在患有脑的儿童中,与疲劳相关的步态适应
Laura M Oudenhoven1,2, Marjolein M Van Der Krogt1,2, Sanne Ettema3,4
1Rehabilitation Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Developmental medicine and child neurology
|May 27, 2023
概括
长时间走路会使脑儿童的步态恶化,影响膝盖和脚的运动. 疲劳会影响步态动力学,但不会影响能量成本,这表明CP患者的个性化干预措施.
科学领域:
- 人类运动的生物机械分析.
- 儿科康复和运动控制.
背景情况:
- 患有脑 (CP) 的儿童经常表现出改变的步态模式.
- 了解疲劳对步态的影响对于康复至关重要.
研究的目的:
- 研究长期步行诱导的疲劳对CP儿童步行动力学,动力学和步行能量成本 (ECoW) 的影响.
主要方法:
- 一项前性观察性研究,涉及CP儿童和典型发育的儿童.
- 在带有气体分析的仪器跑步机上长时间,基于强度的步行协议.
- 步行参数,动力学和ECoW在6分钟步行和中等强度步行运动之前和之后进行了评估.
主要成果:
- 在长时间行走的两组中,行走概况得分都恶化了.
- 患有CP的儿童在特定的步行阶段表现出膝盖曲和脚背曲的增加.
- 在这两组中都没有观察到 significant changes in gait kinetics或行走的能量成本.
结论:
- 儿童的动力学偏差CP进展与长时间行走.
- 观察到步态适应疲劳的显著个体变异.
- 在临床实践中,对于患有CP的儿童,建议采用个性化的方法来评估疲劳对步态的影响.
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