评估乳腺癌幸存者的步行模式:一个横截面研究
Chiara Notarstefano1, Valentina Azzollini2, Mirella Ferrari3
1Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
European journal of physical and rehabilitation medicine
|December 18, 2025
概括
乳腺癌幸存者 (BCs) 经常经历较慢,不太稳定的步态模式,可在手术后12个月内检测到. 早期康复可以减轻步行能力的下降,并减少BCs的跌倒风险.
科学领域:
- 生物力学 生物力学
- 康复科学 康复科学 康复科学
- 在瘤学瘤学.
背景情况:
- 乳腺癌幸存者 (BCs) 经常出现运动障碍,包括平衡缺陷和步行速度降低.
- 这些功能限制会对他们的生活质量和独立性产生重大影响.
研究的目的:
- 调查和比较BCs和健康对照 (HC) 之间的时空 (ST) 步态参数.
- 为了在瘤治疗后识别BCs的早期步态变化.
主要方法:
- 一项涉及23个BC和16个年龄相匹配的HC的横截面研究.
- 使用3D步态分析来评估ST测量.
- 比较BC和HC之间的步态模式,并分析了手术和逆侧侧之间的患者内差异.
主要成果:
- 与HC相比,BCs表现出明显较慢的步行速度,更短的步骤和步伐长度,以及增加的步骤宽度.
- 在BCs中观察到减少节奏和延长姿势和双重支时间.
- 乳腺手术后12个月内可以检测到异常的步态参数,在经过手术的一侧特别注意到一些变化.
结论:
- 乳腺癌治疗后的早期出现了一个更慢,更不稳定的步态模式.
- 时空步态测量可以在手术后12个月内检测出这些变化.
- 及时,个性化康复干预对于预防步态恶化和降低BCs中跌倒风险至关重要.
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