在中风后的患者中,横向伸展的质量和数量的方向依赖差异
Shintaro Uehara1, Akiko Yuasa2, Kazuki Ushizawa2
1Faculty of Rehabilitation, Fujita Health University School of Health Sciences, Toyoake, Aichi, Japan.
Journal of neurophysiology
|September 5, 2023
概括
卒中幸存者显示方向依赖的手臂达到损伤,无论严重程度如何. 了解这些运动质量和数量的差异对于有效的康复培训至关重要.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 生物力学 生物力学
背景情况:
- 在中风后,手臂的伸展经常受到损害.
- 准方向对达到性能及其与运动恢复的演变的影响尚未得到充分理解.
研究的目的:
- 在患有亚急性中风后半症的个体中研究各种方向伸手的动力学参数.
- 为了确定方向依赖的到达性能如何随着电机恢复而变化.
主要方法:
- 通过使用机器人外骨架,轻度和中度至重度半的参与者执行了八个方向的水平伸手任务.
- 分析了运动时间,路径长度,速度峰值和位移量.
- 使用Fugl-Meyer评估来评估运动恢复.
主要成果:
- 轻度半衰减组在前后方向上表现出较差的达到参数,无论手臂侧面或恢复.
- 中度至重度半衰减组最初显示的前后运动比中侧运动少,随着运动恢复的进展,这种偏差减少了.
- 在各级中风严重程度之间观察到达到质量和数量的方向依赖差异.
结论:
- 在中风后,无论半症的严重程度如何,在手臂伸展性能上存在方向依赖的偏差.
- 这些发现强调了在设计中风康复计划时考虑任务工作空间的重要性.
- 根据特定的运动方向调整训练可能会增强功能恢复.
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