日本基礎理学療法学雑誌
Online ISSN : 2434-0731
Print ISSN : 2186-0742
原著
走行と歩行の動作様式の違いが後足部と中足部間の運動連鎖に与える影響
高林 知也江玉 睦明稲井 卓真横山 絵里花徳永 由太久保 雅義
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ジャーナル オープンアクセス

2015 年 18 巻 2 号 p. 19-26

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Previous studies have reported kinematic coupling between shank and foot segment. However, it remains unclear whether as to kinematic coupling among foot segments. The purpose of this study was to investigate the effects of kinematic coupling between hindfoot and midfoot segments at different modes of run and normal gait. Six healthy young men participated in this study. Subjects were instructed to run (at 2. 5 m/ s) or gait (at 1. 3 m/ s) on the treadmill at speeds set by the examiner. The changes in angles of foot segments during stance phase were calculated based on 3D Foot model. The degree of kinematic coupling between hindfoot and midfoot segments was evaluated by Pearson’s correlation coefficient. Positive correlation indicated the occurrence of the kinematic coupling of pronation of the hindfoot with plantar flexion, pronation and abduction of the midfoot. Similarly, kinematic coupling of supination of the hindfoot with dorsi flexion, supination and adduction of the midfoot were expressed by positive correlation. In running, strong correlations were observed between pronation/supination of hindfoot and three movements of midfoot; 1) plantar/dorsi flexion (r = - 0. 79), 2) pronation/supination (r = 0. 99) and 3) abduction/adduction (r = 0. 85). In gait, the correlation between pronation/supination of hindfoot and plantar/dorsi flexion of midfoot became weak (r = 0. 24). Abnormal responses of the kinematic coupling between the foot segments to changes in modes would be an indicator of dysfunction of the foot segment.

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© 2015 日本基礎理学療法学会
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