上肢功能与日常生活活动之间的关系,而不是下肢功能的影响:一个横截面研究
Haruka Yamamoto1,2, Kazuya Takeda3, Soichiro Koyama4
1Department of Rehabilitation, Kawamura Hospital, Gifu, Japan.
The British journal of occupational therapy
|May 8, 2025
概括
下肢功能显著影响慢性中风幸存者的上肢运动技能和日常活动. 消除下肢影响削弱了上肢活动关系,突出了其重要性.
科学领域:
- 神经康复疗法 神经康复疗法
- 脑卒中恢复 脑卒中恢复的方法
- 运动功能评估 运动功能评估
背景情况:
- 上肢运动功能和日常生活活动 (ADL) 对中风幸存者的独立性至关重要.
- 在慢性中风中,下肢运动功能对上肢-ADL关系的具体影响尚不清楚.
研究的目的:
- 调查慢性中风患者上肢运动功能和ADL之间的关系.
- 在消除下肢运动功能的混影响后,以澄清这种关系.
主要方法:
- 对53名慢性中风患者进行了回顾性横截面研究.
- 评估上肢 (上肢的Fugl-Meyer评估 - FMA-UL) 和下肢 (下肢的Fugl-Meyer评估 - FMA-LL) 运动功能,以及ADL (功能独立性测量运动分数 - FIM-M).
- 利用斯皮尔曼等级相关性和部分相关性分析来确定FMA-LL控制前后关系.
主要成果:
- 最初,FMA-UL与FIM-M总量呈现中度至强度的相关性.
- 在消除了FMA-LL的影响后,这种相关性显著减弱.
- 调整后,FMA-UL与特定的FIM-M项目相关联:穿着 (身体上部),所,以及步行/轮椅使用.
结论:
- 下肢运动功能显著影响上肢运动功能与慢性中风中的ADL之间的关系.
- 上肢功能对ADL的直接贡献在考虑下肢功能时不那么明显.
更多相关视频
07:35Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
Published on: December 29, 2023
1.0K
05:28Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies
Published on: October 11, 2024
432
相关概念视频
01:10Bones of the Lower Limb: Tibia and Fibula
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
01:09Functional Classification of Joints
Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
01:10Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
01:28Muscles of the Leg that Move the Foot and Toes
The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles.