简短的高速运动技能训练增加了步骤频率,并改善了慢步行者慢慢运动不完整脊髓损伤的长度/频率协调
Nicholas H Evans1, Edelle C Field-Fote2
1Shepherd Center, Crawford Research Institute, Atlanta, GA.
Archives of physical medicine and rehabilitation
|March 4, 2024
概括
运动技能训练改善了脊髓损伤患者的步行速度. 对于较慢的步行者来说,这种改善与步骤频率的变化和减少的步行比率有关.
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:
- 时空协调对于地面行走至关重要.
- 运动不完整脊髓损伤 (PwMISCI) 的人经常表现出改变的步态参数.
- 步行比 (WR) 是衡量步骤长度 (SL) /步骤频率 (SF) 协调的指标,可以揭示步伐缺陷.
研究的目的:
- 在PwMISCI中使用WR在地面行走期间量化时空协调.
- 研究运动技能训练 (MST) 对SL,SF和步行速度 (WS) 变化之间的关系的影响.
主要方法:
- 日间数据的探索性分析.
- 参与者: 26名普华永道.
- 干预:为期3天的高速MST.
- 结果测量:在10米步行测试期间的地面WS,SL,SF和WR.
主要成果:
- 在全样本中,MST增加了WS,SL和SF,同时减少了WR.
- 慢步行者与快步行者相比,WS和SF的相对增加更大.
- 步行速度的变化有所不同:慢步行者 - 10%;快步行者 - 0%.
- 在慢步行者中,增加的SF解释了WR变化;在快步行者中,增加的SL解释了更多的WR变化.
结论:
- PwMISCI通常比其他神经群体的WR更高,但快步行者的WR与未受伤的成年人相似.
- 慢步行者表现出更高的WR,这与较慢的WS相关.
- 在慢步行者中,MST增强了WS,主要是通过影响SF和减少WR,这表明了改善流动性的关键机制.
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