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相关概念视频

Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the neck...
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Anterior Compartment
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The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles.

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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
PubMed
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.

关键词:
肌肉的动性 肌肉的动性步态 步态 步态 步态结果评估结果评估结果康复康复康复康复康复康复的有效性有效性.

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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.