在6个月的运动干预后,患有外周动脉疾病的患者的关节角度变化发生了变化
Farahnaz Fallahtafti1, Zahra Salamifar1, Mahdi Hassan1,2
1Department of Biomechanics, University of Nebraska at Omaha, Omaha, NE 6160, USA.
Entropy (Basel, Switzerland)
|July 8, 2023
概括
监督运动疗法 (SET) 改善了外周动脉疾病 (PAD) 患者的步态变性,使他们的步行更加规律. 这种保守的治疗改善了步行表现,朝着健康的控制模式迈进.
科学领域:
- 生物力学 生物力学
- 康复医学 康复医学 康复医学
- 临床运动生理学 临床运动生理学
背景情况:
- 周围动脉疾病 (PAD) 显著影响行走性能.
- 在PAD患者中,步态可变性发生变化,但监督运动治疗 (SET) 的影响仍然不清楚.
- 了解SET对步态变化的影响对于优化PAD治疗至关重要.
研究的目的:
- 研究一个为期6个月的监督运动治疗 (SET) 计划对PAD患者的步态变异性的影响.
- 在干预之前和之后分析线性和非线性步态参数.
- 将步态变异的变化与健康对照的变化进行比较.
主要方法:
- 四十三名PAD患者参加了为期6个月的SET计划.
- 在干预之前和干预后立即进行了行走分析.
- 使用样本和最大的利亚普诺夫指数 (脚,膝盖,部) 评估了非线性步态变性.
- 还计算了关节角度时间序列 (运动范围) 的线性测量.
- 两个因素的重复测量ANOVA用于统计分析.
主要成果:
- SET导致走路规律性降低 (非线性变异性增加),但没有影响步行的稳定性.
- 与膝盖和部关节相比,脚非线性变异性显著增加.
- 线性步行尺寸基本保持不变,除了增加膝盖角度变化.
- 观察到的变化使步态变化模式转向了健康个体的变化模式.
结论:
- 6个月的SET计划改变了PAD患者的步态变化,特别是增加了非线性变化.
- 步态变化的这些变化表明,SET后的步行表现有所改善.
- 作为一种保守的治疗方法,SET显示出在PAD患者中增强功能移动性的潜力.
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