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힘의 작용점(CoP)에 대한 발목관절 내, 외번 예측 변수로의 가능성 연구

Predictive Factors for Inversion and Eversion of the Ankle based on the Area of Center of Pressure (CoP) Trajectories during Walking

박상균|길호종|류시현
국민체육진흥공단 한국스포츠과학원 (Korea Institute of Sport Science)|2024.12|체육과학연구 (Korean Journal of Sport Science)|제35권 제4호|pp. 699-706

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참고문헌

키워드

발목 불안정성Ankle instability힘의 작용점(CoP)발목 외번보행평가Center of pressure (CoP)Ankle eversionGait assessment
주제분류체육

초록

[목적] 본 연구는 보행 속도 변화에 따른 압력중심(CoP) 궤적의 면적이 발목관절의 내·외번 움직임에 미치는 영향을 분석하 고, 발목 불안정성을 예측할 수 있는 변수인지를 조사하는 데 그 목적이 있다. [방법] 정형외과적 병력이 없는 20대 성인 남성 27명을 대상으로 느린 보행, 정상 보행, 빠른 보행의 세 가지 속도로 트레 드밀에서 보행 실험을 실시하였다. 보행 중 수집된 CoP 궤적의 누적 면적과 발목관절의 내·외번각을 비교 분석하였으며, 가장 차이를 보인 QA 영역의 영향력을 평가하였다. [결과] 느린 보행 시 좌우 CoP 범위(p <.05)와 3사분면 누적 면적(p <.05)이 정상 및 빠른 보행에 비해 유의하게 증가하였으 며, 발목관절의 내·외번각(p <.05)과 가동범위(p <.05)도 함께 증가하였다. 또한, 3사분면의 CoP 누적 면적은 발목관절의 최대외번각(p =.001)과 외번각속도(p =.005)에 유의한 부적 영향을 미치는 것으로 나타났다. [결론] 본 연구는 CoP 궤적의 누적 면적, 특히 3사분면 영역이 발목관절의 외번 동작을 예측하는 중요한 요인임을 밝혀냈 다. 이러한 결과는 발목 불안정성 평가 및 예방, 신발 개발과 재활 프로그램에 유용하게 활용될 수 있을 것으로 사료 된다.

Abstract

PURPOSE This study analyzed the relationship between the center of pressure (CoP) trajectory area and ankle inversion/eversion movement across different walking speeds and established a new assessment method for predicting ankle instability. METHODS Twenty-seven healthy young adult males (20 yrs) performed treadmill walking trials at three speeds (slow, normal, and fast). Their cumulative CoP trajectory area and ankle inversion/eversion angles were analyzed, with particular focus on the third quadrant area (3QA). RESULTS During slow walking, mediolateral CoP range (p < .05) and 3QA (p < .05) increased significantly compared to normal and fast walking. Concurrently, ankle inversion/eversion angle (p < .05) and range of motion (p < .05) also increased. Furthermore, 3QA exhibited significant negative correlations with maximum ankle eversion angle (p = .001) and eversion angular velocity (p = .005). CONCLUSIONS This study provides findings that the CoP trajectory’s cumulative area, specifically 3QA, serves as a critical predictor of ankle joint eversion kinematics. These findings have potential implications for ankle instability assessment, prevention, footwear design, and rehabilitation protocols.

참고문헌 (44)

  1. Alexander, R. M., "A dynamic similarity hypothesis for the gaits of quadrupedal mammals", Journal of Zoology, 201(1), pp.135~152 (1983)
  2. Bergland, A., "Predictors of falls in the elderly by location", Aging Clinical and Experimental Research, 15, pp.43~50 (2003)
  3. Braden, B., "The surveyor’s area formula", The College Mathematics Journal, 17(4), pp.326~337 (1986)
  4. Chiu, M. C., "Gait speed and gender effects on center of pressure progression during normal walking", Gait & Posture, 37(1), pp.43~48 (2013)
  5. Choi, J. S., "A preliminary study on personal preferred walking speed", Journal of Sport and Leisure Studies, 45(2), pp.721~728 (2011)
  6. Clancy JR, W. G., "Runners' injuries : Part one", The American Journal of Sports Medicine, 8(2), pp.137~138 (1980)
  7. Clement, D. B., "A survey of overuse running injuries", The Physician and sportsmedicine, 9(5), pp.47~58 (1981)
  8. Collins, J. J., "The effects of visual input on open-loop and closed-loop postural control mechanisms", Experimental Brain Research, 103(1), pp.151~163 (1995)
  9. Dattalo, P., "Analysis of multiple dependent variables" (2013), Oxford University Press
  10. Diaz, M. A., "Concurrent validity of an automated algorithm for computing the center of pressure excursion index(CPEI)", Gait & Posture, 59, pp.7~10 (2018)
  11. England, S. A., "The influence of gait speed on local dynamic stability of walking", Gait & Posture, 25(2), pp.172~178 (2007)
  12. Fernie, G. R., "The relationship of postural sway in standing to the incidence of falls in geriatric subjects", Age and Ageing, 11(1), pp.11~16 (1982)
  13. Fischer, A. G., "Body weight unloading modifications on frontal plane joint moments, impulses, and center of pressure during overground gait", Clinical Biomechanics, 39, pp.77~83 (2016)
  14. Francis, C. A., "The modulation of forward propulsion, vertical support, and center of pressure by the plantarflexors during human walking", Gait &Posture, 38(4), pp.993~997 (2013)
  15. Giacomozzi, C., "Walking strategy in diabetic patients with peripheral neuropathy", Diabetes Care, 25(8), pp.1451~1457 (2002)
  16. Gil, H., "Analysis of the area of center of pressure(COP)trajectories according to running speed and its correlation with ankle joint motion", Journal of the Ergonomics Society of Korea, 37(6), pp.691~702 (2019)
  17. Hansen, C., "Center of pressure based segment inertial parameters validation", PLOS ONE, 12(6), pp.e0180011~ (2017)
  18. Hertel, J., "Timeto-boundary measures of postural control during single-leg quiet standing", Journal of Applied Biomechanics, 22(1), pp.67~73 (2006)
  19. Hintermann, B., "Transfer of movement between calcaneus and tibia in vitro", Clinical Biomechanics, 9(6), pp.349~355 (1994)
  20. Hoey, C., "Foot morphological variations between different ethnicities and sex : A systematic review", Footwear Science, 15(1), pp.55~71 (2022)
  21. Kanemitsu, M., "Decreased joint position sense of the ankle joint is a risk factor for falls in the elderly", Curēus, 15(12), pp.e51084~ (2023)
  22. Kim, M., "Once-per-step control of ankle-foot prosthesis push-off work reduces effort associated with balance during walking", Journal of Neuroengineering and Rehabilitation, 12, pp.1~13 (2015)
  23. Louey, M. G. Y., "A model to calculate the progression of the centre of pressure under the foot during gait analysis", Gait & Posture, 57, pp.147~153 (2017)
  24. Lugade, V., "Center of pressure trajectory during gait : A comparison of four foot positions", Gait & Posture, 40(1), pp.252~254 (2014)
  25. Lynall, R. C., "Reliability and validity of the ProtoKinetics Movement Analysis Software in measuring center of pressure during walking", Gait &Posture, 52, pp.308~311 (2017)
  26. Maki, B. E., "A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population", Journal of Gerontology, 49(2), pp.M72~M84 (1994)
  27. Melzer, I., "The effect of a cognitive task on voluntary step execution in healthy elderly and young individuals", Journal of the American Geriatrics Society, 52(8), pp.1255~1262 (2004)
  28. Melzer, I., "A retrospective analysis of balance control parameters in elderly fallers and non-fallers", Clinical Biomechanics, 25(10), pp.984~988 (2010)
  29. Park, G., "Comparison between a center of mass and a foot pressure sensor system for measuring gait parameters in healthy adults", Journal of Physical Therapy Science, 27(10), pp.3199~3202 (2015)
  30. Pataky, T. C., "An anatomically unbiased foot template for inter-subject plantar pressure evaluation", Gait & Posture, 33(3), pp.418~422 (2011)
  31. Piirtola, M., "Force platform measurements as predictors of falls among older people—a review", Gerontology, 52(1), pp.1~16 (2006)
  32. Ryu, J. S., "Effects of high-heeled shoes with different heights on balance during standing and walking", Korean Journal of Sport Biomechanics, 20(4), pp.479~486 (2010)
  33. Ryu, J. S., "Experiment in sport biomechanics" (2003), Deahan Media
  34. Stel, V. S., "Balance and mobility performance as treatable risk factors for recurrent falling in older persons", Journal of Clinical Epidemiology, 56(7), pp.659~668 (2003)
  35. Sugawara, K., "Foot pressure pattern during walking in individuals with anterior cruciate ligament injury", Journal of the American Podiatric Medical Association, 106(3), pp.201~206 (2016)
  36. Sultan, A., "Correlation of Balance and Functional Ankle Instability in Elderly Women", Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University, 19(1), pp.1~4 (2023)
  37. Vaughan, C. L., "Froude and the contribution of naval architecture to our understanding of bipedal locomotion", Gait & Posture, 21(3), pp.350~362 (2005)
  38. Weaver, B. T., "A direct method for mapping the center of pressure measured by an insole pressure sensor system to the shoe’s local coordinate system", Journal of Biomechanical Engineering, 138(6), pp.061007~ (2016)
  39. Weerasinghe, T. W., "Pressure thresholds and stiffness on the plantar surface of the human foot", Ergonomics, 60(7), pp.985~996 (2017)
  40. Willems, T., "Relationship between gait biomechanics and inversion sprains : A prospective study of risk factors", Gait & Posture, 21(4), pp.379~387 (2005)
  41. Wong, Y. S., "Reliability and validity of the center of pressure parameters for balance assessment in standing", Journal of Biomechanics, 41(Suppl 1), pp.S109~ (2008)
  42. Yoo, S. H., "Comparative analysis of gait parameters and symmetry between preferred walking speed and walking speed by using the Froude number", Korean Journal of Sport Biomechanics, 26(2), pp.221~228 (2016)
  43. Zare, F. E., "Human verification using a combination of static and dynamic characteristics in foot pressure images", Journal of Medical Signals and Sensors, 6(4), pp.224~230 (2016)
  44. Zhai, J. N., "Plantar pressure differences among adults with mild flexible flatfoot, severe flexible flatfoot, and normal foot when walking on level surfaces, walking upstairs, and downstairs", Journal of Physical Therapy Science, 29(4), pp.641~646 (2017)

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