妊娠妇女步态的动力学分析
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NSC89—2213—E—006-038资助项目


THE KINETIC ANALYSIS OF GAIT FOR PREGNANT WOMEN
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    摘要:

    怀孕,是人类传宗接代的伟大过程。孕妇体重的增加主要是集中在躯干部位,而使原脊柱的荷重情况改变,导致对髋关节产生较大之惯性矩。且由于内分泌的改变,造成骨盆关节变松,致使孕妇发生姿势与步态改变,而增加不少日常生活上的困扰,如下背痛等。因此,对孕妇动作如步态的研究分析,将有益于协助孕妇解决这些问题。 本研究之受测者包括10位健康的孕妇与10位无怀孕经历之健康女性。为解决缺乏孕妇完整人体检测资料的困境,实验中以最佳化方法来求取孕妇的髋关节中心,并求得运动学与动力学资料。结果显示,受测孕妇皆有下背痛且均发生在骶骨-髂骨区域。与无怀孕经历之健康女性比较,孕妇在下肢各关节角度的变化方面主要是最大屈曲角度变大与最大伸展角度变小。髋关节的伸展力矩增加、膝关节的伸展力矩减少,而踝跖屈力矩减少。

    Abstract:

    During pregnancy, a woman changes especially in body weight, body shape, and endocrine system. Those changes make the pregnant women different from the non-pregnant women in posture and gait pattern. At the same time, activities of daily living become more difficult. But there was still no published paper discussing the posture and gait changes of the pregnant women in details and in a whole. In this study, we used the optimization method to define the hip joint center of the pregnant women. the optimization method can compensate the lack of the anthropometric data of the pregnant women. But the problem of mass distribution in the pregnant women is still necessary to be solved by non-invasive methods, e,g. surface laser scan. Due to the variations of physiological changes in the pregnant women, it was difficulty to standardize the gait analysis of pregnant women, even in the same gestational age. The data of gait analysis were also compared with questionnaires for further analysis. The results revealed that there really was some correlation between the significant finding of gait analysis and sacroiliac pain of the pregnant women. The low back pain often occurred in the following conditions of gait analysis:(1) when the hip extension moment increased; (2) when the knee extension moment decreased; and (3) when the angle of ankle plantar-flexion moment decreased. The gait analysis of the pregnant is a feasible, but complicated method for study.

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周有礼,周伯禧,游家源,黄璨珣,江昇修,何金山,林启祯,苏芳庆.妊娠妇女步态的动力学分析[J].医用生物力学,2001,16(2):65-69

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