0966-6362(18)31684-9 pmid: 30878730
[19]	Macaluso A, De Vito G. Muscle strength, power and adaptations to resistance training in older people[J]. Eur J Appl Physiol, 2004, 91(4):450-472. pmid: 14639481
[20]	Mathiyakom W, McNitt-Gray J L, Requejo P, et al. Modifying center of mass trajectory during sit-to-stand tasks redistributes the mechanical demand across the lower extremity joints[J]. Clin Biomech, 2005, 20(1):105-111. pmid: 15567544
[21]	Escalante A, Lichtenstein M J, Hazuda H P. Determinants of shoulder and elbow flexion range: results from the San Antonio Longitudinal Study of Aging[J]. Arthritis Care Res, 1999, 12(4):277-286. pmid: 10689992
[22]	Galli M, Crivellini M, Sibella F, et al. Sit-to-stand movement analysis in obese subjects[J]. Int J Obes Relat Metab Disord, 2000, 24(11):1488-1492. doi: 10.1038/sj.ijo.0801409
[23]	Pataky Z, Armand S, Müller-Pinget S, et al. Effects of obesity on functional capacity[J]. Obesity, 2014, 22(1):56-62. doi: 10.1002/oby.20514

足间距离	阶段	第一组	第二组	第三组
20 cm	阶段Ⅰ的X_t差值	115.13	134.52	126.99
	阶段Ⅱ的X_t差值	163.79	195.50	158.93
	阶段Ⅲ的X_t差值	19.54	32.63	19.76
30 cm	阶段Ⅰ的X_t差值	122.55	123.95	137.42
	阶段Ⅱ的X_t差值	172.47	187.38	168.41??
	阶段Ⅲ的X_t差值	24.85	17.93	26.18?

参数	时间
第一组足间距离20 cm	1.6±0.04
第一组足间距离30 cm	1.7±0.06
第二组足间距离20 cm	1.6±0.05
第二组足间距离30 cm	1.6±0.03
第三组足间距离20 cm	1.7±0.02
第三组足间距离30 cm	1.8±0.02
肥胖者	1.9±0.03

基于膝关节支撑的人体坐立转换运动轨迹研究

Knee Support-based Study on Sit to Stand Transfer Trajectory of Human Body

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 11

参考文献 23

相关文章 2

Metrics

本文评价

推荐阅读 0

[1]	李远利,涂细凯,胡世超,李肖. 基于坐立转换运动轨迹的如厕辅助装置设计[J]. 《中国康复理论与实践》, 2021, 27(7): 844-851.
[2]	曾思漾, 陈玉霞, 刘苑, 肖农. 膝爬运动上肢关节运动轨迹及表面肌电图研究[J]. 《中国康复理论与实践》, 2017, 23(5): 567-571.