PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Tytuł artykułu

The effect of leg length inequality on joint contact forces of lower limbs during walking

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of this study was to examine the joint contact forces (JCF) between each limb as the LLD magnitude increases during walking activity. Methods: Eighteen male healthy subjects volunteered to participate in the experiment. Walking gait analysis was conducted with eight different levels of insole to simulate the LLD, starting from 0 cm until 4.0 cm with 0.5 cm increment. Qualisys Track Manager System and C-motion Visual 3D biomechanical tools were used to analyse the results. Four joints (ankle, knee, hip, and pelvis) of lower limb of two legs were investigated. The increment of insoles was placed on the right leg to represent the long leg. Results: The results suggest that the mean contact forces for all joints in the short leg were increased as the increment level increased. On the contrary, the mean contact forces in the long leg decreased when the LLD level increased. Among these four joints, JCF in hip shows a positive increment based on the ASI value. Means that hip shows the most affected joint as the LLD level increase. Conclusions: The result obtained in this study might help clinicians treat patients with a structural LLD for treatment plan including surgical intervention.
Rocznik
Strony
55--62
Opis fizyczny
Bibliogr. 28 poz., rys., tab., wykr.
Twórcy
  • Biomechanics and Biomaterials Research Group, School of Mechatronic Engineering, Universiti Malaysia Perlis, Perlis, Malaysia
  • Biomechanics and Biomaterials Research Group, School of Mechatronic Engineering, Universiti Malaysia Perlis, Perlis, Malaysia
  • Biomechanics and Biomaterials Research Group, School of Mechatronic Engineering, Universiti Malaysia Perlis, Perlis, Malaysia
  • Biomechanics and Biomaterials Research Group, School of Mechatronic Engineering, Universiti Malaysia Perlis, Perlis, Malaysia
  • Department of Orthopaedics, School of Medical Science, Universiti Sains Malaysia, Kelantan, Malaysia
Bibliografia
  • [1] WRETENBERG P., HUGO A., BROSTRÖM E., Hip joint load in relation to leg length discrepancy, Med. Devices Evid. Res., 2008, Vol. 1, No. 1, 13–18.
  • [2] GURNEY B., Leg length discrepancy, Gait Posture, 2002, Vol. 15, No. 2, 195–206.
  • [3] PERTTUNEN J.R., ANTTILA E., SÖDERGÅRD J., MERIKANTO J., KOMI P.V., Gait asymmetry in patients with limb length discrepancy, Scand. J. Med. Sci. Sport., 2004, Vol. 14, No. 1, 49–56.
  • [4] O’TOOLE G.C., MAKWANA N.K., LUNN J., HARTY J., STEPHENS M.M., The effect of leg length discrepancy on foot loading patterns and contact times, Foot Ankle Int., 2003, Vol. 24, No. 3, 256–9.
  • [5] RACZKOWSKI J.W., DANISZEWSKA B., ZOLYNSKI K., Functional scoliosis caused by leg length discrepancy, Arch. Med. Sci., 2010, Vol. 6, No. 3, 393–398.
  • [6] WÜNNEMANN M., KLEIN D., ROSENBAUM D., Effects of the Twin Shoe (Darco) to compensate height differences in normal gait, Gait Posture, 2011, Vol. 33, No. 1, 61–65.
  • [7] MURRAY K.J. et al., Association of Mild Leg Length Discrepancy and Degenerative Changes in the Hip Joint and Lumbar Spine, J. Manipulative Physiol. Ther., 2017, Vol. 40, No. 5, 320–329.
  • [8] SCHUIT D., ADRIAN M., PIDCOE P., Effect of heel lifts on ground reaction force patterns in subjects with structural leg-length discrepancies, Phys. Ther., 1989, Vol. 69, No. 8, 663–670.
  • [9] WHITE S.C., GILCHRIST L.A., WILK B.E., Asymmetric limb loading with true or simulated leg-length differences, Clin. Orthop. Relat. Res., 2004, No. 421, 287–292.
  • [10] NEEDHAM R., CHOCKALINGAM N., DUNNING D., HEALY A., AHMED E.B., WARD A., The effect of leg length discrepancy on pelvis and spine kinematics during gait, Stud. Health Technol. Inform., 2012, Vol. 176, 104–107.
  • [11] RESENDE R.A., KIRKWOOD R.N., DELUZIO K.J., HASSAN E.A., FONSECA S.T., Mild leg length discrepancy affects lower limbs, pelvis and trunk biomechanics of individuals with knee osteoarthritis during gait, Clin. Biomech., 2016, Vol. 38, 1–7.
  • [12] CUMMING K.B.G., SCHOLZ J.P., The effect of imposed leg length difference on pelvic bone symmetry, Spine (Phila. Pa. 1976), 1993, Vol. 18, No. 3, 368–373.
  • [13] BEAUDOIN L., ZABJEK K.F., LEROUX M.A., COILLARD C., RIVARD C.H., Acute systematic and variable postural adaptations induced by an orthopaedic, shoe lift in control subjects, Eur. Spine J., 1999, Vol. 8, No. 1, 40–45.
  • [14] YOUNG R.S., ANDREW P.D., CUMMINGS G.S., Effect of simulating leg length inequality on pelvic torsion and trunk mobility, Gait Posture, 2000, Vol. 11, No. 3, 217–223.
  • [15] KIRKWOOD R., GOMES H., SAMPAIO R., CULHAM E., COSTIGAN P., Biomechanical analysis of hip and knee joints during gait in elderly subjects, Acta Ortopédica Bras., 2007, Vol. 15, No. 5, 267–271.
  • [16] LI J. et al., Unilateral total hip replacement patients with symptomatic leg length inequality have abnormal hip biomechanics during walking, Clin. Biomech., 2015, Vol. 30, No. 5, 513–519.
  • [17] WALSH M., CONNOLLY P., JENKINSON A., O’BRIEN T., Leg length discrepancy - An experimental study of contemporary changes in three dimensions using gait analysis, Gait Posture, 2000, Vol. 12, 156–161.
  • [18] OTHMAN N.F., BASARUDDIN K.S., SOM M.H.M., SALLEH A.F., SAKERAN H., DAUD R., Effect of Leg Length Discrepancy on Joint Contact Force during Gait Using Motion Tracking System: A Pilot Test, J. Telecommun. Electron. Comput. Eng., 2018, Vol. 10, No. 1, 125–129.
  • [19] KARAMANIDIS K., ARAMPATZIS A., BRÜGGEMANN G.P., Symmetry and reproducibility of kinematic parameters during various running techniques, Med. Sci. Sports Exerc., 2003, Vol. 35, No. 6, 1009–1016.
  • [20] PEREIRA C.S., SACCO C.M., Is structural and mild leg length discrepancy enough to cause a kinetic change in runners’ gait?, Acta Ortop. Bras., 2008, Vol. 16, 28–31.
  • [21] SWAMINATHAN V., CARTWRIGHT-TERRY M., MOOREHEAD J.D., BOWEY A., SCOTT S.J., The effect of leg length discrepancy upon load distribution in the static phase (standing), Gait Posture, 2014, Vol. 40, No. 4, 561–563.
  • [22] VARADY P.A., GLITSCH U., AUGAT P., Loads in the hip joint during physically demanding occupational tasks: A motion analysis study, J. Biomech., 2015, Vol. 48, No. 12, 3227–3233.
  • [23] MONK A.P., VAN OLDENRIJK J., RILEY N.D., GILL R.H.S., MURRAY D.W., Biomechanics of the lower limb, Surg. (United Kingdom), 2016, Vol. 34, No. 9, 427–435.
  • [24] HARVEY W.F., YANG M., COOKE T.D.V., SEGAL N., LANE N., LEWIS C.E., FELSON D.T., Associations of leg length inequality with prevalent, incident, and progressive knee Osteoarthritis: A cohort study, Ann. Intern. Med., 2010, Vol. 152, No. 5, 287–295.
  • [25] RESENDE R.A., DELUZIO K.J., KIRKWOOD R.N., HASSAN E.A., FONSECA S.T., Increased unilateral foot pronation affects lower limbs and pelvic biomechanics during walking, Gait Posture, 2015, Vol. 41, No. 2, 395–401.
  • [26] MORSCHER E., Etiology and pathophysiology of leg length discrepancies, Prog. Orthop. Surg., No. 1, 9–19.
  • [27] BERGMANN G., GRAICHEN F., Hip joint loading during walking and running, J. Biomech., 1993, Vol. 26, No. 8, 969–990.
  • [28] BERGMANN G. et al., Hip forces and gait patterns from rountine activities, J. Biomech., 2001, Vol. 34, 859–871.
Uwagi
This study was supported by Ministry of Higher Education, Malaysia under Fundamental Research Grant Scheme (FRGS/1/2016/TK03/UNIMAP/02/5)
).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-f87685ab-bb75-43d0-8269-77a95fe3252d
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.