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Effects of bimanual operated unpowered walking aids on upper extremities

  • YANG Jiemeng ,
  • MO Zhongjun ,
  • GUO Junchao ,
  • JI Run ,
  • TAO Chunjing ,
  • FAN Yubo
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  • 1. Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, School of Engineering Medicine, Beihang University, Beijing 100191, China
    2. Key Laboratory of Human Motion Analysis and Rehabilitation Technology of the Ministry of Civil Affairs, Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Centre for Rehabilitation Technical Aids, Beijing 100176, China

Received date: 2023-03-02

  Revised date: 2023-04-21

  Online published: 2023-11-21

Abstract

Walking aids can effectively ameliorate or keep the walking ability and balance ability of the elderly individuals. However, long-term assisted walking will have adverse effects on the musculoskeletal system of the upper extremities. This paper reviews the effects of bimanual-operated unpowered walking aids on the user's upper extremities from the perspectives of kinematics, kinetics and electromyography, along with a brief overview of the relationship between unpowered walking aids use and upper extremities injuries. The effects of changing the walking aids construction on the upper extremities are compared and further summarized. This work could provide a theoretical reference for the personalized designing and instructions of walking aids for the elderly individuals.

Cite this article

YANG Jiemeng , MO Zhongjun , GUO Junchao , JI Run , TAO Chunjing , FAN Yubo . Effects of bimanual operated unpowered walking aids on upper extremities[J]. Science & Technology Review, 2023 , 41(21) : 127 -133 . DOI: 10.3981/j.issn.1000-7857.2023.21.012

References

[1] Papadopoulos D. The role of well-Being, spirituality, and religiosity for successful aging in late life: A brief review[J]. Advances in Aging Research, 2020, 9(2): 23-31.
[2] 杜鹏, 李龙 . 新时代中国人口老龄化长期趋势预测[J].中国人民大学学报, 2021, 35(1): 96-109.
[3] 李志宏.“十四五”时期积极应对人口老龄化的形势及国家战略对策[J]. 老龄科学研究, 2020, 8(8): 3-21.
[4] 邓大松, 李玉娇. 医养结合养老模式: 制度理性、供需困境与模式创新[J]. 新疆师范大学学报(汉文哲学社会科学版), 2018, 39(1): 107-114.
[5] Yeh P C, Yee L G. Using walker during walking: A pilot study for health elder[J]. Work, 2012, 41(6): 2081-2085.
[6] Charette C, Best K L, Smith E M, et al. Walking aid use in Canada: Prevalence and demographic characteristics among Community-Dwelling users[J]. Physical Therapy, 2018, 98(7): 571-577.
[7] 崔德刚, 邱芬, 邱服冰, 等 . 基于 ICF老年人身体活动与功能康复的 Scoping综述 [J]. 中国康复理论与实践, 2021, 27(4): 394-404.
[8] Aboutorabi A, Arazpour M, Bahramizadeh M, et al. The effect of aging on gait parameters in able-bodied older subjects: A literature review[J]. Aging Clinical and Experimental Research, 2016, 28(3): 393-405.
[9] Sudarsky L. Gait disorders: Prevalence, morbidity, and etiology[J]. Advances in Neurology, 2001, 87: 111-117.
[10] 中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会 . 助行器具分类和术语: GB/T14730—2008[S]. 北京: 中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会, 2008.
[11] 卫生部疾病预防控制局 . 老年人跌倒干预技术指南[R]. 北京: 卫生部疾病预防控制局, 2011.
[12] Bradley S M, Hernandez C R. Geriatric assistive devices[J]. American Family Physician, 2011, 84(4): 405-411.
[13] Bateni H, Maki B E. Assistive devices for balance and mobility: Benefits, demands, and adverse consequences[J]. Archives of Physical Medicine & Rehabilitation, 2005, 86(1): 134-145.
[14] Ishikura T. Biomechanical analysis of weight bearing force and muscle activation levels in the lower extremities during gait with a walker[J]. Acta Medica Okayama, 2001, 55(2): 73-82.
[15] 中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会 . 康复辅助器具 分类和术语: GB/T 16432—2016[S].北京: 中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会, 2016.
[16] 黄海晶, 王志彬, 金鸿宾 . 助行器的演变与发展[J]. 中国矫形外科杂志, 2006, 14(18): 1397-1399.
[17] 王宝亭, 耿鸿武 . 中国医疗器械行业发展报告(2019)[M]. 北京: 社会科学文献出版社, 2019: 157-167.
[18] 于连甲 . 助行器的功能与分类[J]. 中国康复, 1996, 11(4): 180-182.
[19] Martins M M, Santos C P, Frizera-Neto A, et al. Assistive mobility devices focusing on Smart Walkers: Classification and review[J]. Robotics and Autonomous Systems, 2012, 60(4): 548-562.
[20] Sehgal M, Jacobs J, Biggs W S. Mobility assistive device use in older adults[J]. American Family Physician, 2021, 103(12) :737-744.
[21] Fareed N, Southerland L T, Rao B M, et al. Geriatric assistive devices improve older patient engagement and clinical care in an emergency department[J]. The American Journal of Emergency Medicine, 2021, 46: 656-658.
[22] Dozono K A, Hachisuka A B, Wada F B, et al. Peripheral neuropathies in nonparetic upper extremities of stroke patients induced by excessive use of a walking device[J]. Journal of Stroke and Cerebrovascular Diseases, 2015, 24(8): 1841-1847.
[23] Stevens J C, Beard C M, O'Fallon W M, et al. Conditions associated with carpal tunnel syndrome[J]. Mayo Clinic Proceedings, 1992, 67(6): 541-548.
[24] Maki B E S H, Holliday P J, Topper A K. A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population[J]. Journal of Gerontology, 1994, 49(2): M72-M84.
[25] Ely D D, Smidt G L. Effect of cane on variables of gait for patients with hip disorders[J]. Physical Therapy, 1977, 5: 507-512.
[26] McQuade K J, Finley M, Oliveira A S. Upper extremity joint stresses during walker assisted ambulation in post-surgical patients[J]. Revista Brasileira de Fisioterapia, 2011, 15(4): 332-337.
[27] 蒋梦蝶, 戴付敏, 徐娟娟, 等. 老年人移动辅助器具的使用现状及影响因素[J]. 护理学杂志, 2019, 34(1): 23-27.
[28] Liu H H, Eaves J, Wang W, et al. Assessment of canes used by older adults in senior living communities[J]. Archives of Gerontology & Geriatrics, 2011, 52(3): 299-303.
[29] Liu H H. Assessment of rolling walkers used by older adults in senior-living communities[J]. Geriatr Gerontol Int, 2009, 9(2): 124-130.
[30] Perry Jacquelin, Burnfield Judith M. 步态分析——正常和病理功能[M]. 姜淑云, 译. 2版. 上海: 上海科学技术出版社, 2018.
[31] Murray M P, Kory R C, Clarkson B H. Walking patterns in healthy old men[J]. Journal of Gerontology, 1969, 24(2): 69.
[32] Elftman H. The Function of the arms in walking[J]. Human Biology, 1939, 11(4): 529-535.
[33] Pontzer H, Holloway T J H, Holloway R J H, et al. Control and function of arm swing in human walking and running[J]. Journal of Experimental Biology, 2009, 212(4): 523-534.
[34] Crosbie J. Comparative kinematics of two walking frame gaits[J]. Journal of Orthopaedic & Sports Physical Therapy, 1994, 20(4): 186-192.
[35] Crosbie J. Kinematics of walking frame ambulation[J]. Clinical Biomechanics, 1993, 8(1): 31-36.
[36] Simoneau G, Hambrook G, Bachschmidt R, et al. Quantifying upper extremity efforts when using a walking frame: Pediatric Gait[C]//Pediatric Gait: A New Millennium in Clinical Care and Motion Analysis Technology. Piscataway: IEEE, 2000, doi:10.1109/PG.2000.858900.
[37] Katherine A K, Kelly M B S, Joseph K, et al. Upper extremity joint dynamics during walker assisted gait: A quantitative approach towards rehabilitative intervention[J]. Journal of Experimental & Clinical Medicine, 2011, 3(5): 213-217.
[38] Guo Y, Zhao Y, Salem Y, et al. Postural effect on gait characteristics by using rolling walkers[J]. Geriatric Nursing, 2020, 41(6): 916-920.
[39] Tung J Y, Gage W H, Zabjek K F, et al. Frontal plane standing balance with an ambulation aid: Upper limb biomechanics[J]. Journal of Biomechanics, 2011, 44(8):1466-1470.
[40] Bachschmidt R A, Harris G F, Simoneau G G. Walker-assisted gait in rehabilitation: A study of biomechanics and instrumentation[J]. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 2001, 9(1): 96-105.
[41] Tat C C, Jauw V L, Parasuraman S. Kinematics and kinetics studies on upper extremity during walking frame ambulation[M]. Berlin, Heidelberg: Springer, 2012: 206-215.
[42] Baniasad M, Farahmand F, Arazpour M, et al. Role and significance of trunk and upper extremity muscles in walker-assisted paraplegic gait: A case study[J]. Topics in Spinal Cord Injury Rehabilitation, 2018, 24(1): 18-27.
[43] Baniasad M, Farahmand F, Arazpour M, et al. Kinematic and electromyography analysis of paraplegic gait with the assistance of mechanical orthosis and walker[J]. The Journal of Spinal Cord Medicine, 2020, 43(6): 854-861.
[44] Suica Z, Romkes J, Tal A, et al. Walking with a four wheeled walker (rollator) significantly reduces EMG lower-limb muscle activity in healthy subjects[J]. Journal of Bodywork and Movement Therapies, 2016, 20(1): 65-73.
[45] Requejo P S, Wahl D P, Bontrager E L, et al. Upper extremity kinetics during Lofstrand crutch-assisted gait[J].Medical Engineering & Physics, 2005, 27(1): 19-29.
[46] Jain N B M M, Higgins L D M, Katz J N M M, et al. Association of shoulder pain with the use of mobility devices in persons with chronic spinal cord injury[J]. PM & R, 2010, 2(10): 896-900.
[47] Haubert L L, Gutierrez D D, Newsam C J, et al. A comparison of shoulder joint forces during ambulation with crutches versus a walker in persons with incomplete spinal cord injury[J]. Archives of Physical Medicine and Rehabilitation, 2006, 87(1): 63-70.
[48] Melis E H, Torres-Moreno R, Barbeau H, et al. Analysis of assisted-gait characteristics in persons with incomplete spinal cord injury[J]. Spinal Cord, 1999, 37(6): 430-439.
[49] Khodadadi M, Baniasad M A, Arazpour M, et al. Designing instrumented walker to measure upper-extremity's efforts: A case study[J]. Assistive Technology, 2019, 31(5): 267-275.
[50] Thies S B, Bates A, Costamagna E, et al. Are older people putting themselves at risk when using their walking frames?[J]. BMC Geriatrics, 2020, 20(1): 11-90.
[51] 朱文玥 . 助行器参数对虚弱老人步行生物力学之影响[D]. 台北: 台湾阳明大学, 2006.
[52] Yang H, Chih Y, Lin H, et al. The effects of posterior walkers of different heights on gait performance among children with spastic diplegic cerebral palsy[J]. Taipei City Medical Journal, 2011, 8(2): 97-115.
[53] Hambrook G W, Simoneau G G, Bachschmidt R A, et al. Biomechanical effect of changes in walker height and position on sagittal plane elbow dynamics for rehabilitation purposes[C]//Proceedings of the 20th Annual International Conference of the IEEE Engineering in Medicine & Biology Society. Piscataway: IEEE, 1998, doi: 10.1109/IEMBS.1998.745227.
[54] Thies S B, Russell R, Al-Ani A, et al. An investigation of the effects of walking frame height and width on walking stability[J]. Gait & Posture, 2020, 82: 248-253.
[55] Tat C C, Parasuraman S, Ahamed Khan M K A, et al. Walking support system for Ageing Community[C]//International Conference on Recent Trends in Electrical, Control and Communication. Piscataway: IEEE, 2018, doi: 10.1109/RTECC.2018.8625641.
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