定义自主行走的人在中风后呈现出不同的手臂摆动协调模式的特征
Anke Van Bladel1, Roel De Ridder2, Tanneke Palmans2
1Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium; Department of Physical and Rehabilitation Medicine, Ghent University Hospital, Ghent, Belgium.
卒中后的个体在行走时表现出改变的手臂摆动. 这项研究确定了两个步态模式,与1:1的手臂摆动与腿部步伐比率相关,与更好的上肢功能和更少的性有关.
科学领域:
- 生物力学 生物力学
- 神经康复疗法 神经康复疗法
- 步态分析 步态分析
背景情况:
- 脑卒中后的步态表现为改变了手臂的摆动,影响了整体的移动性.
- 了解手臂到腿的协调对于步态干预至关重要.
研究的目的:
- 根据走路时的手臂摆动模式,识别和描述中风后的个人子组.
- 调查这些子组与临床/生物力学参数之间的关系.
主要方法:
- 利用半截肢肩部运动的动力学数据进行快速里埃变换分析.
- 分析了在自动步行跑步机上行走时的斜腰平面肩部运动.
- 使用独立样本t测试或曼·惠特尼U测试进行子组比较.
主要成果:
- 确认了两个子组:1:1的手臂摆动与腿部步伐比率 (N=15) 和 2:1的比率 (N=9).
- 1:1小组显著减少了上肢损伤和肘部伸展器动 (p=0.012).
- 1:1小组的趋势是肩膀内部旋转器度减少,行走变化率降低.
结论:
- 快速里埃转换分析有效地根据肩膀动力学区分了中风后的步态子组.
- 识别的步态模式及其相关的临床差异可以为未来的步态干预研究提供信息.
- 需要对更大样本进行进一步的调查,以确认发现.
更多相关视频
08:24Sit-to-stand-and-walk from 120% Knee Height: A Novel Approach to Assess Dynamic Postural Control Independent of Lead-limb
Published on: August 30, 2016
15:00The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors
Published on: May 2, 2021
相关概念视频
Muscle Coordination and Action
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement.
Muscles of the Forearm that Move the Hand and Fingers
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi radialis,...
Alterations in Muscle Tone ll
Alterations in Muscle Tone lll
