Department of Rehabilitation Medicine, The Fifth Affiliated Hospital of Guangzhou Medical University; Department of Rehabilitation Medicine, Guangzhou Medical University; Rehabilitation Medicine Lab, Guangzhou Medical University; Guangzhou Key Laboratory of Enhanced Recovery after Abdominal Surgery, The Fifth Affiliated Hospital of Guangzhou Medical University.
Department of Rehabilitation Medicine, The Fifth Affiliated Hospital of Guangzhou Medical University; Department of Rehabilitation Medicine, Guangzhou Medical University; Rehabilitation Medicine Lab, Guangzhou Medical University.
J Vis Exp. 2021 Mar 11(169). doi: 10.3791/62302.
Eighteen stroke patients were recruited for this study involving the evaluation of cognition and walking ability and multitask gait analysis. Multitask gait analysis consisted of a single walking task (Task 0), a simple motor dual-task (water-holding, Task 1), and a complex motor dual-task (crossing obstacles, Task 2). The task of crossing obstacles was considered to be equivalent to the combination of a simple walking task and a complex motor task as it involved more nervous system, skeletal movement, and cognitive resources. To eliminate heterogeneity in the results of the gait analysis of the stroke patients, the dual-task gait cost values were calculated for various kinematic parameters. The major differences were observed in the proximal joint angles, especially in the angles of the trunk, pelvis, and hip joints, which were significantly larger in the dual motor tasks than in the single walking task. This research protocol aims to provide a basis for the clinical diagnosis of gait function and an in-depth study of motor control in stroke patients with motor control deficits through the analyses of dual-motor walking tasks.
本研究纳入了 18 名脑卒中患者,旨在评估认知和步行能力,并进行多任务步态分析。多任务步态分析包括单一步行任务(任务 0)、简单运动双重任务(持水,任务 1)和复杂运动双重任务(跨越障碍物,任务 2)。跨越障碍物的任务被认为等同于简单行走任务和复杂运动任务的结合,因为它涉及更多的神经系统、骨骼运动和认知资源。为了消除脑卒中患者步态分析结果的异质性,我们计算了各种运动学参数的双重任务步态成本值。主要差异出现在近端关节角度,特别是在躯干、骨盆和髋关节的角度,在双重运动任务中明显大于单一行走任务。本研究方案旨在通过分析双重运动步行任务,为临床诊断步态功能和深入研究运动控制缺陷的脑卒中患者的运动控制提供依据。