Helm Erin E, Reisman Darcy S
Biomechanics and Movement Science Program, University of Delaware, 540 South College Avenue, Newark, DE 19716, USA.
Biomechanics and Movement Science Program, Department of Physical Therapy, University of Delaware, 540 South College Avenue, Newark, DE 19716, USA.
Phys Med Rehabil Clin N Am. 2015 Nov;26(4):703-13. doi: 10.1016/j.pmr.2015.06.010. Epub 2015 Sep 26.
Although significant effort is concentrated toward gait retraining during stroke rehabilitation; 33% of community-dwelling individuals following stroke continue to demonstrate gait asymmetries following participation in conventional rehabilitation. Recent studies utilizing the split-belt treadmill indicate that subjects after stroke retain the ability to learn a novel locomotor pattern. Through the use of error augmentation, this locomotor pattern can provide a temporary improvement in symmetry, which can be exploited through repetitive task specific locomotor training. This article reviews findings from this experimental paradigm in chronic stroke survivors and discusses the future questions to be addressed in order to provide optimal rehabilitation interventions.
尽管在中风康复期间，大量努力都集中在步态再训练上；但仍有33%的中风后居住在社区的个体在参与传统康复后，步态不对称问题依旧存在。最近利用分带式跑步机进行的研究表明，中风后的受试者仍保留学习新运动模式的能力。通过使用误差增强，这种运动模式可以暂时改善对称性，这可以通过重复性的特定任务运动训练加以利用。本文回顾了慢性中风幸存者中这一实验范式的研究结果，并讨论了为提供最佳康复干预而有待解决的未来问题。
