腿筋的评估:部曲角度是否会影响结果?
Megan Banky1,2, Ross A Clark3, Benjamin F Mentiplay4
1Department of Physiotherapy, Epworth HealthCare, Melbourne, Australia.
Disability and rehabilitation
|December 15, 2023
概括
评估腿筋动在部曲40度,而不是90度,可以提高准确性和行走的相关性. 这种变化可以更好地识别需要改善流动性的干预措施的个人.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 生物力学 生物力学
背景情况:
- 腿筋动在神经损伤后很常见.
- 当前的评估方法可能缺乏对行走的现实应用.
- 标准评估使用90度部曲,这与典型的行走生物力学不同.
研究的目的:
- 为了比较腿筋的评估结果在40°和90°的部曲.
- 评估不同的部曲角度的生态有效性,以评估腿筋动.
- 为了确定减少部曲角度是否会改善行走的评估相关性.
主要方法:
- 使用了修改后的阿什沃思尺度和修改后的塔迪欧尺度.
- 35名患有神经疾病的成年人参与了这项研究.
- 在两种部曲角度 (40°和90°) 进行了105次试验,有3名评估人员进行评估.
主要成果:
- 使用两种尺度 (p=.012对于MAS,p<.001对于MTS) 进行90°部曲时,度被评为更高.
- 的严重程度在90°部曲时显著增加 (MAS的ES=0.50,MTS的ES=0.47).
- 反应角发生在90°部屈曲时 (p<.001,ES=1.61).
结论:
- 在部曲40°时评估腿筋动性可能会减少被动肌肉缺陷.
- 这种较低的角度提高了与步行相关的评估的生态有效性.
- 它可以帮助选择患者进行旨在改善行走功能的干预措施.
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