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  1. NTU Theses and Dissertations Repository
  2. 工學院
  3. 醫學工程學研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/46782
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor章良渭
dc.contributor.authorChih-Xhuan Wuen
dc.contributor.author吳誌軒zh_TW
dc.date.accessioned2021-06-15T05:41:27Z-
dc.date.available2010-03-10
dc.date.copyright2010-03-10
dc.date.issued2010
dc.date.submitted2010-02-22
dc.identifier.citation[1] DeVita P and Hortobagyi T. Age causes a redistribution of joint torques and pow-ers during gait. Journal of Applied Physiology 2000; 88: 1804–1811.
[2] Lewis C.L., Ferris D.P., Walking with increased ankle push-off decreases hip muscle moments, Journal of Biomechanics 2008; 41:2082–2089
[3] Riley PO, Croce UD, Kerrigan DC, Effect of age on lower extremity joint moment contributions to gait speed, Gait and Posture 2001; 14:264–270.
[4] Riley PO, Kerrigan DC, The effect of voluntary toe-walking on body propulsion, Clinical Biomechanics 2001; 16:681-87
[5] Siegel KL, Kepple TM, Stanhope SJ, Joint moment control of mechanical energy flow during normal gait, Gait and Posture 2004; 19: 69–75.
[6] Kepple TM, Siegel KL, Stanhope SJ, Relative contributions of the lower extremity joint moments to forward progression and support during gait, Gait &Posture 1997;6: 1–8.
[7] Meinders M, Gitter A, Czerniecki JM, The role of ankle plantar flexor muscle work during walking, Journal of Rehabilitation Medicine 1998;30: 39–46.
[8] Hof AL, Nauta J, van der Knaap ER, Schallig MAA, Struwe DP, Calf muscle work and segment energy changes in human treadmill walking, Journal of Elec-tromyogr Kinesiol 1993;2: 203–16.
[9]. Neptunea RR, Kautz SA, Zajaca FE, Contributions of the individual ankle plantar flexors to support, forward progression and swing initiation during walking,
Journal of Biomechanics 2001; 34: 1387–1398.
[10] Mcgibbon CA,Krebs DE,Puniello MS, Mechanical energy analysis identifies compensatory strategies in disabled elders, gait, Journal of Biomechanics 2001 ;34:481-90
[11] Mcgibbon CA,Krebs DE,Puniello MS, Mechanical energy transfer during gait in relation to strength impairment and pathology in elderly women, Clinical Biome-chanicals 2001;16:324-33.
[12] DC Kerrigan, MK Todd, U Della Croce, LA Lipsitz, Biomechanical gait altera-tions independent of speed in the healthy elderly: Evidence for specific limiting impairments, Archives of Physical Medicine and Rehabilitation 1998;79: 317 – 322
[13] Graf A, Judge J.O., Sylvia Ounpuu, Thelen D.G.,The Effect of Walking Speed on Lower-Extremity Joint Powers Among Elderly Adults Who Exhibit Low Physical Performance, Archives of Physical Medicine and Rehabilitation 2005;86: 2177 – 83
[14] McGibbon C.A., Krebs D.E. Discriminating age and disability effects in locomo-tion: neuromuscular adaptations in musculoskeletal pathology, Journal of Applied Physiology 2000; 96: 149–160.
[15] McGibbon Chris A., Krebs D.E., Effects of age and functional limitation on leg joint power and work during stance phase of gait, Journal of Rehabilitation Re-search and Development 1999; 36:00-00
[16] Bartonek A, Eriksson M, Gutierrez-Farewik EM.,A new carbon fibre spring or-thosis for children with plantarflexor weakness, Gait Posture 2007;25:652-6.
[17] Desloovere K, Molenaers G, Gestel LV, Huenaerts C, Campenhout AV, Calle-waert B, Patricia Van de Walle, Seyler J, How can push-off be preserved during use of an ankle foot orthosis in children with hemiplegia? A prospective controlled study, Gait & Posture 2006; 24(2): 142-151.
[18] Ochala J, Lambertz D, Pousson M, Goubel F, Jacques Van Hoecke, Changes in mechanical properties of human plantar flexor muscle in aging, Experimental Ger-ontology 2004 ;39: 349–358.
[19] Perry J, Gait analysis: normal and pathological function, Thorofare: Slack Inc., 1992.
[20] Bean JF, Kiely DK, Herman S, et al, The relationship between leg power and physical performance in mobility-limited older people, Journal of the American Geriatrics Society 2002;50: 461–467.
[21] Ferris DP, Gordon KE, Sawicki GS, An Ankle-Foot Orthosis Powered by Artifi-cial Pneumatic Muscles, Journal of Application Biomechanics 2005; 21: 189–197.
[22] Ferris DP, Gordon KE, Sawicki GS, An improved powered ankle–foot orthosis using proportional myoelectric control, Gait & Posture 2006;23: 425–428.
[23] Gordona KE, Sawickia GS , Ferris DP, Mechanical performance of artificial pneumatic muscles to power an ankle–foot orthosis, Journal of Biomechanics 2006;39:1832-1841.
[24] Norris JA, Marsh AP, Granata KP, Powered ankle-foot orthoses: efficiency at the expense of decreased stability, Journal of Biomechanics 2007; 40:S2.
[25] Norris JA, Granata KP, Mitros MR, Byrne EM, Marsh AP. Effect of augmented plantarflexion power on preferred walking speed and economy in young and older adults, Gait & Posture 2007; 25 : 620–627.
[26] Zoss AB, Kazerooni H, Chu A, Biomechanical Design of the Berkeley Lower Extremity Exoskeleton (BLEEX),IEEE/ASME TRANSACTIONS ON MECHA-TRONICS 2006 11(2) .
[27] Gregory S., Powered Lower Limb Orthoses: Applications in Motor Adaptation and Rehabilitation, Proceedings of the 2005 IEEE 9th International Conference on Rehabilitation Robotics.
[28] Gordon KE, Learning to walk with a robotic ankle exoskeleton,
Journal of Biomechanics 2007; 40:2636-2644.
[29] Madden, JD. et al, Artificial Muscle Technology: Physical Principles and Naval Prospects, IEEE journal of Oceanic Engineering 2004; 29706:728.
[30] Herr H, Kornbluh R, New horizons for orthotic and prosthetic technology: artifi-cial musclefor ambulation, Smart Structures and Materials 2004.
[31] Sungjae Hwang, Jungyoon Kim, Jinbock Yi1, Kisik Tae, Kihong Ryu, Youngho Kim, Development of an active ankle foot orthosis for the prevention of foot drop and toe drag, Intl. Conf. on Biomedical and Pharmaceutical Engineering 2006;418:423
[32] Kirtley C, The importance of ankle push-off in healthy and pathological gait, British journal of podiatry 2001;4:80-83.
[33] Murray MP, Guten GN et al. ,Function of the triceps surae during gait, The jour-nal of bone and surgery 1978; 60(4) :473-76 .
[34] Mueller MJ, Minor SD, Schaat JA, Strube MJ, Sahnnann SA, Relationship of Plantar-Flexor Peak Torque and dorsiflexion range of motion to kinetic variables during walking, Physical therapy 1995; 75(8):38-47.
[35] Kim CM, Eng JJ, The Relationship of Lower-Extremity Muscle Torque to Lo-comotor Performance in People With Stroke, Physical therapy 2003; 83(1):49-57.
[36] Symons TB, Vandervoort AA, Rice CL, Overend TJ, Marsh GD, Effects of maximal isometric and isokinetic resistance training on strength and functional mobility in older adults, Journal of Gerontology: MEDICAL SCIENCES 2005, 60(6) : 777–781.
[37] Winter DA, Patla AE, Frank JS, Walt SE, Biomechanical Walking Pattern Changes in the Fit and and healthy elderly, Physical Therapy 1990; 6:340-47
[38] Judge JO, Davis RB, Ounpuu S. Step length reductions in advanced age: the role of ankle and hip kinetics. Biological Sciences and Medical Sciences 1996; 51(6): M303-M312.
[38] Guo LY, Su FC, Wu HW, An KN, Mechanical energy and power flow of the upper extremity in manual wheelchair propulsion, Clinical Biomechanics 2003;18:106-114
[39] Winter DA, Roberson DGE, Joint toque and energy patterns in normal walking, Biology Cybernetics 1978; 29:137-142
[40] Sadeghi H , Sadeghi S , Princ F, Allard Paul , Labelle Hubert , Vaughan CL. , Function roles of ankle and hip sagittal muscle moment in able-bodied gait 2001 ;16:688-695
[41] Ortega JD, Farley CT., Individual limb work does not explain the greater meta-bolic cost of walking in elderly adults, Journal of Applied Physiology 2007; 102:2266-2273
[42] Riley PO., Croce UD, Kerrigan DC, Propulsive adaptation to changing gait speed, Journal of Biomechanics 2001;34: 197-202
[43] Mcgibbon CA, Krebs DE, Scarborough DM, Rehabilitation effects on compen-satory gait mechanics in people with arthritis and strength impairment, Arthritis & Rheumatism (Arthritis Care & Research)2003;49(2): 248–254
[44] Christiansen CL, The effect of hip and ankle stretching on gait function of elder people, Archives of Physical Medicine and Rehabilitation 2008;89: 1421 – 28
[45] McGibbon CA. Krebs DE., The influence of segment endpoint kinematics on segmental power calculations, Gait and Posture 1998; 7: 237–242
[46] Siegel KL, Kepple TM, Caldwell GE, Improved agreement of foot segment power and rate of energy during gait: inclusion of distal power terms and use of three-dimensional models,Journal of Biomechanics 1996;29(6):823-27
[47] Deluzio KJ, Asteohen JL, Biomechanical feacture of gait waveform data asso-ciated with knee osteoarthritis An application of principle component, Gait & posture 2007;25:86-93
[48] Munize AMS,Nadal J, Application of principle component analysis in vertical ground reaction force to discriminate normal and abnormal gait, Gait & posture 2008;29:31-35
[49] Daffertshofer A et al, PCA in studying coordination and variability: a tutorial, Clinical Biomechanics 2004; 19:415–428
[50] Sutherland D.H., Cooper L., Daniel D., The role of the ankle plantar flexors in normal walking. Journal of Bone and Joint Surgery 1980; 62 (3): 354–363.
[51] Sadeghi H , Sadeghi S , Princ F, Labellb H, Principal component analysis of power developed inflexion/extension muscles of hip in able-bodied gait 2001 ;16:688-695
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/46782-
dc.description.abstract本研究的目的是利用能量的觀點來檢視在步行時人體的控制策略與能量分布,並比較老年人與年輕人在步行時能量分布型態的不同。進一步分析下肢能量的協調性與因老化而產生的代償作用對步態的影響。
利用主成分分析法與能量流的概念,來達到簡化變數的目的。研究結果顯示,老年人有較低的踝關節能量(Ankle power),並同時有膝關節與髖關節的關節能量提高(knee and Hip power),此一現象表示老年人運用較多的近端肌肉來達到代償的目的。然而此種代償作用,是由於下肢能量分布不均的結果。大腿肢段機械能變化與分布明顯的不同於年輕受試者,造成髖關節與膝關節肌肉必須去調適這樣的代償作用,因此形成與年輕人截然不同的能量流動型態。
總結而言,老年人因踝關節肌力下降的原因,造成其他關節的代償作用,會改變整體的步態表現,其中又以髖關節為最明顯,這樣的表徵也許表露出老年人在步行時的策略會朝向比較安全的方式而不是達到比較快的速度。
zh_TW
dc.description.abstractObjective: The aim of this study is to investigate lower limb energy transfer, changes in joint coordination and compensation that elders adopt due to aging.
Design: Experimental, principal component analysis (PCA) and mechanical energy model
Participants: 11 healthy young adults and 11 healthy elders
Setting: Rehabilitation Engineering Research Center with instrumented gait laboratory.
Main outcome measures:
Temporal-spatial parameters and kinematic and kinetic parameters including joint angles, joint moment, joint power and segmental power were calculated.
Results:
Elder subjects showed reduced peak ankle power generation, more knee power ab-sorption and more hip flexor power as compared to young subjects. It indicates that weak plantar-flexors in the elder population generate lesser power for locomotion .While at fast speed, elders generate more hip concentric power than at self-selected speed reveals a hip strategy they adopt.
Conclusion:
Decreased ankle power in elders induces compensation of other muscular. It results in energy distributing abnormally thus evokes hip flexor and knee extensor simultaneously act to balance energy on lower extremity. Lower thigh segment energy due to insuffi-cient ankle power also need more hip flexor power for larger stride length. Elders also produced lesser power from transverse and frontal plane it potentially indicates more instable in gait.
en
dc.description.provenanceMade available in DSpace on 2021-06-15T05:41:27Z (GMT). No. of bitstreams: 1
ntu-99-R96548036-1.pdf: 1243792 bytes, checksum: 5a44530fa6b8b2084842020444ce6c8a (MD5)
Previous issue date: 2010
en
dc.description.tableofcontentsAbstract I
中文摘要 III
Catalog IV
Figures VI
Tables VII
Chapter 1.Introduction 1
1.1Background 1
1.2 Research motivation 2
1.3 Literature review 4
1.3.1 Ankle motion during gait 4
1.3.2 Role of plantarflexor during gait 5
1.3.3 Changes in locomotion due to ankle joint dysfunction 9
1.3.4 Joint kinematics and kinetics alternation with age 11
1.3.5 Energy analysis of lower extremity 13
1.3.6 Principal component analysis application in gait 17
1.4 Summary 18
1.5 Objectives and Hypotheses 19
Chapter 2.Materials and Methods 20
2.1 Design and Subjects 20
2.2 Materials 22
2.3 Procedure 25
2.4 Data analysis 26
2.4.1 Joint coordinate system 26
2.4.2 Temporal spatial parameters 27
2.4.3 Kinematic data analysis 27
2.4.4 Kinetic data analysis 27
2.5 Statistics 32
2.5.1 PCA Model 1 33
2.5.2 PCA Model 2 35
Chapter 3 Results 37
3.1 Spatiotemporal variables 37
3.2 Joint kinetics 38
3.3 Power coordination 60
3.4 Energy flow analysis 73
Chapter 4 Discussion 90
4.1 Joint power performance between groups 90
4.2 Role of ankle joint 95
4.3 Walking strategies of elders 97
Chapter 5 Conclusion and Future work 99
5.1 Conclusion 99
5.2 Limitations and future work 99
Reference: 100
Appendix 108
dc.language.isoen
dc.subject能量流zh_TW
dc.subject步態分析zh_TW
dc.subject老年人zh_TW
dc.subject主成分分析zh_TW
dc.subject逆動力學zh_TW
dc.subjectInverse dynamicsen
dc.subjectGait analysisen
dc.subjectEldersen
dc.subjectEnergy flowen
dc.subjectPCAen
dc.title老年人步行策略與下肢能量流動的型態zh_TW
dc.titleWalking strategies and power flow patterns in eldersen
dc.typeThesis
dc.date.schoolyear99-1
dc.description.degree碩士
dc.contributor.oralexamcommittee楊世偉,王瑞瑤,謝正宜
dc.subject.keyword能量流,老年人,步態分析,主成分分析,逆動力學,zh_TW
dc.subject.keywordEnergy flow,Elders,Gait analysis,PCA,Inverse dynamics,en
dc.relation.page109
dc.rights.note有償授權
dc.date.accepted2010-02-22
dc.contributor.author-college工學院zh_TW
dc.contributor.author-dept醫學工程學研究所zh_TW
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