Morioka Shu
Neurorehabilitation Research Center, Kio University.
Brain Nerve. 2022 Sep;74(9):1101-1109. doi: 10.11477/mf.1416202189.
Recent studies have reported the neural mechanisms underlying gait and motor function recovery; neurorehabilitation involves application of these findings to clinical rehabilitation. This article focuses on post-stroke gait disorders. Gait disorder in patients with hemiplegic stroke is characterized by reduced walking speed, which is attributable to merged muscle synergies and a decreased trail limb angle. This paper describes the aforementioned factors and recent clinical research that confirms the role of the volume of gait as the most important factor, as well as evidence of various intervention methods. Furthermore, it is necessary to experience walking in various contexts and environments to achieve adaptive gait.
最近的研究报告了步态和运动功能恢复的神经机制；神经康复涉及将这些研究结果应用于临床康复。本文重点关注中风后的步态障碍。偏瘫性中风患者的步态障碍表现为步行速度降低，这归因于合并的肌肉协同作用和患侧下肢角度减小。本文描述了上述因素以及近期临床研究，这些研究证实了步幅大小作为最重要因素的作用，以及各种干预方法的证据。此外，有必要在各种情境和环境中体验行走，以实现适应性步态。
