한국체육학회지자연과학편

Korean Alliance for Health: Physical Education: Recreation:and Dance (한국체육학회)
권호 표지

Comparison of normal males and parients with knee osteoarthritis in the joint impact and moment during walking

퇴행성 무릎 관절염 환자와 정상인 보행의 관절 충격과 내력 비교

Ryu, Ji-Seon
류지선

  • Published : 20080000
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Abstract

To compare the impact force, impact shock, internal forces and moments, ten patients with Grade II-III knee osteoarthritis (body mass: 69.2±8.8kg, height: 169.8±4.6cm, age: 61.9±3.1yrs.) and ten healthy subjects (body mass: 66.1±13.6, height: 164.5±7.2cm, age: 62.7±2.1yrs.) were studied during level walking. Data were collected using seven ProReflex MCU 240 cameras, two forces plates, and accelerometers. The inverse dynamics approach was used to determine internal forces at the ankle and knee and these forces were normalized in body weight and height and time (percent stride). The primary findings were: 1)the patients with knee OA had a significantly small peak of impact force and less time up to its peak compared to healthy subjects; 2) Shock attenuation, calculating from a transfer function between the tibia and thigh frequency spectra of accelerometer signal, was less in OA group; 3) The superio-inferior force of the ankle was greater in OA group, but the anterio-posterior force was less. healthy subjects had significantly greater knee superio-inferior and medio-lateral forces; 4) Ankle moments were similar in shape and magnitude for two groups, but internal-external moment and flexion-extension moment were greater in OA group.

본 연구는 보행 시 퇴행성관절염 환자들과 정상인들과의 운동역학적 특성을 규명하기 위해 충격력, 충격쇼크, 하지 관절의 내력 등을 비교 분석했다. 분석을 위해 ProReflex MCU 240 고속 카메라 7대와 압력판 2대, 두 개의 가속도계가 이용되었다. 분석한 결과 충격력의 수동 피크 크기와 이의 발생 시간은 관절염 퇴행성 무릎 관절염 환자 집단보다 정상인 집단이 컸고, 느렸으며, 충격 범위에 해당하는 경골과 대퇴의 가속도 신호의 파워 값은 정상인보다 퇴행성 무릎 관절염 환자 집단이 크게 나타났다. 이들 충격 쇼크는 무릎관절을 통해 두 집단 흡수되었지만 정상인 집단이 퇴행성 무릎 관절염 환자 집단보다 컸다. 한편 발목 관절의 상하에 작용하는 힘은 퇴행성 무릎 관절염 환자 집단이 컸으나, 전후 방향으로 작용하는 힘은 정상인 집단이 컸다. 또한 무릎 관절의 상하, 좌우 방향으로 작용하는 힘들은 정상인 집단이 컸다. 발목 관절의 모멘트는 두 집단 비슷한 크기를 보였으나, 무릎 관절의 내외측 회전과 굴신 모멘트는 정상인보다 퇴행성 무릎 관절염 환자 집단이 컸다.

Keywords

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