小学阶段超重/肥胖儿童平地行走的运动学分析
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首都医科大学科研基金(自然类)(2013ZR09),北京市属高等学校高层次人才引进与培养计划项目(CIT&TCD201404177),北京市教育委员会科技计划重点项目(KZ201310025010),高等学校博士学科点专项科研基金(博导类)(20121107110018)


Kinematic analysis on gait of overweight and obese primary school children during level walking
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    摘要:

    目的 通过比较小学阶段超重/肥胖儿童和正常儿童平地行走时的运动学参数,探讨超重/肥胖对儿童步态的影响。方法 选取40名超重/肥胖儿童(年龄(9.6±1.72)岁;身高(142.16±12.19) cm;身体质量指数(BMI)(24.32±2.96) kg/m2)和50名正常体重儿童(年龄(10.26±0.72)岁;身高(139.0±7.50) cm; BMI(17.08±1.25) kg/m2)为研究对象,受试者赤足以自己感觉舒适的常速自然行走在长10 m的跑道,共3次;使用常速摄像机进行平面定点拍摄,采集他们平地自然行走时的图像,通过视迅录像解析系统获得步长、下肢关节角度等运动学指标;数据采用SPSS 16.0进行统计学处理,受试者各项指标左右侧的比较采用配对t检验,两组儿童的各项指标比较采用独立样本t检验,P<0.05表示结果有显著性差异。结果 (1)对于相对步长,超重/肥胖儿童(0.44±0.001)与正常儿童显著不同(0.45±0.001)(P<0.05)。(2)足跟着地阶段,左髋及左、右膝在矢状面上的角度,超重/肥胖儿童(左髋(165.36±5.29)°,左膝(178.82±5.51)°,右膝(177.84±5.25)°)与正常儿童(左髋(161.99±4.28)°,左膝(174.67±4.91)°,右膝(174.67±4.91)°)显著不同(P<0.05);足跟蹬伸阶段,矢状面上的左踝关节角,超重/肥胖儿童((121.73±8.03)°)与正常儿童((118.44±6.70)°)显著不同(P<0.05)。结论 自然行走过程中,超重/肥胖儿童比正常儿童相对步长显著减小;足跟着地阶段,超重/肥胖儿童在矢状面上左髋和左右膝关节角显著大于正常儿童;足蹬伸阶段,超重/肥胖儿童在矢状面上的左踝关节角显著大于正常儿童。这些变化可能会对超重/肥胖儿童的下肢功能造成一定的影响。

    Abstract:

    Objective To investigate the effects of overweight and obesity on the gait of primary school children by comparing the kinematic parameters between overweight/obese children and normal weight children during level walking. Methods Forty overweight/obese children (age: (9.6±1.72) year; height: (142.16±12.19) cm; BMI: (24.32±2.96) kg/m2) and 50 normal weight healthy children (age: (10.26±0.72) year; height: (139.0±7.50) cm; BMI: (17.08±1.25) kg/m2) were recruited as the subjects. All of the subjects completed 3 walking trials at preferred speed along a 10 m walkway with barefoot. A digital video camera was used to record these subjects’ level walking images, and their gait parameters, such as step length, stride length and joint angle of the lower extremity, were obtained through Shixun motion analysis system. SPSS 16.0 was used for data analysis. A paired t-test was used to assess differences of all the variables between lefe side and right side for the subjects. An independent t-test was used to assess differences of all the variables between the overweight/obese and normal weight children. Statistical significance was defined as P<0.05. Results (1) There were significant differences between overweight/obese children ((0.44±0.001)) and normal weight children ((0.45±0.001)) for relative step length (P<0.05). (2) There were significant differences in left hip and knee joint angle in the frontal plane between overweight/obese children (left hip angle: (165.36±5.29)°, left knee angle: (178.82±5.51)°, right knee angle: (177.84±5.25)°) and normal weight children (left hip angle: (161.99±4.28)°, left knee angle: (174.67±4.91)°, right knee angle: (174.67±4.91)°) during heel strike phase (P<0.05). Significant differences were found in the left ankle joint angle of the frontal plane during toe off phase between overweight/obese children((121.73±8.03)°) and normal weight children((118.44±6.70)°)(P<0.05). Conclusions Relative step length of overweight/obese children was significantly smaller than that of normal weight children during level walking. The left hip and knee joint angle in the frontal plane of overweight/obese children during heel strike phase were significantly larger than those of normal weight children. The left ankle joint angle in the frontal plane of overweight/obese children during toe off phase was significantly larger than that of normal weight children. These differences may affect the function of the lower extremity in overweight/obese children.

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闫松华,周兴龙,党德华,梁秀桥,张宽.小学阶段超重/肥胖儿童平地行走的运动学分析[J].医用生物力学,2014,29(6):548-553

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  • 收稿日期:2013-12-30
  • 最后修改日期:2014-02-20
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  • 在线发布日期: 2014-12-24
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