脑中风后的时空变化反映的不仅仅是慢步行速度
Yogev Koren1, Oren Barzel2, Lior Shmuelof3
1Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; The Translational Neurorehabilitation Laboratory, Adi-Negev Nahalat Eran Rehabilitation Center, Ofakim, Israel.
Gait & posture
|March 17, 2024
概括
卒中幸存者的步行变化与运动协调缺陷有关,而不仅仅是步行速度. 这一发现突出了下肢协调受损与中风后改变的步态模式之间的联系.
科学领域:
- 神经学 神经学
- 生物医学工程 生物医学工程
- 康复科学 康复科学 康复科学
背景情况:
- 时空步态变异性是衰老和病理学的生物标志物,可以预测跌倒.
- 在中风幸存者中,尚不清楚步态变化是否源于病理或步行速度.
- 这项研究研究了步态变化和中风后的运动缺陷之间的直接关系.
研究的目的:
- 确定中风幸存者的时空步行变化增加是否与运动协调缺陷直接相关.
- 为了区分病理与步行速度对步态变化的影响.
主要方法:
- 40名中风患者完成了下肢运动协调测试 (LEMOCOT) 和120秒的跑步机步行.
- 分析了步行变化指标 (步行时间,长度,速度,宽度) 和LEMOCOT分数 (目标触摸数,绝对/可变误差).
- 线性建模评估了步态变化和LEMOCOT结果之间的相关性,控制了步行速度.
主要成果:
- 步行时间,长度和宽度的变化与步行速度相关;步行速度的变化没有.
- 在控制速度后,LEMOCOT得分与步骤时间方差相关联.
- LEMOCOT变量误差与步骤长度,宽度和速度差异相关;绝对误差显示没有显著的相关性.
结论:
- 脑卒中幸存者的运动协调减少与空间时空步态变化增加有关,独立于步行速度.
- 这项研究在中风患者群体中建立了下肢协调障碍和步行功能缺陷之间的联系.
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