DOI QR코드

DOI QR Code

The Effects of Prolonged Walking on Foot Morphology, Foot Motion and Ground Reaction Forces in Healthy Middle-aged Females

장시간 보행이 중년여성의 발의 형태와 움직임 및 지면반력에 미치는 영향

  • 박상균 (한국체육대학교 모션이노베이션 센터) ;
  • 류시현 (한국체육대학교 모션이노베이션 센터) ;
  • 황원섭 (한국체육대학교 모션이노베이션 센터) ;
  • 이정호 (케이투코리아(주))
  • Received : 2018.07.10
  • Accepted : 2018.09.11
  • Published : 2018.10.31

Abstract

Objective: The purpose of this study was to investigate the changes in foot morphology and foot motion using a multi-segment foot model, and ground reaction forces during prolonged walking in healthy middle-aged females. Background: As people have experienced improved cardiovascular and muscularskeletal health, the popularity of prolonged walking has increased. However, only a few studies have suggested that prolonged walking may increase the risk of lower extremity joint injuries due to abnormal loading and decreased stability after muscle fatigue. Method: Forty-two healthy middle-aged females (mean age: $45.4{\pm}2.3years$, mean height: $160.7{\pm}4.8cm$, mean weight: $59.2{\pm}6.9kg$, mean foot size: $23.3{\pm}0.7cm$) participated in the study. The participants went through measurements of foot morphology and Q- angle before and after 40 minutes' walking. The participants were asked to walk at a speed of 1.1m/sec for 40 minutes. Foot motion and ground reaction forces were collected at three time intervals (0, 20 and 40 minutes). Changes in variables were compared at an alpha level of .05 using a paired t-test and repeated ANOVA, respectively. Results: Arch index was decreased and Q angle was increased after 40 minutes' walking (p < 0.05). Increased toe out angle and attack angle of the foot at initial contact were observed as walking time progressed (p < 0.05). Increased flexion angles of multi-segment foot were found with increased walking time (p < 0.05). Finally, the participants experience greater braking force after 40 minutes' walking compared with 0 minutes and after 20 minutes (p < 0.05). Conclusion: The participants experience kinematic and kinetic changes of the foot during a prolonged period of walking. Application: The current findings suggest important biomechanical considerations when applying a walking intervention in a clinical trial to improve fitness or in developing adequate walking shoes.

Keywords

References

  1. Cole, G.K., Nigg, B.M., Ronsky, J.L. and Yeadon, M.R., Application of the joint coordinate system to three-dimensional joint attitude and movement representation: a standardization proposal. Journal of Biomedical Engineering, 115(4A), 344-349, 1993.
  2. Cowan, D.N., Jones, B.H., Frykman, P.N., Polly, D.W., Jr., Harman, E.A., Rosenstein, R.M. and Rosenstein, M.T., Lower limb morphology and risk of overuse injury among male infantry trainees. Medicine & Science in Sports & Exercise, 28(8), 945-952, 1996. https://doi.org/10.1097/00005768-199608000-00002
  3. De Clercq, D., Aerts, P. and Kunnen, M., The mechanical characteristics of the human heel pad during foot strike in running: an in vivo cineradiographic study. Journal of Biomechanics, 27(10), 1213-1222, 1994. https://doi.org/10.1016/0021-9290(94)90275-5
  4. Ferber, R. and Benson, B., Changes in multi-segment foot biomechanics with a heat-mouldable semi-custom foot orthotic device. Journal of Foot and Ankle Research, 4(1), 18, 2011. https://doi.org/10.1186/1757-1146-4-18
  5. Firminger, C.R., Vernillo, G., Savoldelli, A., Stefanyshyn, D.J., Millet, G.Y. and Edwards, W.B., Joint kinematics and ground reaction forces in overground versus treadmill graded running. Gait and Posture, 63, 109-113, 2018. https://doi.org/10.1016/j.gaitpost.2018.04.042
  6. Gefen, A., Biomechanical analysis of fatigue-related foot injury mechanisms in athletes and recruits during intensive marching. Medical & Biological Engineering & Computing, 40(3), 302-310, 2002. https://doi.org/10.1007/BF02344212
  7. Gefen, A., Megido-Ravid, M., Itzchak, Y. and Arcan, M., Analysis of muscular fatigue and foot stability during high-heeled gait. Gait and Posture, 15(1), 56-63, 2002. https://doi.org/10.1016/S0966-6362(01)00180-1
  8. Grimston, S.K. and Zernicke, R.F., Exercise-related stress responses in bone. Journal of Applied Biomechanics, 9(1), 2-14, 1993. https://doi.org/10.1123/jab.9.1.2
  9. Haddock, B.L., Hopp, H.P., Mason, J.J., Blix, G. and Blair, S.N., Cardiorespiratory fitness and cardiovascular disease risk factors in postmenopausal women. Medicine & Science in Sports & Exercise, 30(6), 893-898, 1998. https://doi.org/10.1097/00005768-199806000-00018
  10. Headlee, D.L., Leonard, J.L., Hart, J.M., Ingersoll, C.D. and Hertel, J., Fatigue of the plantar intrinsic foot muscles increases navicular drop. Journal of Electromyography and Kinesiology, 18(3), 420-425, 2008. doi: 10.1016/j.jelekin.2006.11.004
  11. Hill, M., Naemi, R., Branthwaite, H. and Chockalingam, N., The relationship between arch height and foot length: Implications for size grading. Applied Ergonomics, 59(Pt A), 243-250, 2017. https://doi.org/10.1016/j.apergo.2016.08.012
  12. Hunt, M.A. and Hatfield, G.L., Ankle and knee biomechanics during normal walking following ankle plantarflexor fatigue. Journal of Electromyography and Kinesiology, 35, 24-29, 2017. https://doi.org/10.1016/j.jelekin.2017.05.007
  13. Kram, R., Griffin, T.M., Donelan, J.M. and Chang, Y.H., Force treadmill for measuring vertical and horizontal ground reaction forces. Journal of Applied Physiology, (1985), 85(2), 764-769, 1998. https://doi.org/10.1152/jappl.1998.85.2.764
  14. McLoughlin, J.V., Barr, C.J., Patritti, B., Crotty, M., Lord, S.R. and Sturnieks, D.L., Fatigue induced changes to kinematic and kinetic gait parameters following six minutes of walking in people with multiple sclerosis. Disability and Rehabilitation, 38(6), 535-543, 2016. doi: 10.3109/09638288.2015.1047969
  15. Morris, J.N. and Hardman, A.E., Walking to health (vol 23, pg 306, 1997). Sports Medicine, 24(2), 96-96, 1997.
  16. Nagel, A., Fernholz, F., Kibele, C. and Rosenbaum, D., Long distance running increases plantar pressures beneath the metatarsal heads: a barefoot walking investigation of 200 marathon runners. Gait & Posture, 27(1), 152-155, 2008. https://doi.org/10.1016/j.gaitpost.2006.12.012
  17. Parijat, P. and Lockhart, T.E., Effects of quadriceps fatigue on the biomechanics of gait and slip propensity. Gait & Posture, 28(4), 568-573, 2008. https://doi.org/10.1016/j.gaitpost.2008.04.001
  18. Park, S.K. and Stefanyshyn, D.J., Greater Q angle may not be a risk factor of patellofemoral pain syndrome. Clinical Biomechanics (Bristol, Avon), 26(4), 392-396, 2011. https://doi.org/10.1016/j.clinbiomech.2010.11.015
  19. Phinyomark, A., Petri, G., Ibanez-Marcelo, E., Osis, S.T. and Ferber, R., Analysis of Big Data in Gait Biomechanics: Current Trends and Future Directions. Journal of Medical and Biological Engineering, 38(2), 244-260, 2018. https://doi.org/10.1007/s40846-017-0297-2
  20. Rosenbaum, D., Engl, T. and Nagel, A., Effects of a fatiguing long-distance run on plantar loading during barefoot walking and shod running. Footwear Science, 8(3), 129-137, 2016. https://doi.org/10.1080/19424280.2016.1157103
  21. Salbach, N.M., O'Brien, K.K., Brooks, D., Irvin, E., Martino, R., Takhar, P., 3.Chan, S. and Howe, J.A., Reference values for standardized tests of walking speed and distance: a systematic review. Gait and Posture, 41(2), 341-360, 2015. https://doi.org/10.1016/j.gaitpost.2014.10.002
  22. Scott, S.H. and Winter, D.A., Talocrural and talocalcaneal joint kinematics and kinetics during the stance phase of walking. Journal of Biomechanics, 24(8), 743-752, 1991. https://doi.org/10.1016/0021-9290(91)90338-N
  23. Stacoff, A., Steger, J., Stussi, E. and Reinschmidt, C., Lateral stability in sideward cutting movements. Medicine & Science in Sports & Exercise, 28(3), 350-358, 1996. https://doi.org/10.1097/00005768-199603000-00010
  24. Stolwijk, N.M., Duysens, J., Louwerens, J.W. and Keijsers, N.L., Plantar pressure changes after long-distance walking. Medicine & Science in Sports & Exercise, 42(12), 2264-2272, 2010. https://doi.org/10.1249/MSS.0b013e3181e305f4
  25. Szymczak, M., Oszkinis, G. and Majchrzycki, M., The Impact of Walking Exercises and Resistance Training upon the Walking Distance in Patients with Chronic Lower Limb Ischaemia. BioMed Research International, 1, 1-8, (ID: 7515238), 2016.
  26. Wearing, S.C., Smeathers, J.E., Yates, B., Urry, S.R. and Dubois, P., Bulk compressive properties of the heel fat pad during walking: a pilot investigation in plantar heel pain. Clinical Biomechanics (Bristol, Avon), 24(4), 397-402, 2009. https://doi.org/10.1016/j.clinbiomech.2009.01.002
  27. Winter, D.A., Biomechanics of normal and pathological gait: implications for understanding human locomotor control. Journal of Motor Behavior, 21(4), 337-355, 1989. https://doi.org/10.1080/00222895.1989.10735488
  28. Wong, D.W., Lam, W.K., Yeung, L.F. and Lee, W.C., Does long-distance walking improve or deteriorate walking stability of transtibial amputees? Clinical Biomechanics (Bristol, Avon), 30(8), 867-873, 2015. https://doi.org/10.1016/j.clinbiomech.2015.05.015
  29. Yoshino, K., Motoshige, T., Araki, T. and Matsuoka, K., Effect of prolonged free-walking fatigue on gait and physiological rhythm. Journal of Biomechanics, 37(8), 1271-1280, 2004. https://doi.org/10.1016/j.jbiomech.2003.11.031