THE INFLUENCE OF “NORDIC WALKING” ON THE RESTRUCTURING OF THE LOCOMOTOR PROFILE IN WOMEN WITH IMPAIRED SAGITTAL BALANCE
DOI: 10.22138/2500-0918-2024-21-2-194-206
I.D. Cherepanov, T.I. Dolganova, D.V. Dolganov
FSBI “National Ilizarov Medical Research Centre for Traumatology and Orthopaedics”
of the RF Ministry of Health, Kurgan, Russian Federation
Abstract. Judgments about “Nordic walking” (“NW”), which helps reduce the load on the lower limbs in orthopedic pathology, are not clear-cut. Objective is to establish the effect of “NW” on the locomotor profile of women with impaired sagittal balance. Materials and methods. The locomotor profile was assessed using video gait analysis in 12 women aged 60-65 years in the gait analysis laboratory of the Ilizarov Center. Comparable groups of 6 people without (group 1) and with clinical signs of sagittal imbalance (group 2) were identified. All participants used normal and “NS” barefoot walking, and participants in group 1 also used normal walking at an accelerated pace. Results. In those examined in group 1, an increase in movement speed by 25% was accompanied by an increase in the total power of work of the articular muscles of the lower limb during normal walking at an accelerated pace by 51%, and during “NW” by 17%. In those examined in group 2, there was no increase in walking speed with “NW”, but the overall increase in the total power of the joint muscles was, on average, 30% with a significant increase in the work of the muscle activity of the ankle joint. Conclusions. With undisturbed sagittal balance and normal walking, an increase in speed by 25% was achieved by increasing the total power of the articular muscles of the lower limb by 51% with a predominant increase in the power of the muscles of the hip joint by 80%. During “NW”, in those examined with preserved and impaired sagittal balance of the torso, the locomotor profile of muscle activity changed statistically significantly with a predominant increase in the power of the ankle joint muscles by 37% and 81%, respectively. In case of clinical balance disorders in the conditions of “NW”, positive changes in its correction and gait stability were recorded. The range of variation of balancing values decreased.
Keywords: dynamic axial balance, kinematics, kinetics, video analysis of gait, “Nordic walking”
There is no conflict of interest.
Contact details of the corresponding author:
Ivan D. Cherepanov
smilyha@yandex.ru
Received 05.03.2024
For citation:
Cherepanov I.D., Dolganova T.I., Dolganov D.V. The influence of Nordic Walking on the restructuring of the locomotor profile in women with impaired sagittal balance [Online] Vestn. Ural. Med. Akad. Nauki. = Journal of Ural Medical Academic Science. 2024, Vol. 21, no. 2, pp. 194–206. DOI: 10.22138/2500-0918-2024-21-2-194-206 (In Russ)
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Authors
Ivan D. Cherepanov
Postgraduate
smilyha@yandex.ru
ORCID https://orcid.org/0000-0001-8261-8581
Tamara I. Dolganova
M.D., Ph.D., leading researcher of the Scientific Laboratory of the Clinics for neuroorthopedics and systemic diseases
rjik532007@rambler.ru
ORCID https://orcid.org/0000-0002-0117-3451
Dmitry V. Dolganov
Ph.D. in Biology, senior researcher of of the Scientific Laboratory of the Clinics for neuroorthopedics and systemic diseases
paradigma-dv@rambler.ru
ORCID https://orcid.org/0000-0002-8708-1303
FSBI “National Ilizarov Medical Research Centre for Traumatology and Orthopaedics” of the RF Ministry of Health
Kurgan, Russian Federation