帕雷斯推进变化与扶手使用在个人中风后的使用
Erica H Hinton1, Samuel Bierner2, Darcy S Reisman3
1University of Nebraska at Omaha, Omaha, NE, USA.
Heliyon
|March 11, 2024
概括
卒中幸存者可以通过在跑步机训练期间使用扶手来改善行走. 鼓励使用扶手可以增强动力推进,帮助中风后的步行康复.
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:
- 在美国,中风每年影响80万人,其中30%需要行走辅助.
- 跑步机步态训练是中风后常见的,通常使用扶手.
- 使用扶手对冲击后推进力的影响尚不清楚.
研究的目的:
- 为了研究个人如何在使用跑步机扶手时改变他们的性推进力.
- 为了比较扶手使用和辅助设备使用对推进的影响.
主要方法:
- 在中风后,21名患者在三个条件下在跑步机上行走:没有扶手,轻松使用扶手 (体重<5%),以及自选使用扶手.
- 三个多层模型分析了跨条件和辅助设备用户群体的扶手力,性和非性推进.
主要成果:
- 与光线使用相比,在自选使用时,杆推进冲动显著更高 (p=0.002).
- 辅助设备的使用和扶手的状况显著改善了对平行推进脉冲的模型 (p=0.01).
- 辅助设备使用和扶手状况之间的相互作用显著改善了非性推进冲动模型 (p<0.001).
结论:
- 手的使用可以影响中风后个体的动推进冲动.
- 在跑步机训练期间鼓励使用扶手可能会优化动力推进康复.
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