背包类型对大学生楼梯行走运动学和足底压力的影响
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山西省基础研究计划自由探索类项目(202103021224109),首批新文科研究与改革实践项目(2021050026),山西省回国留学人员科研资助项目(2020-032),山西省高等学校哲学社会科学研究项目(201801015),山西省研究生教育教学改革课题(2021YJJG067),太原理工大学学科建设经费


Effects of Backpack Types on Kinematics and Plantar Pressure in College Students During Stairs Walking
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    摘要:

    目的 分析不同背包类型和载荷对大学生上楼梯行走时运动学和足底压力的影响,为大学生选择合适的背包及携带方式提供参考。 方法 采用 Nokov 红外光点运动捕捉系统和 Podomed 足底压力测试系统分析 15 名男大学生上楼梯支撑期内躯干和下肢关节活动范围、峰值时刻下肢运动学参数、足底各分区压力峰值、接触时间、全足 最大压强、平均压强等参数的差异。 结果 5% BW 和 10% BW 背包载荷会减小躯干旋转活动范围( range of motionROM),增加踝关节屈伸和内外翻 ROM,10% BW 背包载荷下足底第 1、3 跖骨压力峰值和全足最大压强提升(P<0. 05)。 单肩包和手提包减小躯干侧倾和旋转 ROM,增大了踝关节屈伸 ROM、髋关节屈曲角、足弓和足跟内侧压力峰值(P<0. 05)。 双肩包负重增加足趾区的压力峰值(P<0. 05)。 结论 楼梯行走时,5% BW 和 10% BW 背包载荷均会限制躯干旋转,增加踝关节 ROM,10% BW 载荷还会增加足跖区的负荷。 单侧负重模式会使躯干向未负重侧倾斜以及向负重侧旋转。 携带双肩包时足趾处的压力较高,而单肩包和手提包主要集中增加足弓和足跟内侧压 力。 建议大学生群体选择对称性背包方案,同时合理分配背包重量避免导致足跖区的损伤。

    Abstract:

    Objective To analyze the influence of different backpack types and loads on kinematics and plantar pressure of college students during stair climbing, so as to provide references for choosing the appropriate backpack and carrying mode. Methods The Nokov infrared light point motion capture system and Podome plantar pressure system were used to analyze the differences in the range of motion ( ROM) of the trunk and lower limb joints, the kinematic parameters at the peak time, the peak pressure of each plantar partition, the contact time, the maximum pressure of the whole foot, the average pressure and the maximum contact area for 15 male college students during the support period of stair climbing. Results The 5% BW and 10% BW backpack loads reduced ROM of trunk rotation, increased ROM of ankle flexion/ extension and varus / valgus. The 10% BW backpack loads increased the peak pressure of the 1st and 3rd metatarsals bones and the maximum pressure of the whole foot ( P < 0. 05). Single-shoulder bag and handbag reduced ROM of trunk tilting and rotation, and increased ROM of ankle flexion and extension, hip flexion angle, peak pressure of foot arch and medial heel (P<0. 05). The double-shoulder bag loads increased peak pressure in the toe area (P<0. 05). Conclusions During walking on the stairs, the 5% BW and 10% BW backpack loads limited trunk rotation and increased ankle ROM. The 10% BW loads also increased the load in metatarsal area. The unilateral weight-bearing mode would make the trunk tilt to the unload side and rotate to the weight-bearing side. The pressure in toe area was higher when carrying double-shoulder bag, while single-shoulder bag and handbag mainly increased the pressure of arch foot and medial heel. It is suggested that college students choose symmetrical backpack scheme, and wisely allocate back weight to avoid the injury of foot area.

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闫可,刘艺辉,张泽毅,张美珍,武晓刚,陈维毅.背包类型对大学生楼梯行走运动学和足底压力的影响[J].医用生物力学,2023,38(3):580-586

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  • 收稿日期:2022-06-30
  • 最后修改日期:2022-07-15
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  • 在线发布日期: 2023-06-27
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