Effects of the toe-only rocker on gait kinematics and kinetics in able-bodied persons.

Effects of the toe-only rocker on gait kinematics and kinetics in able-bodied persons.
复制标题

仅脚趾摇杆对健全人步态运动学和动力学的影响。

DOI:
10.1109/tnsre.2005.858460
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发表时间:
2005
期刊:
IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.
影响因子:
--
通讯作者:
Harris,GeraldF
Harris,GeraldF
中科院分区:
--
文献类型:
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作者:
VanBogart,JamesJ;Long,JasonT;Klein,JohnP;Wertsch,JacquelineJ;Janisse,DennisJ;Harris,GeraldF

文献摘要

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摇底鞋通常是处方糖尿病患者与麻木的脚。最近通过的治疗鞋法案已经吸引了更多的关注康复鞋的处方。这项工作的目的是调查的动态下肢关节(髋,膝,踝关节)与应用程序的脚趾只有摇杆唯一的鞋在受控的实验室条件下。四十(40)名正常成年人自愿使用受控基线和处方仅脚趾摇臂鞋底鞋进行步态分析。三维运动分析技术被用来获取运动学和动力学数据,使用六个摄像头的Vicon 370运动系统和两个AMTI力板。虽然从基线到仅脚趾摇杆观察到步频(增加)和步长(减少)的显著变化,但未观察到步行速度的显著变化。最显着的运动学变化与应用的脚趾只有鞋发生在踝关节和膝关节的矢状面在站立。最显着的动力学效果,观察在髋关节和膝关节在摆动阶段。在所有关节都观察到功率变化,主要是在终端站姿。这些运动学和动力学的变化,沿着先前研究的跖骨头减压效应,应有助于医疗专业人员处方预防性鞋类。
Rocker sole shoes are commonly prescribed to diabetic patients with insensate feet. Recent passage of the therapeutic shoe bill has drawn an increased focus on prescription of rehabilitative footwear. The purpose of this work is to investigate the dynamics of lower extremity joints (hip, knee, and ankle) with the application of a toe-only rocker sole shoe under controlled laboratory conditions. Forty (40) normal adults volunteered for gait analysis using controlled baseline and prescription toe-only rocker sole shoes. Three-dimensional motion analysis techniques were used to acquire kinematic and kinetic data using a six camera Vicon 370 motion system and two AMTI force plates. While significant changes from baseline to toe-only rocker were noted in cadence (increased) and stride length (decreased), no significant change in walking speed was observed. The most significant kinematic changes with the application of the toe-only shoe occurred at the ankle and knee in the sagittal plane during stance. The most significant kinetic effects were observed in the hip and knee during swing phase. Changes in power were noted at all joints, mostly in terminal stance. These kinematic and kinetic changes, along with previously studied effects of pressure relief at the metatarsal heads, should aid medical professionals in prescribing prophylactic footwear.