在多阶段坐到走和伸到抓时的运动流度指标:实验室和便携式3D运动分析系统之间的测试-再测试可靠性和一致性
Jacob Wells1, Elizabeth Chandler1, Allan Clark2
1School of Health Sciences, University of East Anglia, UK.
Gait & posture
|September 4, 2025
概括
在健康成年人中,运动流和犹的动力学指标缺乏对中风康复参考值的测试-再测试可靠性. 观察到参与者内部的变异性,阻碍了临床应用.
科学领域:
- 康复科学
- 生物力学
- 神经科学
背景情况:
- 国际共识支持用于评估中风康复结果的动力学指标.
- 运动流度指标如流度和犹度是运动控制的关键指标.
- 在对中风患者进行临床应用之前,从健康成年人身上确定可靠的参考值至关重要.
研究的目的:
- 为了确定运动指标的测试-重试可靠性,以确定流和犹.
- 评估这些指标是否可以在执行标准化功能任务的健康成年人中重复.
- 在中风康复中使用这些指标.
主要方法:
- 相关性协议研究设计,测试时间隔1-4周.
- 75名健康成年人完成了坐到走和伸到抓的任务.
- 使用光动力学和3D运动分析收集的动力学数据;光谱弧长用于平滑度;胸部速度用于犹.
主要成果:
- 均度和犹度都没有达到临床上可接受的试验-重复试验可靠性 (ICC> 0.75).
- 对于这两种指标,在会议内发现了显著的参与者内部变化.
- 坐到走路的犹变化系数在13%到22%之间.
结论:
- 顺和犹的动力学指标显示了多阶段任务的临床不可接受的试验-重试可靠性.
- 观察到的参与者内部变化使制定规范性参考值变得复杂.
- 这些发现挑战了目前在中风康复评估中使用这些特定的动力学指标.
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