Coca-Tapia María, Cuesta-Gómez Alicia, Molina-Rueda Francisco, Carratalá-Tejada María
Masters School, Rey Juan Carlos University, 28933 Madrid, Spain.
Motion Analysis, Ergonomics, Biomechanics and Motor Control Laboratory (LAMBECOM), Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos, Alcorcón, 28922 Madrid, Spain.
Diagnostics (Basel). 2021 Mar 24;11(4):584. doi: 10.3390/diagnostics11040584.
The aim of the present systematic review was to describe the gait pattern in people with multiple sclerosis (MS) by compiling the main findings obtained from studies using three-dimensional capture systems of human movement. The search was carried out in PubMed, Web of Science, Physiotherapy Evidence Database (PEDro), and the Cumulative Index to Nursing and Allied Health (CINAHL) databases. Studies that used three-dimensional gait analysis systems and that analyzed spatiotemporal, kinematic, kinetic, or electromyographic parameters, were included. The quality of the studies was assessed using the Critical Review Form-Quantitative Studies scale. 12 articles were included with 523 (342 women and 181 men) people with a diagnosis of MS. The present work suggests that people with MS have a decrease in speed and stride length, as well as an increase in double-stance intervals during gait. Likewise, it is common to observe a decrease in hip extension during the stance period, a decrease in knee flexion in the swing period, a decrease in ankle dorsiflexion in the initial contact and a decrease in ankle plantar flexion during the pre-swing phase. The subjects with MS decrease the hip extensor moment and the ankle power during the stance period of walking.
本系统评价的目的是通过汇总使用人体运动三维捕捉系统的研究得出的主要结果，来描述多发性硬化症（MS）患者的步态模式。检索在PubMed、科学网、物理治疗证据数据库（PEDro）和护理及联合健康累积索引（CINAHL）数据库中进行。纳入了使用三维步态分析系统并分析时空、运动学、动力学或肌电图参数的研究。使用批判性评价表-定量研究量表评估研究质量。纳入了12篇文章，共523名（342名女性和181名男性）被诊断为MS的患者。目前的研究表明，MS患者在步态过程中速度和步长降低，双支撑间隔增加。同样，常见的情况是在站立期观察到髋关节伸展减少，在摆动期观察到膝关节屈曲减少，在初始接触时观察到踝关节背屈减少，在摆动前期观察到踝关节跖屈减少。MS患者在步行站立期髋关节伸肌力矩和踝关节功率降低。
