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步速对偏瘫患者步态特征的影响。

The effects of gait velocity on the gait characteristics of hemiplegic patients.

作者信息

You Young Youl, Chung Sin Ho

机构信息

Department of Rehabilitation Medicine, Bronco Memorial Hospital, Republic of Korea.

Hanyang University Hospital, Republic of Korea.

出版信息

J Phys Ther Sci. 2015 Mar;27(3):921-4. doi: 10.1589/jpts.27.921. Epub 2015 Mar 31.

Abstract

[Purpose] The present study investigated the effects of gait speed on temporal and spatial gait characteristics of hemiplegic stroke patients. [Subjects and Methods] Twenty post-stroke hemiplegic patients participated in the present study. To enhance the reliability of the analysis of the gait characteristics, the assessments were conducted three days per week at the same time every day. Each subject walked maintaining a comfortable speed for the first minute, and measurement was conducted for 30 seconds at a treadmill speed of 1 km/hour thereafter. Then, the subjects walked at a treadmill speed of 2 km/hour for 30 seconds after a 30-minute rest. The differences in the measurements were tested for significance using the paired t-test. [Results] The measures of foot rotation, step width, load response, mid stance, pre-swing, swing phase, and double stance phase showed significant difference between the gait velocities. [Conclusion] The present study provides basic data for gait velocity changes for hemiplegic patients.

摘要

[目的] 本研究调查了步速对偏瘫中风患者步态的时间和空间特征的影响。[对象与方法] 20名中风后偏瘫患者参与了本研究。为提高步态特征分析的可靠性,评估每周进行三天,每天在同一时间进行。每个受试者先以舒适的速度行走第一分钟,然后在跑步机速度为1公里/小时的情况下测量30秒。之后,休息30分钟后,受试者以跑步机速度2公里/小时行走30秒。使用配对t检验对测量结果的差异进行显著性检验。[结果] 足部旋转、步幅宽度、负重反应、支撑中期、摆动前期、摆动期和双支撑期的测量结果在不同步态速度之间存在显著差异。[结论] 本研究为偏瘫患者步态速度变化提供了基础数据。

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