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[临床步态分析]

[Clinical gait analysis].

作者信息

Mittlmeier T, Rosenbaum D

机构信息

Abt. für Unfall- und Wiederherstellungschirurgie, Chirurgische Klinik und Poliklinik der Universität Rostock.

出版信息

Unfallchirurg. 2005 Aug;108(8):614-29. doi: 10.1007/s00113-005-0978-0.

Abstract

Clinical gait analysis comprises a well defined repertoire of various methods for valid and reliable assessment. The rapid development of corresponding hardware and software has substantially decreased the efforts necessary for data processing and has promoted the clinical applicability of the procedures. The clinical question defines the amount of methodological input. Clinical gait analysis may provide diagnostic insight into the pathobiomechanics and the pathophysiology of complex gait disorders for which a profound understanding of the underlying causes is a prerequisite for adequate treatment. The methods may help in the screening of gait function following reconstructive surgery as a measure of quality control, the assessment of the severity of a gait disturbance, the evaluation of a rehabilitation process, or the quantification of the effect of orthoses, insoles or specific shoe ware. Simple procedures of gait analysis may suffice to obtain information on gait function which can not be derived by mere clinical observation and which can be incorporated into a clinical concept.

摘要

临床步态分析包括一系列定义明确的各种方法,用于进行有效且可靠的评估。相应硬件和软件的快速发展大幅减少了数据处理所需的工作量,并推动了这些程序在临床上的应用。临床问题决定了方法学投入的程度。临床步态分析可为复杂步态障碍的病理生物力学和病理生理学提供诊断性见解,而对其根本原因有深入了解是进行适当治疗的前提。这些方法有助于在重建手术后筛查步态功能,作为质量控制的一项措施,评估步态障碍的严重程度,评估康复过程,或量化矫形器、鞋垫或特定鞋具的效果。简单的步态分析程序可能足以获取仅通过临床观察无法获得的步态功能信息,并可将其纳入临床概念中。

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