跨越水平障碍物时的步态特征

doi:10.3969/j.issn.1006-9771.2021.07.001

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (7): 745-750.doi: 10.3969/j.issn.1006-9771.2021.07.001

• 专题运动与平衡功能研究 • 上一篇下一篇

跨越水平障碍物时的步态特征

张峻霞^1,²(),邵洋洋^1,²,王喆豪^1,²,杨芳^1,²

1.天津科技大学机械工程学院,天津市 300222
2.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,天津市 300222

收稿日期:2020-07-06 修回日期:2021-06-11 出版日期:2021-07-25 发布日期:2021-07-28
通讯作者: 张峻霞 E-mail:zjx@tust.edu.cn
作者简介:张峻霞(1968-),女,汉族,山西原平市人,教授,博士生导师,主要研究方向：人机工程与人机交互,智能康复机器人。
基金资助:
国家自然科学基金项目(50975204)

Gait Characteristics during Horizontal Obstacle Crossing

ZHANG Jun-xia^1,²(),SHAO Yang-yang^1,²,WANG Zhe-hao^1,²,YANG Fang^1,²

1. College of Mechanical Engineering, Tianjin University of Science and Technology, Tianjin 300222, China
2. Tianjin Key Laboratory of Integrated Design and Online Monitoring for Light Industry & Food Machinery and Equipment, Tianjin 300222, China

Received:2020-07-06 Revised:2021-06-11 Published:2021-07-25 Online:2021-07-28
Contact: ZHANG Jun-xia E-mail:zjx@tust.edu.cn
Supported by:
National Natural Science Foundation of China(50975204)

摘要/Abstract

摘要：

目的观察水平跨障肢体动作相关的步态特征,以优化跨障策略,降低跌倒风险。

方法 2019年9月,招募健康青年男性受试者15名,在实验路径中使用优势肢体和非优势肢体完成水平跨障任务,障碍宽0 cm、45 cm、55 cm和65 cm。使用红外摄像和生物力学测力台采集步态参数。

结果随着障碍物宽度增加,受试者步速更快,足跟到障碍物的距离(HOD)、足趾到障碍物的距离(TOD)更小,步幅更大,步长和跟随肢体的足趾间隙(TCt)更长。非优势肢体作为跨越肢体时,跟随肢体跨障速度较慢,TCt、步宽、步长和HOD较长。

结论在水平跨障过程中,跌倒风险随着障碍物宽度的增加而增大;为降低跌倒风险,建议以非优势肢体作为跨越肢体,并提高步幅、步长和TCt。

关键词: 跨越障碍, 跨越肢体, 优势肢体, 跌倒, 步态

Abstract:

Objective To observe the gait characteristics related to the horizontal obstacle crossing, to optimize obstacle crossing strategy to reduce the risk of falling.

Methods A total of 15 healthy young men were recruited in September, 2019, to complete horizontal obstacle crossing tasks (0 cm, 45 cm, 55 cm and 65 cm wide), with dominant and non-dominant limbs first on a specific experimental path. Gait parameters were collected with infrared camera and biomechanics force plate.

Results As the width of the obstacle increasing, the speed, stride length, step length and toe clearance of trailing limb (TCt) increased; while the heel-to-obstacle distance (HOD) and toe-to-obstacle distance (TOD) decreased. As the non-dominant limb crossing first, the speed of following step was slower, and the TCt, step width, step length and HOD increased.

Conclusion The risk of falling increases with the width of the obstacle during horizontal obstacle crossing. It is recommended to use non-dominant limbs leading crossing, and increase stride length, step length and TCt to reduce the risk of falling.

Key words: obstacle crossing, leading limb, dominant limb, fall, gait

中图分类号:

G804.2

张峻霞,邵洋洋,王喆豪,杨芳. 跨越水平障碍物时的步态特征[J]. 《中国康复理论与实践》, 2021, 27(7): 745-750.

ZHANG Jun-xia,SHAO Yang-yang,WANG Zhe-hao,YANG Fang. Gait Characteristics during Horizontal Obstacle Crossing[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 745-750.

图/表 4

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表2

表3

表4

参考文献 43

[1]	BURNS E R, STEVENS J A, LEE R. The direct costs of fatal and non-fatal falls among older adults: United States[J]. J Safety Res, 2016, 58:99-103. doi: 10.1016/j.jsr.2016.05.001
[2]	STEVENS J A, RUDD R A. Circumstances and contributing causes of fall deaths among persons aged 65 and older: United States, 2010[J]. J Am Geriatr Soc, 2014, 62(3):470-475. doi: 10.1111/jgs.12702
[3]	KHRAIEF C, BENZARTI F, AMIRI H. Elderly fall detection based on multi-stream deep convolutional networks[J]. Multimed Tools Appl, 2020, 79:19537-19560. doi: 10.1007/s11042-020-08812-x
[4]	CHOI B S, SONG S M. Fully automated obstacle-crossing gaits for walking machines[J]. IEEE Trans Syst Man Cybern, 1988, 18(6):952-964. doi: 10.1109/21.23093
[5]	SUN J, WALTERS M, SVENSSON N, et al. The influence of surface slope on human gait characteristics: a study of urban pedestrians walking on an inclined surface[J]. Ergonomics, 1996, 39(4):677-692. doi: 10.1080/00140139608964489
[6]	KOWALSKI E, LI J X. Lower limb joint angles and ground reaction forces in forefoot strike and rearfoot strike runners during overground downhill and uphill running[J]. Sports Biomech, 2016, 15(4):497-512. doi: 10.1080/14763141.2016.1185458
[7]	沈一吉, 朱迪, 陈舒, 等. 斜坡下减重步行训练对脑卒中后患者步态的疗效[J]. 中国康复理论与实践, 2018, 24(7):839-842.
	SHEN Y J, ZHU D, CHEN S, et al. Effect of body weight support treadmill training on slope on gait of patients after stroke[J]. Chin J Rehabil Theory Pract, 2018, 24(7):839-842.
[8]	SONG Q, SUN W, ZHANG C, et al. Effects of a dual-task paradigm and gait velocity on dynamic gait stability during stair descent[J]. Appl Sci, 2020, 10(6):1979-1989. doi: 10.3390/app10061979
[9]	张峻霞, 蔡运红, 窦树斐. 楼梯行走足底压力与表面肌电参数研究[J]. 医用生物力学, 2018, 33(1):42-47.
	ZHANG J X, CAI Y H, DOU S F. Plantar pressure and surface EMG parameters during stair walking[J]. J Med Biomech, 2018, 33(1):42-47.
[10]	张峻霞, 窦树斐, 苏海龙, 等. 上、下楼梯步态参数变化特征研究[J]. 医用生物力学, 2016, 31(3):266-271.
	ZHANG J X, DOU S F, SU H L, et al. Variation characteristics of gait parameters during stair ascent and descent[J]. J Med Biomech, 2016, 31(3):266-271.
[11]	YANG F, ZHANG J X, WAYNE G, et al. The influence of different weight carrying methods on human gait and balance during obstacle negotiation[J]. Proc Hum Factors Ergon Soc Annu Meet, 2019, 63(1):32-36.
[12]	SPARROW W A, SHINKFIELD A J, CHOW S, et al. Characteristics of gait in stepping over obstacles[J]. Hum Mov Sci, 1996, 15(4):605-622. doi: 10.1016/0167-9457(96)00022-X
[13]	YI G F, WANG X T, ZHANG J X, et al. The effect of external weight distribution on muscle activation pattern during obstacle negotiation for male participants[J]. Proc Hum Factors Ergon Soc Annu Meet, 2019, 63(1):37-41.
[14]	HEIJNEN M J H, RIETDYK S. Failures in adaptive locomotion: trial-and-error exploration to determine adequate foot elevation over obstacles[J]. Exp Brain Res, 2018, 236(1):187-194. doi: 10.1007/s00221-017-5117-y
[15]	ORCIOLI-SILVA D, BARBIERI F A, DOS SANTOS P C R, et al. Double obstacles increase gait asymmetry during obstacle crossing in people with Parkinson's disease and healthy older adults: a pilot study[J]. Sci Rep, 2020, 10(9):1205-1212. doi: 10.1038/s41598-020-58254-6
[16]	SADEGHI H, ALLARD P, PRINCE F, et al. Symmetry and limb dominance in able-bodied gait: a review[J]. Gait Posture, 2000, 12(1):34-45. doi: 10.1016/S0966-6362(00)00070-9
[17]	KIM S, LOCKHART T. Gait asymmetry: factors influencing slip severity and tendency among older adults[J]. Proc Hum Factors Ergon Soc Annu Meet, 2006, 50(13):1332-1335.
[18]	叶家驰, 程瑞. 高水平羽毛球运动员单腿力量与爆发力特征的研究[J]. 中国学校体育(高等教育), 2018, 5(11):64-68.
	YE J C, CHENG R. Research on strength of single leg and explosive force of high level badminton players[J]. Chin School Phys Educ (High Educ), 2018, 5(11):64-68.
[19]	王聪, 王磊, 马森. 羽毛球运动员髋关节伸肌及外展肌肌力特征研究[J]. 文体用品与科技, 2019(7):219-220.
	WANG C, WANG L, MA S. Study on muscle strength characteristics of hip extensor and abductor in badminton players[J]. Sci Technol Stationary Sport Goods, 2019(7):219-220.
[20]	霍春悦. 对不同速度迈步过程中优势腿与非优势腿差异性的研究[D]. 天津:天津体育学院, 2019.
	HUO C Y. Study on the difference between the dominant and non-dominant legs during step initiation at different speeds[D]. Tianjin: Tianjin University of Sport, 2019.
[21]	李国一, 杨文波. 羽毛球运动对青少年优势侧与非优势侧身体形态差异的影响及变化规律研究[J]. 中国学校体育(高等教育), 2016, 3(2):79-85, 92.
	LI G Y, YANG W B. The study of influence and rules of badminton on teenagers' advantage and disadvantage of side body[J]. Chin School Phys Educ (High Educ), 2016, 3(2):79-85, 92.
[22]	DE VITA P, HONG D, HAMILL J. Effects of asymmetric load carrying on the biomechanics of walking[J]. J Biomech, 1991, 24(12): 1119-1129. correct 1992, 25(4):467. doi: 10.1016/0021-9290(92)90268-6
[23]	STEFANYSHYN D J, ENGSBERG J R. Right to left differences in the ankle joint complex range of motion[J]. Med Sci Sports Exerc, 1994, 26(5):551-555.
[24]	毛晓锟, 张秋霞, 王国栋, 等. 优势侧和非优势侧跑步支撑期的生物力学偏侧性研究[J]. 首都体育学院学报, 2017, 29(1):91-96.
	MAO X K, ZHANG Q X, WANG G D, et al. Biomechanical laterality effect between dominant and non-dominant during running support phase[J]. J Capital Univ Phys Educ Sports, 2017, 29(1):91-96.
[25]	王喆豪. 跨越水平方向障碍的步态及应用研究[D]. 天津:天津科技大学, 2018.
	WANG Z H. Study on gait and its application across horizontal obstacles[D]. Tianjin: Tianjin University of Science and Technology, 2018.
[26]	LEBLANC M, FERKRANUS H. Lower extremity joint kinematics of shod, barefoot, and simulated barefoot treadmill running[J]. Int J Exerc Sci, 2018, 11(1):717-729.
[27]	KUNIMUNE S, OKADA S. Contribution of vision and its age-related changes to postural stability in obstacle crossing during locomotion[J]. Gait Posture, 2019, 70:284-288. doi: 10.1016/j.gaitpost.2019.03.012
[28]	PATLA A E, RIETDYK S, MARTIN C, et al. Locomotor patterns of the leading and the trailing limbs as solid and fragile obstacles are stepped over: some insights into the role of vision during locomotion[J]. J Mot Behav, 1996, 28(1):35-47. doi: 10.1080/00222895.1996.9941731
[29]	CHEN H C, ASHTON-MILLER J A, ALEXANDER N B, et al. Stepping over obstacles: gait patterns of healthy young and old adults[J]. J Gerontol, 1991, 46(6):M196-M203. doi: 10.1093/geronj/46.6.M196
[30]	ENGLAND S A, GRANATA K P. The influence of gait speed on local dynamic stability of walking[J]. Gait Posture, 2007, 25(2):172-178. doi: 10.1016/j.gaitpost.2006.03.003
[31]	DINGWELL J B, MARIN L C. Kinematic variability and local dynamic stability of upper body motions when walking at different speeds[J]. J Biomech, 2006, 9(3):444-452.
[32]	KANG H G, DINGWELL J B. Effects of walking speed, strength and range of motion on gait stability in healthy older adults[J]. J Biomech, 2008, 41(14):2899-2905. doi: 10.1016/j.jbiomech.2008.08.002
[33]	HART S, GABBARD C. Examining the mobilizing feature of footedness[J]. Percept Mot Skills, 1998, 86(3 Pt 2):1339-1342. doi: 10.2466/pms.1998.86.3c.1339
[34]	PETERS M. Footedness: asymmetries in foot preference and skill and neuropsychological assessment of foot movement[J]. Psychol Bull, 1988, 103(2):179-192. doi: 10.1037/0033-2909.103.2.179
[35]	HIROKAWA S. Normal gait characteristics under temporal and distance constraints[J]. J Biomed Eng, 1989, 11(6):449-456. doi: 10.1016/0141-5425(89)90038-1
[36]	杨芳. 老年人负重跨障行走步态特征研究及应用[D]. 天津:天津科技大学, 2019.
	YANG F. Study and application of gait characteristics of elderly walking over obstacle with weight carrying[D]. Tianjin: Tianjin University of Science and Technology, 2019.
[37]	PAVOL M J, OWINGS T M, FOLEY K T, et al. Gait characteristics as risk factors for falling from trips induced in older adults[J]. J Gerontol A Biol Sci Med Sci, 1999, 54(11):M583-M590. doi: 10.1093/gerona/54.11.M583
[38]	CHOU L S, DRAGANICH L F. Placing the trailing foot closer to an obstacle reduces flexion of the hip, knee, and ankle to increase the risk of tripping[J]. J Biomech, 1998, 31(8):685-691. doi: 10.1016/S0021-9290(98)00081-5
[39]	MUIR B C, BODRATTI L A, MORRIS C E, et al. Gait characteristics during inadvertent obstacle contacts in young, middle-aged and older adults[J]. Gait Posture, 2020, 77:100-104. doi: 10.1016/j.gaitpost.2020.01.020
[40]	HEIJNEN M J, MUIR B C, RIETDYK S. Factors leading to obstacle contact during adaptive locomotion[J]. Exp Brain Res, 2012, 223(2):219-231. doi: 10.1007/s00221-012-3253-y
[41]	朱玲玲, 绳宇. 血管性轻度认知障碍老年人双重任务行走下步态参数特征与跌倒的关系[J]. 中国康复理论与实践, 2020, 26(4):467-471.
	ZHU L L, SHENG Y. Gait characteristics under dual-task condition and their relationship with fall among old patients with vascular mild cognitive impairment[J]. Chin J Rehabil Theory Pract, 2020, 26(4):467-471.
[42]	杨凤娇, 王芗斌, 侯美金, 等. 三维步态分析比较青年人与老年人双任务下步态特征的差异[J]. 中国组织工程研究, 2021, 25(3):344-349.
	YANG F J, WANG X B, HOU M J, et al. Comparison of gait characteristics between young and elderly people under dual tasks using three-dimensional gait analysis[J]. J Tissue Eng, 2021, 25(3):344-349.
[43]	刘红, 侯美金, 黄武杰, 等. 基于步态轮廓评分分析青年慢性非特异性腰痛患者的步态模式[J]. 中华物理医学与康复杂志, 2020, 42(3):232-238.
	LIU H, HOU M J, HUANG W J, et al. The gait patterns of youths with chronic nonspecific low back pain[J]. Chin J Phys Med Rehabil, 2020, 42(3):232-238.

参数	英文名称(缩写)	定义
步幅	stride length	足跟着地到同侧足跟再次着地的前进(Y轴)距离
步态周期	stride time	足跟着地到同侧足跟再次着地所需时间
步速	speed	步幅除以步态周期
步宽	step width	跨障时,跟随肢体足跟与跨越肢体足跟垂直前进方向(X轴) 上的距离
步长	step length	跨障时,跟随肢体足跟与跨越肢体足跟在前进方向上的距离
跨越肢体跨障速度	crossing speed of leading limb (CSl)	跨越肢体足趾离地到足跟着地期间,髂前上棘前进距离除以时间
跟随肢体跨障速度	crossing speed of trailing limb (CSt)	跟随肢体足趾离地到足跟着地期间,髂前上棘前进距离除以时间
跨越肢体足趾间隙	toe clearance of leading limb (TCl)	跨越肢体摆动阶段足趾到障碍物的最大距离
跟随肢体足趾间隙	toe clearance of trailing limb (TCt)	跟随肢体摆动阶段足趾到障碍物的最大距离
足趾至障碍物的距离	distance between toe and obstacle (TOD)	跟随肢体的足趾到障碍物前进方向距离
足跟至障碍物的距离	distance between heel and obstacle (HOD)	跨越肢体的足跟到障碍物前进方向距离

步态参数	0 cm	45 cm	55 cm	65 cm	F值	P值
步速(m/s)	1.03±0.07^A	1.08±0.15^B	1.12±0.12^C	1.19±0.11^D	207.5	< 0.001
CSl (m/s)	1.02±0.10^A	1.03±0.16^B	1.08±0.13^C	1.16±0.12^D	121.71	< 0.001
CSt (m/s)	1.02±0.09^A	1.17±0.16^B	1.24±0.13^C	1.31±0.13^D	469.21	< 0.001
步态周期(s)	120.58±7.72^A	139.07±20.83^B	140.58±13.85^B	138.65±14.81^B	222.75	< 0.001
步宽(mm)	68.94±29.16^A	66.42±33.15^A,B	67.18±33.15^B	64.75±37.40^B	4.54	0.004
步幅(mm)	1242.17±46.06^A	1470.87±61.52^B	1564.05±50.32^C	1640.85±60.07^D	2959.68	< 0.001
步长(mm)	619.02±63.38^A	777.25±55.41^B	858.37±30.24^C	926.69±53.71^D	1655.46	< 0.001
TCl (mm)	156.88±16.36^A	178.87±116.02^B	181.76±12.33^B	179.97±14.76^B	198.76	< 0.001
TCt (mm)	156.49±18.98^A	190.09±18.98^B	206.13±16.29^C	217.02±18.66^D	630.83	< 0.001
TOD (mm)	200.57±43.64^A	38.38±98.37^B	35.71±18.93^B	27.02±15.06^B	537.26	< 0.001
HOD (mm)	153.96±59.88^A	8.69±40.74^B	-2.03±30.24^B	-28.74±49.62^C	266.37	< 0.001

步态参数	非优势肢体	优势肢体	F值	P值
步速(m/s)	1.11±0.13	1.09±0.13	3.72	0.054
CSl (m/s)	1.09±0.13	1.05±0.15	40.98	< 0.001
CSt (m/s)	1.17±0.18	1.18±0.16	11.33	0.006
步态周期(s)	133.61±16.59	134.41±17.56	1.43	0.232
步宽(mm)	71.11±36.42	62.71±30.97	29.27	< 0.001
步幅(mm)	1474.28±163.49	1460.04±164.11	3.16	0.076
步长(mm)	799.05±121.5	773.15±135.75	36.53	< 0.001
TCl (mm)	171.87±19.25	175.11±17.34	21.65	< 0.001
TCt (mm)	193.39±29.14	187.72±30.31	15.47	< 0.001
TOD (mm)	74.64±104.60	83.78±80.75	0.01	0.983
HOD (mm)	57.23±111.19	36.09±92.23	25.96	< 0.001

跨越水平障碍物时的步态特征

Gait Characteristics during Horizontal Obstacle Crossing

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