Faculty of Physical Therapy, Mahidol University, Salaya, Nakhon Phatom, Thailand.
Kaohsiung J Med Sci. 2012 Dec;28(12):667-72. doi: 10.1016/j.kjms.2012.04.036. Epub 2012 Jul 28.
The purposes of this study were to investigate the upper and contralateral lower limb coordination and to study the effect of speed on the upper and contralateral lower limb coordination in individuals with stroke and control groups. Thirty individuals with stroke who were able to walk independently without using any assistive devices and 30 control individuals were recruited for the study. Upper and contralateral lower limb coordination was analyzed using the shoulder and contralateral hip displacements in the sagittal plane. All data were analyzed by three-dimensional gait analysis. Results demonstrated high degrees of coordination in the upper and contralateral lower limbs of the controls and in the unaffected upper and affected lower limbs of individuals with stroke. Gait speed was found to be associated with the upper and contralateral lower limb coordination in individuals with stroke but not in the controls. The findings implied that the affected upper limb plays an important role for improving gait coordination and is necessary for gait performance in individuals with stroke. Thus, health professionals should exercise the affected arm to increase efficiency of walking in individuals with stroke.
本研究旨在探讨脑卒中患者和对照组个体上肢和对侧下肢的协调情况，并研究速度对上肢和对侧下肢协调的影响。研究招募了 30 名能够独立行走且不使用任何辅助器具的脑卒中患者和 30 名对照组个体。采用矢状面肩和对侧髋关节位移来分析上肢和对侧下肢的协调情况。所有数据均通过三维步态分析进行分析。结果表明，对照组个体和脑卒中患者未受损的上肢和受损的下肢均具有高度的协调。研究发现，步行速度与脑卒中患者的上肢和对侧下肢协调有关，但与对照组无关。这些发现表明，患侧上肢在改善步态协调方面起着重要作用，对脑卒中患者的步态表现是必要的。因此，健康专业人员应锻炼患侧手臂，以提高脑卒中患者的步行效率。
