Gender differences of sagittal knee and ankle biomechanics during stair-to-ground descent transition.

Background Falls on stairs often result in severe injury and occur twice as frequently in women. However, gender differences in kinetics and kinematics during stair descent are unknown. Thus, this study aimed to determine whether gender differences of knee and ankle biomechanics exist in the sagitta...

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Publicado en:Clinical Biomechanics Vol. 30; no. 10; pp. 1210 - 1218
Autores principales: Hong, Yoon No Gregory, Shin, Choongsoo S.
Formato: research Journal Article
Publicado: Elsevier B.V. Dec2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2015
      vid: 30
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      pub: Elsevier B.V.
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        10.1016/j.clinbiomech.2015.08.002
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        atl: Gender differences of sagittal knee and ankle biomechanics during stair-to-ground descent transition.
      aug:
        au:
          Hong, Yoon No Gregory
          Shin, Choongsoo S.
        affil: Department of Mechanical Engineering, Sogang University, 35 Baekbeom-ro, Mapo-gu, Seoul, South Korea, 121-742
      sug:
        subj:
          Sex Factors
          Stair Climbing
          Knee
          Ankle
          Biomechanics
          Human
          Male
          Female
          Accidental Falls Risk Factors
          Kinematics
          Kinetics
          Male
          Female
      ab: Background Falls on stairs often result in severe injury and occur twice as frequently in women. However, gender differences in kinetics and kinematics during stair descent are unknown. Thus, this study aimed to determine whether gender differences of knee and ankle biomechanics exist in the sagittal plane during the stair-to-ground descending transition. It was hypothesized that 1) women would reveal higher ground-toe-trochanter angle and lower ground-toe length during stair-to-ground descent transition than men; and 2) women would reveal lower peak knee extension moment during stair-to-ground descent transition than men. Methods Fifteen men and fifteen women were recruited and performed a stair descent activity. Kinetic and kinematic data were obtained using a force plate and motion capture system. Findings The women performed the stair descent with a lower peak knee extension moment and a peak knee power at the early weight acceptance phase. The women also revealed a higher ground-toe-trochanter angle and a lower ground-toe length, which indicated a more forward position of the lower extremity relative to the toe contact point at both the initial contact and at the time of peak kinematic and kinetic events. Interpretation This study found that knee and ankle kinematics and kinetics differed significantly between the genders due to differences in ground-toe-trochanter angle. Women have a different stair descending strategy that reduces the demand of the lower extremity muscle function, but this strategy seems to increase the risk of falls.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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