走路时下肢间和下肢内部肌肉活动的相关性:对中风患者和健康个体的比较研究
Thanita Sanghan1, Nusreena Hohsoh1, Goran Stojanović2
1Department of Biomedical Sciences and Biomedical Engineering, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
PloS one
|May 12, 2025
概括
步态分析揭示了健康人与中风患者之间明显的肌肉协调差异. 针对特定肌肉的有针对性的训练,即近端和远端肌肉,可以提高这些群体的稳定性和运动性.
科学领域:
- 生物力学和运动控制
- 临床康复 临床康复
- 神经科学是一个神经科学.
背景情况:
- 步态分析对于诊断和管理运动障碍至关重要.
- 了解肌肉活动和协调是有效康复的关键,特别是中风后.
- 肌肉激活模式的偏差有助于步态不稳定和跌倒风险.
研究的目的:
- 研究健康人群和中风患者在不同步态阶段的肌肉活动和相关性.
- 为了识别肢体之间的肌肉协调和群体之间的差异.
- 为中风幸存者提供量身定制的康复策略,并解决与年龄有关的弱点.
主要方法:
- 电肌图 (EMG) 用于测量关键腿部肌肉的肌肉活动 (RMS值和包膜面积).
- 分析的重点是步行阶段:第一双支 (DS1),单支 (SS),第二双支 (DS2) 和摇摆 (SW).
- 在健康对照组和中风患者中比较了肌肉激活模式和四肢间的相关性.
主要成果:
- 在健康群体和中风群体中,发现了肌肉活动和四肢间相关性的显著差异.
- 脑卒中患者在立姿时表现出膝盖过度延伸,在摆动时可能出现硬的膝盖步态.
- 健康的参与者表现出与年龄相关的近端肌肉衰弱;两组都表现出肌肉激活不对称性.
结论:
- 肌肉协调模式在健康和中风影响的步态之间存在显著差异.
- 训练建议包括对中风患者和老年人专注于远部肌肉 (中部胃角肌,前肌,长肌).
- 侧重于近端肌肉 (中肌,右肌,双腿肌) 对于承重和稳定性至关重要,特别是在脚运动能力有限的情况下.
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