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정상인의 내림 경사로 보행 시 경사각에 따른 하지 관절의 삼차원적 동작 분석
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  • 정상인의 내림 경사로 보행 시 경사각에 따른 하지 관절의 삼차원적 동작 분석
저자명
한진태,김식현,배성수,Han. Jin-Tae,Kim. Sik-Hyun,Bae. Sung-Soo
간행물명
한국전문물리치료학회지
권/호정보
2006년|13권 2호|pp.16-25 (10 pages)
발행정보
한국전문물리치료학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

The aim of this study was to investigate the kinematics of young adults during descent ramp climbing at different inclinations. Twenty-three subjects descended four steps at four different inclinations (level, $-8^{circ}$, $-16^{circ}$, $-24^{circ}$). The 3-D kinematics were measured by a camera-based Falcon System. The data were analyzed using one-way ANOVA and the Student-Newman-Keuls test. The kinematics of descent ramp walking could be clearly distinguished from the kinematics of level walking. On a sagittal plane, the ankle joint was more plantar flexed at initial contact with $-16^{circ}/-24^{circ}$ inclination, was decreased in the toe off position with all inclinations (p<.001),and was decreased at maximum plantar flexion during the swing phase (p<.001). The knee joint was more flexed at initial contact with the $-24^{circ}$ inclination (p<.001), was more flexed in the toe off position with all inclinations (p<.001), and was more flexed at minimum flexion during stance phase and at maximum flexion during swing phase with $-16^{circ}$, $-24^{circ}$ inclination (p<.001). The hip joint was more flexed in the toe off position with $-16^{circ}$, $-24^{circ}$ inclination and was deceased at maximum extension during stance phase with $-16^{circ}$, $-24^{circ}$ inclination (p<.05). In the frontal plane, the ankle joint was more everted at maximum eversion during stance phase with $-16^{circ}/-24^{circ}$ inclination (p<.01) and was decreased at maximum inversion during swing phase with $-16^{circ}$, $-24^{circ}$ inclination (p<.01). The knee joint was more increased at maximum varus during stance phase with $-16^{circ}/-24^{circ}$ inclination (p<.001). The hip joint was deceased at maximum adduction during stance phase with $-24^{circ}$ inclination (p<.05). In a horizontal plane, only the knee joint was increased at maximum internal rotation during stance phase with $-24^{circ}$ inclination (p<.05). In descent ramp walking, the different gait patterns occurred at an inclination of over $16^{circ}$ on the descending ramp in the sagittal and frontal planes. These results suggest that there is a certain inclination angle or angular range where subjects do switch between level walking and descent ramp walking gait patterns.