下肢超性和性的分布和严重程度对神经损伤患者的步行速度有不同的影响
Megan Banky1,2, Hannah Ross3,4, Gavin Williams1,2
1Department of Physiotherapy, Epworth HealthCare, Melbourne, Australia.
Disability and rehabilitation
|December 31, 2024
概括
超性的严重程度,而不是性,显著影响神经损伤的个体的行走速度. 混合分布的高性/性也减慢了步行速度与远距离相比.
科学领域:
- 神经学 神经学
- 生物力学 生物力学
- 康复科学 康复科学 康复科学
背景情况:
- 超性和性在神经损伤中很常见,会影响运动功能.
- 步行速度是功能性移动性和恢复的关键指标.
- 了解高性和性分布和严重程度的影响对于有针对性的干预至关重要.
研究的目的:
- 调查超性和性在步行速度上的分布和严重程度之间的关系.
- 为了区分超性与性对步行速度的影响.
- 探索肌肉度异常的位置 (远距离,近距离,混合) 如何影响行走性能.
主要方法:
- 横截面观察队列研究,涉及75名患有成人发病的神经疾病的个人.
- 通过使用修改的阿什沃思尺度 (MAS) 和修改的塔迪尤尺度 (MTS) 评估胃角肌,肌,腿筋和四头肌的高度和度.
- 分类参与者按度/度分布 (远距离,近距离,混合) 进行分类,并使用10米步行测试测量行走速度.
主要成果:
- 的混合分布的个体走路的速度明显慢 (0.54米/秒),而不是远部 (1.05米/秒).
- 超性的严重程度增加与较低的步行速度有显著的相关性 (r = -0.502,p < 0.001).
- 的严重程度和高压的分布没有与步行速度有显著的相关性.
结论:
- 超性的严重程度,而不是性,是影响神经损伤步行速度的重要因素.
- 性的分布 (混合与远端) 也会影响步行速度.
- 修改的阿什沃思尺度和修改的塔迪欧尺度为评估肌肉度提供了不可互换的结果.
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