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The influence of shoe heel height on the muscular activity of the thigh during walking

机译:鞋后跟高度对行走过程中大腿肌肉活动的影响

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摘要

Amputees are often restricted to wearing shoes that have a fixed heel height and, if using shoes with different heel heights, require adjustments to the alignment of the prosthetic device. In order to gain insight into the differences in muscular activity that transtibial amputee patients experience when using shoes with different heel heights, a virtual model, close to the physical characteristics of a transtibial amputee, was obtained by modifying an existing musculoskeletal model. The muscular activity obtained from the muscles attached to the thigh was higher in the case of the residual limb than in the case of the intact leg. A compensatory mechanism, similar to the one described in the literature [10], was obtained by using the amputee musculoskeletal model. Small differences related to the intensity of the muscular activity were obtained when a higher heel was used. The differences were mostly due to the increased use of the muscles needed for balancing the body, and less to the use of muscles needed for body propulsion.
机译:截肢者通常只能穿固定后跟高度的鞋子,如果使用不同后跟高度的鞋子,则需要调整假肢的对齐方式。为了深入了解跨胫骨截肢患者在使用具有不同鞋跟高度的鞋子时所经历的肌肉活动的差异,通过修改现有的肌肉骨骼模型,获得了一个与跨胫骨截肢者的身体特征相近的虚拟模型。在残肢的情况下,从附着在大腿上的肌肉获得的肌肉活动要比在完整腿的情况下要高。通过使用截肢者肌肉骨骼模型获得了一种与文献[10]中所述相似的补偿机制。当使用较高的脚跟时,会获得与肌肉活动强度有关的小差异。差异主要是由于增加了用于平衡身体所需的肌肉使用量,而较少是由于身体推进所需的肌肉使用量增加。

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