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自闭症谱系障碍青少年的下肢步行生物力学。

Walking lower extremity biomechanics of adolescents with autism spectrum disorder.

机构信息

Department of Human Movement Sciences, Old Dominion University, United States.

Department of Mechanical & Aerospace Engineering, Old Dominion University, United States.

出版信息

J Biomech. 2021 Apr 15;119:110332. doi: 10.1016/j.jbiomech.2021.110332. Epub 2021 Feb 27.

Abstract

Although the literature indicates children with autism spectrum disorder (ASD) walk at slower speeds and altered kinematics compared to neurotypical controls, no research has examined walking at matched speeds. This study examined biomechanical differences between adolescents with ASD and matched (age, sex, and body mass index) neurotypical controls. Lower extremity biomechanics of seventeen adolescents with ASD and seventeen controls were compared at matched speeds: self-selected and a standardized 1.3 m/s. Controls exhibited greater eversion angles and hip abduction moments compared to those with ASD. This study found adolescents, which may have a more mature gait than young children, walk with a similar pattern in the propulsive plane (i.e. sagittal) as neurotypical controls, but with alterations in the supportive plane (i.e. frontal).

摘要

虽然文献表明,自闭症谱系障碍(ASD)儿童的行走速度比神经典型对照组慢,且运动学特征发生了改变,但尚无研究检查过匹配速度下的行走情况。本研究旨在探究 ASD 青少年与匹配(年龄、性别和体重指数)神经典型对照组之间的步行生物力学差异。本研究在匹配速度(即自主选择速度和标准化的 1.3m/s)下比较了 17 名 ASD 青少年和 17 名对照组的下肢生物力学特征。与 ASD 患者相比,对照组的外展角度和髋关节外展力矩更大。本研究发现,青少年的步态可能比幼儿更成熟,他们在推进平面(即矢状面)中与神经典型对照组表现出相似的行走模式,但在支撑平面(即额状面)中存在差异。

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