技术辅助的解决方案,以提高听觉运动同步在步行在渐进性多发性硬化症的过程中
Nele Vanbilsen1,2, Peter Feys1,2, Gianluca Florio1,2
1Faculty of Rehabilitation Sciences, REVAL Rehabilitation Research Center, University of Hasselt, Diepenbeek, Belgium.
Neurorehabilitation and neural repair
|February 6, 2026
概括
适应性节拍调整改善了进展性多发性硬化症 (PwPMS) 患者的步行同步和步态动态. 动态平衡和认知因素影响了音乐辅助行走期间的同步性能.
科学领域:
- 神经康复疗法 神经康复疗法
- 生物力学 生物力学
- 人与计算机的交互
背景情况:
- 基于节奏的线索 (音乐,计量词) 帮助患有渐进性多发性硬化症 (PwPMS) 的人在短距离行走.
- 长时间的行走评估对于现实世界的功能评估至关重要.
- 适应式节拍调整算法的对PwPMS步态动态的影响尚不清楚.
研究的目的:
- 在PwPMS中调查自适应节拍对齐对长时间行走期间同步一致性和步态动态的影响.
- 比较适应性与非适应性节拍对齐与音乐和计量术.
- 检查认知和动态平衡对同步的影响.
主要方法:
- 健康对照组 (HCs) 和PwPMS在五个条件下完成了8分钟的步行:沉默,音乐和计数仪,有或没有自适应节拍对齐.
- 一个算法实时调整相位和节奏,以保持基线节奏.
- 测量了同步,步态参数,动态和临床结果.
主要成果:
- 与固定节奏线索相比,自适应节奏对齐增强了同步一致性和步态动态.
- 认知灵活性和工作记忆占同步变异的6-10%.
- 在适应性和非适应性条件下,动态平衡显著损害了同步 (40%).
- 听觉线索导致慢步行和比沉默更短的步伐.
结论:
- 适应性节拍调整策略是可行的,以改善PwPMS同步一致性和步态动态.
- 认知灵活性,工作记忆和动态平衡是影响PwPMS同步性能的关键因素.
- 需要进一步研究PwPMS中步行康复的适应性暗示.
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