Perez-Cruzado David, Gonzalez-Sanchez Manuel, Cuesta-Vargas Antonio Ignacio
Departmento de Fisioterapia, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.
Departmento de Fisioterapia, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.
J Stroke Cerebrovasc Dis. 2018 Jan;27(1):229-239. doi: 10.1016/j.jstrokecerebrovasdis.2017.08.024. Epub 2017 Sep 19.
The study aimed to analyze the differences between kinematic parameters in the single-leg stance (SLS) in patients with stroke and in healthy elderly people measured with 2 inertial sensors-1 in the trunk and 1 in the lumbar region.
Two groups of participants were measured: the first group consisted of 5 healthy elderly people over 65 years of age; the second group consisted of 5 patients with stroke over 65 years of age, recovering for more than 6 months after suffering a stroke, and who had been undergoing rehabilitation treatment for at least 6 months. Two inertial sensors were located in the participants: in the trunk region (T7-T8) and in the lumbar region (L5-S1). The SLS test was performed in 4 conditions: right-dominant leg, open eyes; right-dominant leg, closed eyes; left-nondominant leg, open eyes; and left-nondominant leg, closed eyes.
Significant differences in displacement in the lumbar and trunk sensors are highlighted in 6 of 36 variables. In the velocity variables, significant differences were only found in 1 variable. Differences during SLS between the affected and the nonaffected legs in patients with stroke were found in 5 of the 36 analyzed variables and in 1 variable in velocity. The intraclass correlation coefficients were higher than .866 (95% confidence interval: .828-.857) for all variables.
Only significant differences were found in 7 of the 128 kinematic variables analyzed in both groups, so that it could be confirmed that there are no significant differences in the static balance between healthy elderly people and people with stroke who undergo the rehabilitative treatment.
本研究旨在分析使用两个惯性传感器(一个置于躯干,一个置于腰椎区域)测量的中风患者与健康老年人单腿站立(SLS)时运动学参数的差异。
测量两组参与者:第一组由5名65岁以上的健康老年人组成;第二组由5名65岁以上的中风患者组成,中风后恢复超过6个月,且接受康复治疗至少6个月。两个惯性传感器分别置于参与者的躯干区域(T7 - T8)和腰椎区域(L5 - S1)。SLS测试在4种条件下进行:右优势腿,睁眼;右优势腿,闭眼;左非优势腿,睁眼;左非优势腿,闭眼。
36个变量中有6个突出显示了腰椎和躯干传感器位移的显著差异。在速度变量中,仅在1个变量中发现显著差异。在36个分析变量中的5个以及速度方面的1个变量中发现了中风患者患侧与非患侧腿在SLS期间的差异。所有变量的组内相关系数均高于0.866(95%置信区间:0.828 - 0.857)。
在两组分析的128个运动学变量中仅发现7个显著差异,因此可以确认,接受康复治疗的健康老年人与中风患者在静态平衡方面无显著差异。