DOI QR코드

DOI QR Code

Comparison of Trunk Strategy to Maintain Balance during the One-Leg Stance on a Medio-Lateral Ramp and an Anterior-Posterior Ramp

  • Lee, Sang-Yeol (Department of Physical Therapy, College of Science, Kyungsung University) ;
  • Lee, Myoung-Hee (Department of Physical Therapy, Uiduk University)
  • Received : 2017.07.24
  • Accepted : 2017.08.14
  • Published : 2017.08.31

Abstract

Purpose: This study examined two trunk strategies - medio-lateral ramp and anterior-posterior ram - and their effects on pelvis and trunk movements, providing basic material for safe ramp utilization. Methods: The present study included 20 asymptomatic males recruited from a local university. Participants were asked to stand with their feet shoulder-width apart. Their dorsal side faced the camera, and measurements were performed while standing in a neutral double stance, one leg stance, $15^{\circ}$ of medial and lateral ramp, and $15^{\circ}$ of anterior and posterior ramp. Participants were allowed to practice for 3 minutes, and each participant had a 30 seconds rest between the two ramp conditions. One-way repeated measures analysis of variance was used to determine the effects the ramp conditions on spinal alignment. In all analyses, p<0.05 was used to indicate statistical significance. Results: The trunk-inclination angle on the posterior ramp was significantly lower than that of the double stance position (p<0.05). The trunk imbalance angle was significantly higher on the medial ramp, than that on the double stance position (p<0.05). The pelvic position and pelvic torsion angles were significantly higher in the medial, lateral, and anterior ramp positions than that of the double stance position (p<0.05). The pelvic rotation angles on the medial, lateral, and anterior ramps were significantly lower than that of the double stance position (p<0.05). Conclusion: These findings suggest that when people are exposed to the same form of ramp for an extended period, posture modifications may be triggered.

Keywords

References

  1. Kim HG. A Study on improvement of the amenities for limb-handicapped people: focused on ramps. Yonsei University. Dissertation of Master's Degree. 2007.
  2. Shumway-cook A, Woollacott MH. Motor control: Translating research into clinical practice. 3rd ed. Philadelphia, Lippincott Williams & Wilkins. 2007:157-8.
  3. Horak FB, Nashner LM. Central programming of postural movements: adaptation to altered support-surface configurations. J Neurophysiol. 1986;55(6):1369-81. https://doi.org/10.1152/jn.1986.55.6.1369
  4. Lee JW. Effect of ankle strategy exercise on improvement of balance in elderly with impaired balance. Yonsei University. Dissertation of Master's Degree. 2007.
  5. Mackey DC, Robinovitch SN. Postural steadiness during quiet stance does not associate with ability to recover balance in older women. Clin Biomech. 2005;20(8):776-83. https://doi.org/10.1016/j.clinbiomech.2005.05.002
  6. Ryu NH. Walkability on ramps by gait analysis. J Korean Inst Landsc Archit. 1995;23(2):157-66.
  7. Han JT, Gong WT, Lee YS. Comparison of muscle activity with lower extremity during stairs and ramp climbing of old adults by EMG. J Kor Soc Phys Ther. 2009;21(1):35-40.
  8. Han JT. Kinematic analysis of head and trunk movements of young adults while climbing stairs or a ramp. J Kor Soc Phys Ther. 2010; 22(6):21-8.
  9. Kim YS, Lim JM, Ko NY et al. Lower extremity muscle activity while wearing high-heeled shoes under various situations: a therapeutic perspective. J Kor Soc Phys Ther. 2011;23(3):49-56. https://doi.org/10.1589/jpts.23.49
  10. Kim SC, Lee SY. Gluteus medius muscle activities according to various angle of mediolateral ramp during cross walking and one-leg standing. J Kor Soc Phys Med. 2017;12(2):53-7. https://doi.org/10.13066/kspm.2017.12.2.53
  11. Finch L, Barbeau H, Arsenault B. Influence of body weight support in normal human gait: develop of a gait retraining strategy. PhysTher. 1991;71(11):842-56.
  12. Cho M. Effects of pelvic adjustment on pelvic posture and angles of the lower limb joints during walking in female university students. J Phys Ther Sci. 2016;28(4):1284-8. https://doi.org/10.1589/jpts.28.1284
  13. Yi YS, Yoo SK, Lee DG et al. Reliability and validity of rasterstereography measurement for spinal alignment in healthy subjects. Phys Ther Rehabil Sci. 2016;5:22-8. https://doi.org/10.14474/ptrs.2016.5.1.22
  14. Leroux A, Fung J, Barbeau H. Postural adaptation to walking on inclined surfaces: I. Normal strategies. Gait Posture. 2002;15(1):64-74. https://doi.org/10.1016/S0966-6362(01)00181-3
  15. Tateuchi H, Wada O, Ichihashi N. Effects of calcaneal eversion on threedimensional kinematics of the hip, pelvis and thorax in unilateral weight bearing. Hum Mov Sci. 2011;30(3):566-73. https://doi.org/10.1016/j.humov.2010.11.011
  16. Bergmann G, Deuretzbacher G, Heller M et al. Hip contact forces and gait patterns from routine activities. J Biomech. 2001;34(7):859-71. https://doi.org/10.1016/S0021-9290(01)00040-9
  17. Pickle NT, Grabowski AM, Auyang AG et al. The functional roles of muscles during sloped walking. J Biomech. 2016;49(14):3244-51. https://doi.org/10.1016/j.jbiomech.2016.08.004

Cited by

  1. Pelvic, Hip, and Knee Kinematics of Stair Climbing in People with Genu Varum vol.30, pp.1, 2017, https://doi.org/10.18857/jkpt.2018.30.1.14