目的:本研究探讨了健康年轻成年人在上下楼梯过程中体重指数(BMI)与膝关节角度之间的相关性。假设是,较高的BMI将与楼梯行走过程中膝盖角度的改变有关。
方法:参与者(n=43)人口统计学特征,包括年龄,高度,体重,BMI,腿部偏好,和大腿长度,被记录下来。步态参数,例如循环持续时间,跨步阶段,速度,和膝盖角度,使用Kinovea®软件进行分析。推断性统计检验,包括方差分析,t检验,和相关分析,进行了探索变量之间的关系和差异。
结果:未发现BMI对膝盖角度的显着影响[上升楼梯:F(2,40)=0.75,p=0.47;下降楼梯:F(2,40)=0.58,p=0.56]。然而,步态参数差异显著,爬楼梯周期较短(M=4.52s,SD=0.76s)与下降楼梯(M=4.72s,SD=0.81s)。跨步阶段因BMI类别而异[F(2,40)=3.82,p<0.05],理想体重组(M=47.12%,SD=3.21%)表现出明显的跨步阶段。在上升(r=0.42,p<0.05)和下降楼梯(r=0.38,p<0.05)期间,膝关节角度与大腿长度差呈正相关。
结论:这项研究表明,在楼梯行走过程中,BMI没有显著影响膝关节角度。然而,步态参数,如周期持续时间,跨步阶段,上升楼梯和下降楼梯之间的速度不同。膝盖角度与大腿长度差之间的正相关性表明,大腿长度差更大的个体在爬楼梯时可能表现出更大的膝盖角度。这项研究的结果对康复计划和辅助设备的设计具有临床意义。了解BMI之间的关系,大腿长度差,爬楼梯时的膝盖角度可以帮助临床医生更好地评估和管理行走者的步态异常。
OBJECTIVE: This study explored the correlation between body mass index (BMI) and knee angle during ascending and descending stairs in healthy young adults. The hypothesis was that higher BMI would be associated with altered knee angles during stair ambulation.
METHODS: Participants\' (n = 43) demographic characteristics, including age, height, weight, BMI, leg preference, and thigh lengths, were recorded. Gait parameters, such as cycle duration, stride phase, velocity, and knee angles, were analyzed using Kinovea® software. Inferential statistical tests, including ANOVA, t-tests, and correlation analysis, were performed to explore the relationships and differences between variables.
RESULTS: No significant effect of BMI on knee angle was found [ascending stairs: F (2, 40) = 0.75, p = 0.47; descending stairs: F (2, 40) = 0.58, p = 0.56]. However, gait parameters differed significantly, with shorter cycle duration during ascending stairs (M = 4.52 s, SD = 0.76 s) compared to descending stairs (M = 4.72 s, SD = 0.81 s). The stride phase varied across BMI categories [F (2, 40) = 3.82, p < 0.05], with the ideal weight group (M = 47.12%, SD = 3.21%) exhibiting a distinct stride phase. Positive correlations were found between knee angle and thigh length difference during ascending (r = 0.42, p < 0.05) and descending stairs (r = 0.38, p < 0.05).
CONCLUSIONS: This study demonstrated that BMI did not significantly affect knee angle during stair ambulation. However, gait parameters such as cycle duration, stride phase, and velocity differed between ascending and descending stairs. The positive correlation between knee angle and thigh length difference suggests that individuals with more significant thigh length differences may exhibit larger knee angles during stair climbing. The findings of this study have clinical implications for rehabilitation programs and the design of assistive devices. Understanding the relationship between BMI, thigh length difference, and knee angle during stair climbing can help clinicians better assess and manage gait abnormalities in individuals navigating stairs.