Research Article
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The Effects of Vision on Stair Descent: Kinetic and Kinematic Analysis

Year 2023, Volume: 7 Issue: 2, 573 - 578, 31.05.2023
https://doi.org/10.30621/jbachs.996534

Abstract

Purpose: The purpose of this study was to examine the effects of vision on stair descent activity.
Methods: Twenty healthy participants aged between 20-22 (21 years) were included in the study. The patients were asked to walk on a platform with a height of 15 cm from the ground and a length of 4 meters, get down on a 30*60 cm long force platform at the end of the platform and continue walking. Test was repeated with glasses that reduced the light by 90%. Kinetic data were obtained with the Kistler Force platform. The data collected from the first contact of the person's foot to the force platform until the contact of the same foot with the platform was recorded. Descriptive statistics are given as median. Wilcoxon signed-rank test with Bonferroni correction was used to compare within-group measurement values.
Results: There were significant differences in the Min region on X-axis, the second peak on the second axis, and the second peak on Y-axis (p<0.025). When the kinematic parameters were compared, it was found that there was a significant difference between the min peaks of the ankle, hip, and knee joints (p<0.025).
Conclusion: If the vision is disrupted, even the person tries to minimize the injury risk caused by the uncontrolled movement, he/she is not able to take control of the midstance and push-off phase of the related lower extremity. It is necessary to also assess the kinetic and kinematic parameters of the contralateral lower extremity in order to broadly analyze the stair descent activity

References

  • 1. Dufek JS, Bates BT. The evaluation and prediction of impact forces during landings. Medicine and Science in Sports and Exercise. 1990;22(3):370-7.
  • 2. Santello M. Review of motor control mechanisms underlying impact absorption from falls. Gait & posture. 2005;21(1):85-94.
  • 3. DeGoede K, Ashton-Miller J, Schultz A. Fall-related upper body injuries in the older adult: a review of the biomechanical issues. Journal of biomechanics. 2003;36(7):1043-53.
  • 4. Dugan SA, Bhat KP. Biomechanics and analysis of running gait. Physical Medicine and Rehabilitation Clinics. 2005;16(3):603-21.
  • 5. Zajac FE. Muscle and tendon: properties, models, scaling, and application to biomechanics and motor control. Critical reviews in biomedical engineering. 1989;17(4):359-411.
  • 6. Duncan AD, McDonagh MJ. Stretch reflex distinguished from pre‐programmed muscle activations following landing impacts in man. The Journal of physiology. 2000;526(2):457-68.
  • 7. Dyhre‐Poulsen P, Simonsen EB, Voigt M. Dynamic control of muscle stiffness and H reflex modulation during hopping and jumping in man. The Journal of physiology. 1991;437(1):287-304.
  • 8. Teh J, Firth M, Sharma A, Wilson A, Reznek R, Chan O. Jumpers and fallers: a comparison of the distribution of skeletal injury. Clinical radiology. 2003;58(6):482-6.
  • 9. Riener R, Rabuffetti M, Frigo C. Stair ascent and descent at different inclinations. Gait & posture. 2002;15(1):32-44.
  • 10. Cohen HH. A field study of stair descent. Ergonomics in Design. 2000;8(2):11-5.
  • 11. Cluff T, Robertson DGE. Kinetic analysis of stair descent: Part 1. Forwards step-over-step descent. Gait & posture. 2011;33(3):423-8.
  • 12. Beaulieu FG, Pelland L, Robertson DGE. Kinetic analysis of forwards and backwards stair descent. Gait & posture. 2008;27(4):564-71.
  • 13. Livingston LA, Stevenson JM, Olney SJ. Stairclimbing kinematics on stairs of differing dimensions. Archives of physical medicine and rehabilitation. 1991;72(6):398-402.
  • 14. Protopapadaki A, Drechsler WI, Cramp MC, Coutts FJ, Scott OM. Hip, knee, ankle kinematics and kinetics during stair ascent and descent in healthy young individuals. Clinical biomechanics. 2007;22(2):203-10.
  • 15. Schick S, Heinrich D, Graw M, Aranda R, Ferrari U, Peldschus S. Fatal falls in the elderly and the presence of proximal femur fractures. International journal of legal medicine. 2018;132(6):1699-712.
  • 16. Speechley M, Tinetti M. Falls and injuries in frail and vigorous community elderly persons. Journal of the American Geriatrics Society. 1991;39(1):46-52.
  • 17. Buckley JG, Cooper G, Maganaris CN, Reeves ND. Is stair descent in the elderly associated with periods of high centre of mass downward accelerations? Experimental gerontology. 2013;48(2):283-9.
  • 18. Cavanagh PR, Mulfinger LM, Owens DA. How do the elderly negotiate stairs? Muscle & Nerve Supplement. 1997;5:S52-5.
  • 19. Startzell JK, Owens DA, Mulfinger LM, Cavanagh PR. Stair negotiation in older people: a review. Journal of the American Geriatrics Society. 2000;48(5):567-80.
  • 20. Buckley JG, MacLellan MJ, Tucker MW, Scally AJ, Bennett SJ. Visual guidance of landing behaviour when stepping down to a new level. Experimental brain research. 2008;184(2):223-32.
  • 21. Hamel KA, Okita N, Higginson JS, Cavanagh PR. Foot clearance during stair descent: effects of age and illumination. Gait & Posture. 2005;21(2):135-40.
  • 22. den Brinker BPLM, Burgman LJ, Hogervorst SMJ, Reehorst SE, Kromhout S, van der Windt J. The effect of high-contrast marking of treads on the descent of stairways by low-vision people. International Congress Series. 2005;1282:502-6.
  • 23. Fong C-M, Blackburn JT, Norcross MF, McGrath M, Padua DA. Ankle-dorsiflexion range of motion and landing biomechanics. J Athl Train. 2011;46(1):5-10.
Year 2023, Volume: 7 Issue: 2, 573 - 578, 31.05.2023
https://doi.org/10.30621/jbachs.996534

Abstract

References

  • 1. Dufek JS, Bates BT. The evaluation and prediction of impact forces during landings. Medicine and Science in Sports and Exercise. 1990;22(3):370-7.
  • 2. Santello M. Review of motor control mechanisms underlying impact absorption from falls. Gait & posture. 2005;21(1):85-94.
  • 3. DeGoede K, Ashton-Miller J, Schultz A. Fall-related upper body injuries in the older adult: a review of the biomechanical issues. Journal of biomechanics. 2003;36(7):1043-53.
  • 4. Dugan SA, Bhat KP. Biomechanics and analysis of running gait. Physical Medicine and Rehabilitation Clinics. 2005;16(3):603-21.
  • 5. Zajac FE. Muscle and tendon: properties, models, scaling, and application to biomechanics and motor control. Critical reviews in biomedical engineering. 1989;17(4):359-411.
  • 6. Duncan AD, McDonagh MJ. Stretch reflex distinguished from pre‐programmed muscle activations following landing impacts in man. The Journal of physiology. 2000;526(2):457-68.
  • 7. Dyhre‐Poulsen P, Simonsen EB, Voigt M. Dynamic control of muscle stiffness and H reflex modulation during hopping and jumping in man. The Journal of physiology. 1991;437(1):287-304.
  • 8. Teh J, Firth M, Sharma A, Wilson A, Reznek R, Chan O. Jumpers and fallers: a comparison of the distribution of skeletal injury. Clinical radiology. 2003;58(6):482-6.
  • 9. Riener R, Rabuffetti M, Frigo C. Stair ascent and descent at different inclinations. Gait & posture. 2002;15(1):32-44.
  • 10. Cohen HH. A field study of stair descent. Ergonomics in Design. 2000;8(2):11-5.
  • 11. Cluff T, Robertson DGE. Kinetic analysis of stair descent: Part 1. Forwards step-over-step descent. Gait & posture. 2011;33(3):423-8.
  • 12. Beaulieu FG, Pelland L, Robertson DGE. Kinetic analysis of forwards and backwards stair descent. Gait & posture. 2008;27(4):564-71.
  • 13. Livingston LA, Stevenson JM, Olney SJ. Stairclimbing kinematics on stairs of differing dimensions. Archives of physical medicine and rehabilitation. 1991;72(6):398-402.
  • 14. Protopapadaki A, Drechsler WI, Cramp MC, Coutts FJ, Scott OM. Hip, knee, ankle kinematics and kinetics during stair ascent and descent in healthy young individuals. Clinical biomechanics. 2007;22(2):203-10.
  • 15. Schick S, Heinrich D, Graw M, Aranda R, Ferrari U, Peldschus S. Fatal falls in the elderly and the presence of proximal femur fractures. International journal of legal medicine. 2018;132(6):1699-712.
  • 16. Speechley M, Tinetti M. Falls and injuries in frail and vigorous community elderly persons. Journal of the American Geriatrics Society. 1991;39(1):46-52.
  • 17. Buckley JG, Cooper G, Maganaris CN, Reeves ND. Is stair descent in the elderly associated with periods of high centre of mass downward accelerations? Experimental gerontology. 2013;48(2):283-9.
  • 18. Cavanagh PR, Mulfinger LM, Owens DA. How do the elderly negotiate stairs? Muscle & Nerve Supplement. 1997;5:S52-5.
  • 19. Startzell JK, Owens DA, Mulfinger LM, Cavanagh PR. Stair negotiation in older people: a review. Journal of the American Geriatrics Society. 2000;48(5):567-80.
  • 20. Buckley JG, MacLellan MJ, Tucker MW, Scally AJ, Bennett SJ. Visual guidance of landing behaviour when stepping down to a new level. Experimental brain research. 2008;184(2):223-32.
  • 21. Hamel KA, Okita N, Higginson JS, Cavanagh PR. Foot clearance during stair descent: effects of age and illumination. Gait & Posture. 2005;21(2):135-40.
  • 22. den Brinker BPLM, Burgman LJ, Hogervorst SMJ, Reehorst SE, Kromhout S, van der Windt J. The effect of high-contrast marking of treads on the descent of stairways by low-vision people. International Congress Series. 2005;1282:502-6.
  • 23. Fong C-M, Blackburn JT, Norcross MF, McGrath M, Padua DA. Ankle-dorsiflexion range of motion and landing biomechanics. J Athl Train. 2011;46(1):5-10.
There are 23 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Ata Elvan 0000-0002-6478-433X

Metin Selmani This is me 0000-0002-0519-8584

Mehmet Alphan Çakıroğlu This is me 0000-0003-2710-788X

Salih Angın 0000-0003-1623-2845

Engin Sımsek 0000-0001-8784-6604

Publication Date May 31, 2023
Submission Date September 20, 2021
Published in Issue Year 2023 Volume: 7 Issue: 2

Cite

APA Elvan, A., Selmani, M., Çakıroğlu, M. A., Angın, S., et al. (2023). The Effects of Vision on Stair Descent: Kinetic and Kinematic Analysis. Journal of Basic and Clinical Health Sciences, 7(2), 573-578. https://doi.org/10.30621/jbachs.996534
AMA Elvan A, Selmani M, Çakıroğlu MA, Angın S, Sımsek E. The Effects of Vision on Stair Descent: Kinetic and Kinematic Analysis. JBACHS. May 2023;7(2):573-578. doi:10.30621/jbachs.996534
Chicago Elvan, Ata, Metin Selmani, Mehmet Alphan Çakıroğlu, Salih Angın, and Engin Sımsek. “The Effects of Vision on Stair Descent: Kinetic and Kinematic Analysis”. Journal of Basic and Clinical Health Sciences 7, no. 2 (May 2023): 573-78. https://doi.org/10.30621/jbachs.996534.
EndNote Elvan A, Selmani M, Çakıroğlu MA, Angın S, Sımsek E (May 1, 2023) The Effects of Vision on Stair Descent: Kinetic and Kinematic Analysis. Journal of Basic and Clinical Health Sciences 7 2 573–578.
IEEE A. Elvan, M. Selmani, M. A. Çakıroğlu, S. Angın, and E. Sımsek, “The Effects of Vision on Stair Descent: Kinetic and Kinematic Analysis”, JBACHS, vol. 7, no. 2, pp. 573–578, 2023, doi: 10.30621/jbachs.996534.
ISNAD Elvan, Ata et al. “The Effects of Vision on Stair Descent: Kinetic and Kinematic Analysis”. Journal of Basic and Clinical Health Sciences 7/2 (May 2023), 573-578. https://doi.org/10.30621/jbachs.996534.
JAMA Elvan A, Selmani M, Çakıroğlu MA, Angın S, Sımsek E. The Effects of Vision on Stair Descent: Kinetic and Kinematic Analysis. JBACHS. 2023;7:573–578.
MLA Elvan, Ata et al. “The Effects of Vision on Stair Descent: Kinetic and Kinematic Analysis”. Journal of Basic and Clinical Health Sciences, vol. 7, no. 2, 2023, pp. 573-8, doi:10.30621/jbachs.996534.
Vancouver Elvan A, Selmani M, Çakıroğlu MA, Angın S, Sımsek E. The Effects of Vision on Stair Descent: Kinetic and Kinematic Analysis. JBACHS. 2023;7(2):573-8.