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人体骨盆沿右腿方向受到不对称力时的运动适应性。

Locomotor Adaptation to an Asymmetric Force on the Human Pelvis Directed Along the Right Leg.

作者信息

Vashista Vineet, Martelli Dario, Agrawal Sunil

出版信息

IEEE Trans Neural Syst Rehabil Eng. 2016 Aug;24(8):872-881. doi: 10.1109/TNSRE.2015.2474303. Epub 2015 Sep 11.

Abstract

In this work, we study locomotor adaptation in healthy adults when an asymmetric force vector is applied to the pelvis directed along the right leg. A cable-driven Active Tethered Pelvic Assist Device (A-TPAD) is used to apply an external force on the pelvis, specific to a subject's gait pattern. The force vector is intended to provide external weight bearing during walking and modify the durations of limb supports. The motivation is to use this paradigm to improve weight bearing and stance phase symmetry in individuals with hemiparesis. An experiment with nine healthy subjects was conducted. The results show significant changes in the gait kinematics and kinetics while the healthy subjects developed temporal and spatial asymmetry in gait pattern in response to the applied force vector. This was followed by aftereffects once the applied force vector was removed. The adaptation to the applied force resulted in asymmetry in stance phase timing and lower limb muscle activity. We believe this paradigm, when extended to individuals with hemiparesis, can show improvements in weight bearing capability with positive effects on gait symmetry and walking speed.

摘要

在这项研究中,我们研究了在健康成年人身上,当沿着右腿方向向骨盆施加不对称力矢量时的运动适应情况。使用一种缆绳驱动的主动系留骨盆辅助装置(A-TPAD)向骨盆施加外力,该外力特定于受试者的步态模式。该力矢量旨在在行走过程中提供外部负重,并改变肢体支撑的持续时间。其动机是利用这种模式来改善偏瘫患者的负重和站立期对称性。对九名健康受试者进行了一项实验。结果表明,在健康受试者因施加的力矢量而在步态模式中出现时间和空间不对称时,步态运动学和动力学发生了显著变化。一旦去除施加的力矢量,随后就会出现后效应。对施加力的适应导致站立期时间和下肢肌肉活动的不对称。我们认为,这种模式扩展到偏瘫患者时,可以显示出负重能力的改善,对步态对称性和步行速度产生积极影响。

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