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基于舞蹈的运动游戏对慢性脑卒中患者姿势稳定性和运动学的影响——一项初步研究。

Dance-based exergaming on postural stability and kinematics in people with chronic stroke - A preliminary study.

机构信息

Department of Physical Therapy, University of Illinois at Chicago, Chicago, IL.

出版信息

Physiother Theory Pract. 2022 Nov;38(13):2714-2726. doi: 10.1080/09593985.2021.1994072. Epub 2021 Dec 2.

Abstract

INTRODUCTION

The study evaluated the feasibility, and compliance of a dance-based exergaming (DBExG) on postural stability (PS) and lower extremity (LE) kinematics, along with post-intervention changes in gait function and falls self-efficacy in people with chronic stroke (PwCS).

METHODS

Fifteen PwCS underwent DBExG for six weeks using Kinect "Just Dance 3." Pre- to post- changes were recorded during DBExG assessment on a fast-paced song (130 bpm) using an 8-camera motion capture system to assess PS (center of mass [CoM] excursions [EXs] in the anterior-posterior [AP] and mediolateral [ML] directions) and LE kinematics (hip, knee, and ankle joint angle EXs). Gait function was also assessed with gait parameters, such as gait speed, cadence, and gait symmetry on an electronic walkway. Falls self-efficacy was recorded with Falls Efficacy Scale (FES).

RESULTS

The AP and ML CoM EXs and paretic joint angle EXs significantly increased pre- to post- DBExG assessment ( < .05). Gait parameters, and falls self-efficacy measures significantly changed pre- to post- DBExG ( < .05).

CONCLUSIONS

Results exhibited the feasibility of the proposed DBExG for positively impacting postural stability, and kinematics, along with increasing gait function and falls self-efficacy among PwCS.

摘要

引言

本研究评估了基于舞蹈的运动游戏(DBExG)对慢性脑卒中患者(PwCS)的姿势稳定性(PS)和下肢(LE)运动学的可行性和依从性,以及干预后步态功能和跌倒自我效能的变化。

方法

15 名 PwCS 使用 Kinect“舞力全开 3”进行了六周的 DBExG。使用 8 摄像机运动捕捉系统在快节奏歌曲(130 bpm)上进行 DBExG 评估,记录 PS(质心 [CoM] 在前后向 [AP] 和左右向 [ML] 的偏移 [EXs])和 LE 运动学(髋关节、膝关节和踝关节角度 EXs)的前后向 [AP] 和左右向 [ML] 的变化。步态功能也通过电子步道上的步态参数(如步态速度、步频和步态对称性)进行评估。跌倒自我效能采用跌倒效能量表(FES)进行记录。

结果

DBExG 评估前后,AP 和 ML CoM EXs 和患侧关节角度 EXs 显著增加(<0.05)。步态参数和跌倒自我效能测量值在 DBExG 前后也有显著变化(<0.05)。

结论

结果表明,拟议的 DBExG 具有可行性,可以积极影响姿势稳定性和运动学,同时提高 PwCS 的步态功能和跌倒自我效能。

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