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步态样振动训练可改善步态能力:一名62岁慢性不完全性脊髓损伤患者的病例报告

Gait-like vibration training improves gait abilities: a case report of a 62-year-old person with a chronic incomplete spinal cord injury.

作者信息

Barthélémy Agnès, Gagnon Dany H, Duclos Cyril

机构信息

Pathokinesiology Laboratory, Center for Interdisciplinary Research in Rehabilitation (CRIR), Institut de Réadaptation Gingras-Lindsay-de-Montréal (IRGLM), Montréal, Quebec, Canada; School of Rehabilitation, Université de Montréal, Montréal, Quebec, Canada.

出版信息

Spinal Cord Ser Cases. 2016 Jul 21;2:16012. doi: 10.1038/scsandc.2016.12. eCollection 2016.

Abstract

The purpose of this single-subject case study was to quantify the effect of gait-like vibration training on gait abilities after an incomplete spinal cord injury (SCI). A 62-year-old male with a chronic American Spinal Injury Association Impairment Scale D SCI at T11 completed nine sessions of gait-like vibration training in a standing position. Self-selected gait speed and distance covered within 6 min were determined before and after training to evaluate the impact of training on gait performance. Associated changes in gait kinematics were assessed with a three-dimensional motion analysis system. Results showed an improvement of gait speed (0.26 vs 0.35 m s) and distance (23 vs 37 m) after nine gait-like vibration training sessions (+34.6%; +60.9%). In addition, more bilateral hip extension and larger left hip range of motion improved hip-knee cyclograms. Gait-like vibration training improved gait abilities in a person with chronic incomplete SCI.

摘要

本单病例研究的目的是量化步态样振动训练对不完全性脊髓损伤(SCI)后步态能力的影响。一名62岁男性,T11水平慢性美国脊髓损伤协会损伤分级D级SCI,在站立位完成了9节步态样振动训练课程。在训练前后分别测定自我选择的步态速度和6分钟内行走的距离,以评估训练对步态表现的影响。使用三维运动分析系统评估步态运动学的相关变化。结果显示,经过9节步态样振动训练课程后,步态速度(从0.26米/秒提高到0.35米/秒)和行走距离(从23米增加到37米)有所改善(分别提高了34.6%和60.9%)。此外,更多的双侧髋关节伸展和更大的左侧髋关节活动范围改善了髋-膝周期图。步态样振动训练改善了慢性不完全性SCI患者的步态能力。

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