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標題: 不對稱步態之生物力學效應研究
Study on Biomechanical Effects of Asymmetric Gait
作者: 紀偉民
Chi, Wei-Min
關鍵字: asymmetric gait;不對稱步態;joint moment;scoliosis;vertebral body axial rotation;關節力矩;脊椎側彎;椎體軸向旋轉
出版社: 生物產業機電工程學系所
引用: Bibliography [1] J. L. A. Reed, Basic Biomechanics Explained. London: Reed Educational and Professional Publishing Ltd, 1996. [2] P. K. Levangie and C. C. Norkin, Joint Structure and Function: A COMPREHENSIVE ANALYSIS, 3 ed. Canada: F. A. Davis Company, 2001. [3] Professional Staff AssociatetionRancho Los Amigos Medical Center: Observational Gait Analysis Handbook. . Calif.: Downey, 1989. [4] D. A. Winter, "Biomechanics of normal and pathological gait: Implications for understanding human locomotor control.," J. Motor Behav., vol. 21, pp. 337-355, 1989. [5] M. NordinV.H.Frankel, Basic Biomechanics of the Musculoskeletal System, 3rd ed. U.S.A.: Lippincott Williams & Wilkins, 2001. [6] M. M. Panjabi and A. A. W. III, Biomechanics in the musculoskeletal system. New york: Churchill Livingstone, 2001. [7] J. Perry, Gait analysis:normal and pathological function. NJ: SLACK,Inc., 1992. [8] A.Iglič, V.Kralj-iglič, and V. Antolič, "Reducing the stress in the articular surface of the hip joint after shifting the upper part of the body towards the painful hip," Acta chirurgiae orthopaedicae et traumatologiae cechosl, vol. 61, pp. 268-270, 1994. [9] R. H. W. S. S. Rengachary, Neurosurgery, second ed. vol. III. U.S.A.: McGraw-Hill, 1996. [10] R. A. Brand and H. J. Yack, "Effects of leg length discrepancies on the forces at the hip Joint," Clin. Orthop., pp. 172-180, 1996. [11] K. R. Kaufman, L. S. Miller, and D. H. Sutherland, "Gait asymmetry in patients with limb-length inequality," J Pediatr Orthop, vol. 16, pp. 144-150, Mar-Apr 1996. [12] K. M. Song, S. E. Halliday, and D. G. Little, "The effect of limb-length discrepancy on gait," J. Bone Joint Surg. Am, vol. 79, pp. 1690-8, 1997. [13] J. C. D''Amico, H. D. Dinowitz, and M. Polchaninoff, "Limb length discrepancy," J. Am. Podiatr. Med. Assoc., pp. 639-643, 1985. [14] A. Bhave, D. Paley, and J. E. Herzenberg, "Improvement in gait parameters after lengthening for the treatment of limb-length discrepancy," J. Bone Joint Surg. Am, pp. 529-534, 1999. [15] T. D. Cahalan, L. King, and E. Y. S. Chao, "Symmetry of the vertical ground reaction force in normals," in Proceedings of the European Symposium on Clinical Gait Analysis, Zurich, Switzerland ed Zurich, Switzerland, 1992, pp. 79-82. [16] K. Williams and P. R. Cavanagh, "Relationship between distance running mechanics, running economy, and performance.," J Appl Physiol, pp. 1236-1245, 1987. [17] O. Friberg, "Clinical symptoms and biomechanics of lumbar spine and hip joint in leg length inequality," Spine, vol. 8, pp. 643-651, 1983. [18] W. A. Rush and A. Steiner, "A study of lower extremity length inequality," Am J Roentgenol vol. 55, pp. 616-623, 1946. [19] B. Gurney, "Leg length discrepancy," Gait and posture, vol. 15, pp. 195-206, 2002. [20] S. I. Subotnick, "Limb length discrepancies of the lower extremity (the short leg syndrome)," J Orthop Sports Phys Ther vol. 3, pp. 11-15, 1981. [21] A. L. Woerman and S. A. Binder-MacLeod, "Leg length discrepancy assessment: accuracy and precision in five clinical methods of evaluation," J Orthop Sports Phys Ther, vol. 5, pp. 230-239, 1984. [22] J. M. Guichet, J. M. Spivak, P. Trouilloud, and P. M. Grammont, "Lower limb-length discrepancy. An epidemiologic study. ," Clin Orthop Relat Res, vol. 272, pp. 235-241, 1991. [23] L. G. F. Giles and J. R. Taylor, "Low-back pain associated with leg length inequality," Spine, vol. 6, pp. 510-521, 1981. [24] S. Affatato and A. Toni, "Leg length measurement: a new method to assure the correct leg length in total hip arthroplasty," Med Eng Phys, vol. 22, pp. 435-439, 200. [25] B. S. Bal, "A technique for comparison of leg lengths during total hip replacement," Am. J. Orthop., vol. 25, pp. 61-62, 1996. [26] V. Hoikka, M. Ylikoski, and K. Tallroth, "A radiological study of 100 patients with chronic low-back pain," Arch. Orthop. Trauma. Surg., vol. 108, pp. 173-175, 1989. [27] M. Jasty, W. Webster, and W. Harris, "Management of limb length inequality during total hip replacement," Clin. Orthop., vol. 333, pp. 165-171, 1996. [28] R. J. Rothenberg, "Rheumatic disease aspects of leg length inequality," Semin Arth Rheum vol. 17, pp. 196-205, 1988. [29] M. C. Beal, "A review of the short-leg problem," JAOA, vol. 50, pp. 109-121, 1951. [30] M. C. Beal, "The short-leg problem," JAOA, vol. 76, pp. 745-751, 1977. [31] W. A. Schwab, "Principals of manipulative treatment," JAOA vol. 31, pp. 384-388, 1932. [32] G. R. Clarke, "Unequal leg length: an accurate method of detection and some clinical results," Rheum Phys Med, vol. 11, pp. 385-390, 1972. [33] J. P. Gofton, "Studies in osteoarthrosis of hip and leg length disparity," Canadian Med. Assoc. J., vol. 104, pp. 791-799, 1971. [34] G. Krakowits, "Uber die auswirkung einer beinver-kurzung auf die statik und dynamik des huftge-lenkes," Z. Orthop., vol. 102, pp. 418-423, 1967. [35] E. Morscher, "Etiology and pathophysiology of leg length discrepancies," Prog Orthop Surg vol. 1, pp. 9-19, 1977. [36] M. E. Brunet, S. D. Cook, M. R. Brinker, and J. A. Dickinson, "A survey of running injuries in 1505 competitive and recreational runners," J Sports Med Phys Fitness, pp. 307-315, 1990. [37] A. B. Gurney, C. M. Mermier, R. A. Robergs, A. L. Gibson, and D. P. Rivero, "Effects of leg length discrepancy on gait economy and lower extremity muscle activity in older adults," J. Bone Joint Surg. Am., pp. 907-915, 2001. [38] T. Visuri, T. S. Lindholm, I. Antti-Poika, and M. Koskenvuo, "The role of overlength of the leg in aseptic loosening after total hip arthroplasty," Ital J Orthop Traumatol, vol. 19, pp. 107-11, 1993. [39] N. A. Hadley, T. D. Brown, and S. L. Weinstein, "The effects of contact pressure elevations and aseptic necrosis on the long term clinical outcome of congenital hip dislocation," J. Orthop. Res., pp. 504-513, 1990. [40] T. A. Maxian, T. D. Brown, and S. L. Weinstein, "Chronic stress tolerance levels for human articular cartilage: two nonuniform contact models applied to long-term follow-up of CDH," J Biomech, vol. 28, pp. 159-66, Feb 1995. [41] R. A. Brand, "Hip osteotomies. A biomechanical consideration.," J Am Acad Orthop Surg, vol. 5, pp. 282-291, 1997. [42] R. D. Crowninshield, R. C. Johnston, J. G. Andrewst, and R. A. Brand, "A biomechanical investigation of the human hip," J. biomech., vol. 11, pp. 75-85, 1978. [43] H. Röhrle, R. Scholten, C. Sigolotto, W. Sollbach, and H. Kellner, "Joint forces in the human pelvis-leg skeleton during walking," J. biomech., vol. 17, pp. 409-424, 1984. [44] G. Bergmann, G. Deuretzbacher, M. heller, F. Graichen, A. Rohlmann, J. Strauss, and G. N. Duda, "Hip contact forces and gait patterns from coutine activities," J. biomech., vol. 34, pp. 859-871, 2001. [45] L. A. Gilchrist and D. A. Winter, "Multisegment Computer Simulation of Normal Human Gait," IEEE, vol. 5, pp. 290-8, 1997. [46] D. R. Pedersen, R. A. Brand, and D. T. Davy, "Pelvic muscle and acetabular contact forces during gait," J. biomech., vol. 30, pp. 959-965, 1997. [47] J. J. Eng and D. A. Winter, "Kinetic analysis of the lower limbs during walking: what information can be gained from a three-dimensional model?," J Biomech, vol. 28, pp. 753-8, Jun 1995. [48] M. G. Pandy, "Simple and complex models for studying muscle function in walking," Philos Trans R Soc Lond B Biol Sci, vol. 358, pp. 1501-9, Sep 29 2003. [49] X. H. Duan, R. H. Allen, and J. Q. Sun, "A stiffness-varying model of human gait," Med Eng Phys, vol. 19, pp. 518-24, Sep 1997. [50] W. F. Dostal and J. G. Andrews, "A three dimensional biomechanical model of the hip musculature," J. Biomech., vol. 14, pp. 803-812, 1981. [51] A. Iglič, F. Srakar, V. Antolič, V. K. Iglič, and V. Batagelj, "Mathematical analysis of chiari osteotomy," Acta orthop. Iugosl., vol. 20, pp. 35-39, 1990. [52] A. Iglič, M. Daniel, V. Kralj-Iglič, V. Antolič, and A. Jaklič, "Peak hip-joint contact stress in male and female populations," J. Musculoskeletal Res., vol. 5, pp. 17-21, 2001. [53] M. Ipaveč, R. A. Brand, D. R. Pedersen, B. Mavčič, V. Kralj-Iglič, and A. Iglič, "Mathematical modeling of stress in the hip during gait," J. Biomech., vol. 32, pp. 1229-1235, 1999. [54] X. C. Liu, G. Fabry, G. Molenaers, J. Lammens, and P. Moens, "Kinematic and kinetic asymmetry in patients with leg-length discrepancy," J Pediatr Orthop, vol. 18, pp. 187-9, Mar-Apr 1998. [55] S. T. McCaw and B. T. Bates, "Biomechanical implications of mild leg length inequality," Br. J. Sports Med., vol. 25, pp. 10-13, 1991. [56] P. E. Greenman, "Life therapy: use and abuse.," J. Am Osteopath. Assoc., vol. 79, pp. 238-250, 1997. [57] T. Papioannou, I. Stokes, and J. Kenwright, "Scoliosis associated with limb-length inequality," J Bone Joint Surg Am, vol. 64, pp. 559-562, 1982. [58] R. M. D''Aubigne and J. Duboussed, "Surgical correction of large leg length discrepancies in the lower extremity of children and adults- an analysis of twenty consecutive cases," J. Bone Joint Surg. Am., vol. 53, pp. 61-69, 1968. [59] R. H. Gross, "Leg length discrepancy: How much is too much?," Orthopedics, vol. 1, pp. 307-310, 1978. [60] J. P. Gofton, "Persistent low back pain and leg length disparity," J. Rheum., vol. 12, pp. 747-750, 1985. [61] R. S. Young, P. D. Andrew, and G. S. Cummings, "Effect of simulating leg length inequality on pelvic torsion and trunk mobility," Gait Posture, vol. 11, pp. 217-23, Jun 2000. [62] M. Coetsier, M. Vercauteren, and P. Moerman, "A new radiographic method for measuring vertebral rotation in scoliosis," Acta. Orthop. Belgica., vol. 43, pp. 598-605, 1977. [63] A. A. W. III and M. M. Panjabi, "Clinical Biomechanics of the Spine," in Lippincott Williams & Wilkins, 2, Ed. USA: A Wolters Kluwer Company, 1990. [64] N.KhouriR.VialleP.MaryC.Marty, "Idopathic Scoliosis. Strategy,Pathophysiology and Deformity Analysis " EMC-Rhumatologie Orthopedie, vol. 1, pp. 17-44, 2004. [65] R. Gunzburg, J. Gunzburg, J. Wagner, and R. D. Fraser, "Radiologic interpretation of lumbar vertebral rotation," Spine vol. 16, pp. 660-664, 1991. [66] F. Lopez-Sosa, J. T. Guille, and J. R. Bowen, "Rotation of the spine in congenital scoliosis," J Pediatr Orthop, vol. 15, pp. 528-34, Jul-Aug 1995. [67] R. Perdriolle and J. Vidal, "Thoracic idiopathic scoliosis curve evolution and prognosis," Spine pp. 785-791, 1985. [68] M. Krismer, W. Sterzinger, C. Haid, B. Frischhut, and R. Bauer, "Axial rotation measurement of scoliotic vertebrae by means of computed tomography scans," Spine, vol. 21, pp. 576-81, Mar 1 1996. [69] M. Yazici, E. R. Acaroglu, A. Alanay, V. Deviren, A. Cila, and A. Surat, "Measurement of vertebral rotation in standing versus supine position in adolescent idiopathic scoliosis," J Pediatr Orthop, vol. 21, pp. 252-256, 2001. [70] J. R. Cobb, "Outline for the Study of Scoliosis. In Instructional Course Lectures," in The American Academy of Orthopaedic Surgeons. vol. 5: J. W. Edwards1948, pp. 261-275. [71] C. L. Nash, Jr. and J. H. Moe, "A study of vertebral rotation," J Bone Joint Surg Am, vol. 51, pp. 223-9, Mar 1969. [72] M. Fait and M. Janovec, "Establishing the rotation angle in the vertebrae," Scripta. Medica., vol. 43, pp. 207-215, 1970. [73] D. R. Benson, "Roentgenographic evaluation of vertebral rotation," J Bone Joint Surg Am vol. 58, pp. 1125-1129, 1976. [74] R. Perdriolle and J. Vidal, "Etude de la courbure scoliotique. Importance de l''extension et de la rotation vert''ebrale," Rev Chir Orthop, pp. 25-34, 1981. [75] B. S. Richards, "Measurement error in assessment of vertebral rotation using the Perdriolle torsionmeter," Spine, vol. 17, pp. 513-517, 1992. [76] I. A. F. Stokes, L. C. Bigalow, and M. S. Moreland, "Measurement of axial rotation of vertebrae in scoliosis," Spine, vol. 11, pp. 213-218, Apr 1986. [77] G. G. Russell, V. J. Raso, D. Hill, and J. McIvor, "A comparison of four computerized methods for measuring vertebral rotation," Spine, vol. 15, pp. 24-7, Jan 1990. [78] W. M. Chi, C. W. Cheng, W. C. Yeh, S. C. Chuang, T. S. Chang, and J. H. Chen, "Vertebral axial rotation measurement method," Comput Methods Programs Biomed, vol. 81, pp. 8-17, Jan 2006. [79] M. P. Kadaba, H. K. Ramakrishnan, and M. E. Wootten, "Measurement of lower extremity kinematics during level walking," J Orthop Res, vol. 8, pp. 383-92, May 1990. [80] J. C. H. Goh, S. E. Solomonidis, W. D. Spence, and J. P. Paul, "Biomechanical evaluation of SACH and uniaxial feet," Prosthet. Orthot. Int., vol. 8, pp. 147-154, 1984. [81] D. A. Winter, The biomechanics and motor control of human gait. Waterloo, Ontario: Waterloo Press, 1987. [82] D. A. Winter, Biomechanics and motor control of human movement New York Wiley, 1990. [83] V. Antolič, N. Kralj-Iglič, A. Iglič, and F. Srakar, "Legg-Calvé-Perthers disease-stress distribution on the hip joint articular surface after varisation osteotomy," in Computational Biomedicine, H. KD, B. CA, C. RD, and P. H, Eds. Southampton, Boston: Computational Mechanics Publications, 1993, pp. 255-262. [84] O. Zupanč, V. Antolič, A. Iglič, A. Jaklič, V. Kralj-Iglič, J. Stare, and R. Vengust, "Assessment of the contact stress in the hip joint after operative treatment of severe slipped capital femoral epiphysis," International Orthopaedics (SICOT), vol. 25, pp. 9-12, 2001. [85] B. Kersnič, A. Iglič, V. Kralj-Iglič, F. Srakar, and V. Antolič, "Incresed incidence of arthrosis in women could be related to femoral and pelvic shape," Arch Orthop and Trauma Surg, vol. 116, pp. 345-347, 1997. [86] A. Iglič, V. Kralj-Iglič, M. Daniel, and A. Mačcek-Lebar, "Computer Determination of Contact stress Distribution and Size of Weight Area in the Human Hip Joint," Computer Methods in Biomechanical Engineering, vol. 5, pp. 185-192, 2002. [87] A. Iglič, F. Srakar, and V. Antolič, "Influence of the pelvic shape on the biomechanical status of the hip," Clin. Biomech., vol. 8, pp. 233-234, 1993. [88] R. C. Johnston, R. A. Brand, and R. D. Crowninshield, "Reconstruction of the hip," J. Bone Joint Surg. Am., vol. 61A, pp. 639-652, 1979. [89] R. R. Coleman, D. E. Harrison, and B. B. Bernard, "The Effects of Combined X-axis Translations and Y-axis Rotations on Projected Lamina Junction Offset," Journal of Manipulative and Physiological Therapeutics, vol. 27, pp. 403-407, 2004. [90] B. Drerup., "Improvements in measuring vertebral rotation from the projections of the pedicles," J. Biomech., vol. 18, pp. 369-378, 1985. [91] H. J. Woltring, "A Fortran package generalized,cross-validatory spline smoothing and differentiation". vol. 8: Adv. Eng. Software, 1986, pp. 104-113. [92] B. Drerup., "Principles of Measurement of Vertebral Rotation From Frontal Projections of The Pedicles," J. Biomechanics., vol. 17, pp. 923-935, 1984. [93] S. Aaro, M. Dahlborn, and L. Svensson, "Estimation of vertebral rotation in structural scoliosis by computer tomography," Acta. Radiol. Diagn., vol. 19, pp. 990-992, 1978. [94] R. D. Komistek, J. B. Stiehl, D. A. Dennis, R. D. Paxson, and R. W. Soutas-Little, "Mathematical model of the lower extremity joint reaction forces using Kane''s method of dynamics," J Biomech, vol. 31, pp. 185-9, Feb 1998. [95] R. A. B. R. D. C. C. E. W. e. al., "A model of lower extremity muscular anatomy. ," Journal of Biomechanics, vol. 104, p. 304, 1982. [96] R. D. Crowninshield, R. C. Johnston, J. G. Andrews, and R. A. Brand, "A biomechanical investigation of the human hip," J Biomech, vol. 11, pp. 75-85, 1978. [97] G. B. F. G. A. Rohlmann, "Hip joint loading during walking and running , measured in two patients," Journal of biomechanics, vol. 26, pp. 969-990, 1993. [98] P. Williams, Gray''s Anatomy 38 ed. New York: Churchill Livingstone, 1995. [99] M. S. Wall and W. L. Oppenheim, "Measuremeat error of spondylolistthesis as s fuction of radiographic beam angle," J. Pediatr. Orthop., vol. 15, pp. 193-198, 1984. [100] R. Perdriolle, La Scoliose: son etude tridimensionelle. Paris: Maloine SA Editeur, 1979. [101] C. M. Barsanti, A. deBari, and B. M. Covino, "The torsion meter: a critical review," J Pediatr Orthop, vol. 10, pp. 527-31, Jul-Aug 1990. [102] L. L. Menegaldo, A. de Toledo Fleury, and H. I. Weber, "A ''cheap'' optimal control approach to estimate muscle forces in musculoskeletal systems," J Biomech, vol. 39, pp. 1787-95, 2006. [103] J. R. Perttunen, E. Anttila, J. Södeård, and P. V. Komi, "Gait asymmetry in patients with limb length discrepancy," Scand. J. Med. Sports., vol. 14, pp. 79-56, 2004.

This investigation determined biomechanical effects of asymmetrical gait subjects during level walking, and developed a method for estimating the rotation angle in the transverse plane of a vertebral body in a deformity spinal column.
This work determined joint forces, moments, power of bilateral hips by an invert double pendulum mathematical model. Bilateral comparison of joint forces, moments and powers during single-leg stance could reveal asymmetrical gait patterns. According to the results, hip resultant force on long leg side was 1.3 times higher than opposite side proposed by two structural leg length discrepancy patients, and the hip joint moments and powers in the frontal plane on long (left) leg side were obviously twice larger than opposite side proposed by the functional leg length discrepancy subjects which had Trendelenburg symptoms. Employment of hip joint moments and powers in the frontal plane could estimate the action of the abductors and help for clinical diagnosis.
The vertebral body rotation in the transverse plane was very difficult to estimate in the scoliosis or spinal column deformity caused by asymmetrical gait or leg length discrepancy. This study presents a new method for measuring axial rotation of vertebra. Anatomical landmarks of vertebral bodies were first identified in X-ray film. By means of appropriate geometrical relationships, vertebral body shape parameters, and a computer iteration method, the rotation angle of vertebrae on the transverse plane could rapidly be obtained. A cadaver lumbar spine axial rotation-fixation device was designed to confirm the accuracy of the proposed methodology. Rotation angles on CT images were adopted as the golden standard and compared with analytical results based on X-ray films for verifying the reliability. Simultaneously, this study compared root mean square values of the proposed method and four traditional methods with golden standard. Finally, the comparison results demonstrated the proposed method obtained more accurate and reliable results than previous methods.
其他識別: U0005-1801200714510100
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