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基于三维运动分析系统的运动能力康复对亨廷顿舞蹈症患者步态时空参数的影响:一项实验性试验。

The influence of motor ability rehabilitation on temporal-spatial parameters of gait in Huntington's disease patients on the basis of a three-dimensional motion analysis system: An experimental trial.

作者信息

Mirek Elżbieta, Filip Magdalena, Chwała Wiesław, Szymura Jadwiga, Pasiut Szymon, Banaszkiewicz Krzysztof, Bar Monika Rudzińska, Szczudlik Andrzej

机构信息

University School of Physical Education, Faculty of Motor Rehabilitation, Department of Clinical Rehabilitation and Laboratory of Pathology of the Musculoskeletal System, Section of Rehabilitation in Neurology and Psychiatry, Cracow, Poland.

University School of Physical Education, Faculty of Physical Education and Sport, Department of Anthropomotorics, Section of Biomechanics, Cracow, Poland.

出版信息

Neurol Neurochir Pol. 2018 Sep-Oct;52(5):575-580. doi: 10.1016/j.pjnns.2018.02.001. Epub 2018 Feb 12.

Abstract

OBJECTIVE

There is no existing standard, evidence-based, scientific model for motor ability improvement in Huntington's Disease (HD) patients aimed at maintaining independent gait for as long as possible, or performing activities of daily living, the effectiveness of which would be supported by the results of studies using objective research tools. Under these circumstances, the aim of this study was to analyze the influence of motor ability rehabilitation on the spatial-temporal parameters of gait in HD patients.

DESIGN

It was an experimental trial. The studied group consisted of 30 patients (17 women and 13 men) with HD. In hospital conditions, the patients participated in the 3-week motor ability l rehabilitation programme tailored to individual needs. The study group was tested using the Vicon 250 three-dimensional gait analysis system before and after the physical exercise programme.

RESULTS

Walking speed after therapy increased for the left lower limb from 1.06 (SD 0.24) [m/s] to 1.21 (SD 0.23) [m/s], and for the right lower limb from 1.07 (SD 0.25) [m/s] to 1.20 (SD 0.25) [m/s]. The cycle length increased after the applied therapy for the left lower limb from 1.17 (SD 0.20) [m] to 1.23 (SD 0.19) [m].

CONCLUSION

The three-week motor ability rehabilitation programme positively influences spatial-temporal gait parameters in HD patients.

摘要

目的

目前尚无针对亨廷顿舞蹈症(HD)患者运动能力改善的标准、基于证据的科学模型,该模型旨在尽可能长时间维持独立步态或进行日常生活活动,且其有效性能得到使用客观研究工具的研究结果的支持。在这种情况下,本研究的目的是分析运动能力康复对HD患者步态时空参数的影响。

设计

这是一项实验性试验。研究组由30名HD患者(17名女性和13名男性)组成。在医院环境中,患者参加了为期3周的根据个人需求量身定制的运动能力康复计划。在体育锻炼计划前后,使用Vicon 250三维步态分析系统对研究组进行测试。

结果

治疗后左下肢步行速度从1.06(标准差0.24)[米/秒]增加到1.21(标准差0.23)[米/秒],右下肢从1.07(标准差0.25)[米/秒]增加到1.20(标准差0.25)[米/秒]。应用治疗后左下肢的周期长度从1.17(标准差0.20)[米]增加到1.23(标准差0.19)[米]。

结论

为期3周的运动能力康复计划对HD患者的步态时空参数有积极影响。

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