PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Tytuł artykułu

Biomechanical evaluation of swing-through crutch gait in patients with lower extremity injury

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The main purpose was to determine the values of spatio-temporal parameters and ground reaction forces during the swingthrough crutch gait. Methods: Eighteen male patients with unilateral injury within the foot, ankle or shank (age: 25.4 ± 7.7 years, body height: 1.79 ± 0.06 m, body mass: 76.1 ± 11.5 kg) participated in the study. In the experiment, 6-camera optoelectronic motion capture system and force platform were used. The measurements of spatio-temporal parameters and ground reaction force (GRF) were performed for uninjured lower extremity (ULE), crutch on the ULE side (CrU) and crutch on the injured lower extremity side (CrI). Results: Analysis demonstrated a significantly longer stance phase and a significantly shorter swing phase for ULE than crutches ( p < 0.05), and a significantly longer first, compared to the second, double support phase ( p < 0.05). Comparisons showed also significantly higher maximum values of the vertical GRF and extreme values of the horizontal antero-posterior GRF for ULE than crutches ( p < 0.05) as well as for CrI than CrU ( p < 0.05). Conclusions: The present study provides biomechanical data related to the spatio-temporal parameters and GRFs for the swing-through crutch gait in patients with the lower extremity injuries.
Rocznik
Strony
111--117
Opis fizyczny
Bibliogr. 22 poz., tab., wykr.
Twórcy
  • Department of Biomechanics, Poznan University of Physical Education, Poznań, Poland
  • Department of Biomechanics, Poznan University of Physical Education, Poznań, Poland
  • Department of Biomechanics, Poznan University of Physical Education, Poznań, Poland
  • Department of Biomechanics, Poznan University of Physical Education, Poznań, Poland
  • Kinesiology Lab, The Children’s Memorial Health Institute, Warsaw, Poland
  • The President Stanisław Wojciechowski State University of Applied Sciences in Kalisz, Kalisz, Poland
Bibliografia
  • [1] BATENI H., MAKI B.E., Assistive devices for balance and mobility: benefits, demands and adverse consequences, Arch. Phys. Med. Rehabil., 2005, 86(1), 134–145.
  • [2] CARPENTIER C., FONT-LLAGUNES J.M., KÖVECSES J., Dynamics and energetics of impacts in crutch walking, J. Appl. Biomech., 2010, 26 (4), 473–483.
  • [3] DAVIS R.B., OUNPUU S., TYBURSKI D., GAGE J.R., A gait analysis data collection and reduction technique, Hum. Mov. Sci., 1991, 10 (5), 575–587.
  • [4] DWORAK L.B., RZEPNICKA A., MURAWA M., MACZYNSKI J., BUSZKO P., Swing-through gait from the perspective of biomechanics and kinesiology. Critical analysis of the current state of knowledge and the idea behind the research, Pol. Orthop. Traumatol., 2010, 75 (6), 392–398.
  • [5] FRYZOWICZ A., MURAWA M., KABACIŃSKI J., RZEPNICKA A., DWORAK L.B., Reference values of spatiotemporal parameters, joint angles, ground reaction forces, and plantar pressure distribution during normal gait in young women, Acta Bioeng. Biomech., 2018, 20 (1), 49–57.
  • [6] GOH J.C., TOH S.L., BOSE K., Biomechanical study on axillary crutches during single-leg swing-through gait, Prosthet. Orthot. Int., 1986, 10 (2), 89–95.
  • [7] KELLER T.S., WEISBERGER A.M., RAY J.L., HASAN S.S., SHIAVI R.G., SPENGLER D.M, Relationship between vertical ground reaction force and speed during walking, slow jogging, and running, Clin. Biomech., 1996, 11 (5), 253–259.
  • [8] MURAWA M., DWORAK L.B., KABACIŃSKI J., SYCZEWSKA M., RZEPNICKA A., Dynamic parameters of three-point crutch gait in female patients after total hip arthroplasty, Acta Bioeng. Biomech., 2016, 18 (2), 131–135.
  • [9] NOWOTNY-CZUPRYNA O., NOWOTNY J., SOŁTYS J., BRZĘK A., CZUPRYNA K., DABROWSKA J., Possibilities of one leg relief while walking on crutches, Physiotherapy, 2005, 13 (3), 48–56.
  • [10] ÖBERG T., KARSZNIA A., ÖBERG K., Joint angle parameters in gait: reference data for normal subjects, 10–79 years of age, J. Rehab. Res. Dev., 1994, 31 (3), 199–213.
  • [11] PERRY J., BURNFIELD J.M., Gait analysis: normal and pathological function, Slack Incorporated, 2010.
  • [12] REISMAN M., BURDETT R.G., SIMON S.R., NORKIN C., Elbow moment and forces at the hands during swing-through axillary crutch gait, Phys. Ther., 1985, 65 (5), 601–605.
  • [13] ROVICK J.S., CHILDRESS D.S., Pendular model of paraplegic swing-through crutch ambulation, J. Rehabil. Res. Dev., 1988, 25 (4), 1–16.
  • [14] SHOUP T.E., FLETCHER L.S., MERRILL B.R., Biomechanics of crutch locomotion, J. Biomech., 1974, 7 (1), 11–19.
  • [15] SIMONEAU G.G., Kinesiology of waking, [in:] D.A. Neumann (Ed.), Kinesiology of the musculoskeletal system: foundations for rehabilitation, Mosby/Elsevier, 2010.
  • [16] SLAVENS B.A., STURM P.F., HARRIS G.F., Upper extremity inverse dynamics model for crutch-assisted gait assessment, J. Biomech., 2010, 43 (10), 2026–2031.
  • [17] STALLARD J., DOUNIS E., MAJOR R.E., ROSE G.K., One leg swing-through gait using two crutches, Acta Orthop. Scand., 1980, 51 (1), 71–77.
  • [18] THYS H., WILLEMS P.A., SAELS P., Energy cost, mechanical work and muscular efficiency in swing-through gait with elbow crutches, J. Biomech., 1996, 29 (11), 1473–1482.
  • [19] VAUGHAN C., DAVIS B., O’CONNOR J., Dynamics of human gait, Kiboho Publishers, 1992.
  • [20] WATERS R.L., MULROY S., The energy expenditure of normal and pathologic gait, Gait Posture, 1999, 9 (3), 207 –231.
  • [21] WESTERHOFF P., GRAICHEN F., BENDER A., HALDER A., BEIER A., ROHLMANN A., BERGMANN G., In vivo measurement of shoulder joint loads during walking with crutches, Clin. Biomech., 2012, 27 (7), 711–718.
  • [22] WINTER D.A., Biomechanics and motor control of human gait: normal, elderly and pathological, University of Waterloo Press, 1991.
Uwagi
Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2020).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-7a427137-e341-4dfe-ad91-83381adc6f6f
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.