约束力对推进和其他步态特征的影响,在跑步机上行走中风后
S Minkes-Weiland1, H Houdijk2, S Floor3
1University of Groningen, University Medical Center Groningen, Department of Human Movement Sciences, Groningen, the Netherlands; Rehabilitation Center 'Revalidatie Friesland', Beetsterzwaag, the Netherlands.
在中风后对个体施加骨盆制力,可以提高他们在走路时的推进能力和机械工作. 这种干预措施显示了通过刺激推进力学来改善中风幸存者的步态的潜力.
科学领域:
- 生物力学 生物力学
- 神经康复疗法 神经康复疗法
- 步态分析 步态分析
背景情况:
- 脑卒中后的推进能力降低显著损害了行走能力.
- 骨盆的抑制力可能会刺激个人中风后的推进.
- 在培训实施之前,评估这些力量对步态力学的影响至关重要.
研究的目的:
- 为了研究骨盆抑制力对推进力,制动力和机械工作的直接影响,在中风后的个体中.
- 评估这些力量对步行特征的影响,如步骤长度和支时间对称性以及肌肉活动.
- 根据步行速度和力大小来探索这些效应的变化.
主要方法:
- 在中风后,13名患者在跑步机上以不同的速度 (0.28米/秒和0.56米/秒) 走动.
- 在骨盆上施加了水平的约束力 (0%,5%,10%的体重).
- 记录了地面反应力和双边肌肉活动.
主要成果:
- 约束力高达10%的体重增加了推进冲动和机械工作.
- 随着抑制力,观察到车冲动的减少.
- 观察到肌肉活动的微妙变化,但对步骤长度或摇摆阶段对称性没有显著影响.
结论:
- 骨盆的约束力高达10%的体重可以激活推进能力在个人中风后.
- 这些力量直接增强了行走过程中的推进力学.
- 需要进一步的研究来确定这些急性影响如何转化为长期培训的好处.
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