人类步行稳定性的直接生物机械操纵:一个系统的审查
Bram Sterke1, Saher Jabeen2, Patricia Baines2
1Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
PloS one
|July 11, 2024
概括
机械操作可以提高步行稳定性. 骨盆稳定显示了有希望的证据,无论是受损和非受损的个体,而其他设备提供有限或不足的支持,以提高步行稳定性.
科学领域:
- 生物力学 生物力学
- 康复工程 康复工程 康复工程
- 人类运动科学科学 人类运动科学
背景情况:
- 减少步行稳定性增加了跌倒的风险.
- 机械干预,从步行棒到机器人,可以直接影响步行的稳定性.
- 了解这些干预措施的证据对于预防跌倒和提高流动性至关重要.
研究的目的:
- 系统地审查有关改善步行稳定的机械操纵的文献.
- 为了确定不同类型的机械设备影响步行稳定的证据水平.
- 单独对受损和非受损人群进行综合发现.
主要方法:
- 在多个数据库 (Embase,Medline,Web of Science,Cochrane,Google Scholar) 进行系统的文献搜索,截至2022年12月.
- 包括对影响步行稳定的机械设备的研究,不包括假肢,被动骨架和训练后影响.
- 使用适应的NIH工具和基于结果有效性和研究质量的最佳证据综合的质量评估.
主要成果:
- 指示性证据支持中侧骨盆稳定受损者;有限的证据支持关节辅助和棒.
- 适度的证据支持中侧骨盆稳定无损受试者;对体重支持的证据有限.
- 其他设备类型显示有指示性或不足的证据改善步行稳定性.
结论:
- 中侧骨盆稳定证明了最一致的证据,可以改善跨人群的步行稳定性.
- 目前对其他机械步行干预措施的证据有限或不足.
- 缺乏对结果措施的共识,阻碍了对步态操纵装置的比较分析.
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