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[心理训练能否改善使用膝上假肢行走的学习能力?]

[Does mental training improve learning to walk with an above-knee prosthesis?].

作者信息

Gassner K, Einsiedel T, Linke M, Görlich P, Mayer J

机构信息

Institut für Sport und Sportwissenschaft, Universität, Heidelberg.

出版信息

Orthopade. 2007 Jul;36(7):673-8. doi: 10.1007/s00132-007-1092-5.

DOI:10.1007/s00132-007-1092-5
PMID:17522841
Abstract

BACKGROUND

Mental training is a method for optimizing movement patterns, which has become well established through its application in high performance sport and is also adopted in therapeutic contexts. The question arises as to whether the process of learning to walk following the fitting of a femoral prosthesis can be enhanced by means of mental training.

METHODS

In the framework of a prospective randomized study, healthy subjects (36 students) were required to learn to walk with a femoral prosthesis: the control group (n=18) exclusively with the aid of practical training and the experimental group (n=18) with practical and mental training. Dependent variables were specified as the gait parameters of a computer-supported and an observational gait analysis.

RESULTS

In comparison to the control group, the experimental group made significantly faster learning progress in all parameters of the computer-supported and observational gait analysis.

CONCLUSIONS

Mental training seems to be an effective gait training method following the fitting of a femoral prosthesis. Transferring this method to rehabilitation, particularly in young patients, would most certainly appear feasible.

摘要

背景

心理训练是一种优化运动模式的方法,已通过其在高水平运动中的应用而得到广泛认可,并且也被应用于治疗环境中。股骨假体安装后,学习行走的过程是否可以通过心理训练得到增强,这一问题由此产生。

方法

在一项前瞻性随机研究的框架内,要求健康受试者(36名学生)学习使用股骨假体行走:对照组(n = 18)仅借助实践训练,实验组(n = 18)则同时进行实践训练和心理训练。将计算机辅助步态分析和观察性步态分析的步态参数指定为因变量。

结果

与对照组相比,实验组在计算机辅助步态分析和观察性步态分析的所有参数上学习进展明显更快。

结论

心理训练似乎是股骨假体安装后一种有效的步态训练方法。将这种方法应用于康复治疗,尤其是在年轻患者中,肯定是可行的。

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