在中风患者的双重任务行走期间影响不稳定的因素
Ryuya Kitago1, Naomichi Mizuta2, Naruhito Hasui3
1Department of Rehabilitation, Gotanda Rehabilitation Hospital, Japan; Department of Neurorehabilitation, Graduate School of Health Sciences, Kio University, Japan.
概括
患有中风的个人经历了步行不稳定,这会在认知任务中恶化. 糟糕的单任务行走预测了更大的双任务干扰,突出了需要步行稳定训练的必要性.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 生物力学 生物力学
背景情况:
- 卒中幸存者经常面临双重任务干扰的挑战,即使在单一任务行走时,也会影响步态稳定性和肌肉活动.
- 了解单任务行走特征与双任务表现之间的关系对于有效的康复至关重要.
研究的目的:
- 为了研究中风幸存者的双重任务干扰.
- 检查单任务步行参数与双任务步行表现之间的关联.
主要方法:
- 30名中风患者进行了单任务和双任务行走评估.
- 惯性传感器和表面电肌图被用来测量步态参数,体加速 (RMS) 和下肢加速 (样本).
- 分析了正确反应率 (CRR) 和双重任务对步行速度的影响.
主要成果:
- 参与者平均表现出32.2%的双重任务效应,这表明 significant significant 的步行障碍.
- 在双重任务行走过程中观察到较高的干部加速度 (RMS) 和下肢变异性 (样本).
- 单任务行走速度,RMS和样本率显著预测了双任务行走的不稳定性 (R2 = 0.545).
结论:
- 在中风幸存者中,在单任务行走期间失去姿势控制增加了对认知干扰的易感性.
- 有针对性的步行稳定训练对于提高双重任务性能和降低在这一群体中的跌倒风险至关重要.
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