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将步态分析系统整合到下肢截肢患者的临床康复环境中:一项叙述性综述。

Integrating Gait Analysis Systems in Clinical Rehabilitation Settings for Individuals With Lower Limb Amputation: A Narrative Review.

作者信息

Yuan Xiaoning, Sparling Tawnee, Carlisle David, McGavin Shannon, Riggleman Tiffany, Cuevas Emmanuel, Ojha Shubham, Smith Douglas G, Sheehan Riley, Kim Gabriel

机构信息

Physical Medicine and Rehabilitation, Uniformed Services University of the Health Sciences, Bethesda, USA.

Physical Medicine and Rehabilitation, Walter Reed National Military Medical Center, Bethesda, USA.

出版信息

Cureus. 2025 Aug 26;17(8):e91030. doi: 10.7759/cureus.91030. eCollection 2025 Aug.

Abstract

A primary goal of rehabilitative care for individuals with lower limb amputation (LLA) is to restore safe, effective gait. Traditional gait analysis, both observational and quantitative, assesses gait deviations in individuals with LLA to inform clinical management. Observational gait analysis performed in clinical settings can be highly subjective, whereas quantitative gait analysis is often costly, time-consuming, and therefore impractical to perform in point-of-care clinical settings. To enhance clinical decision-making for individuals with LLA, it is beneficial to identify commercially available gait analysis systems that can be efficiently and effectively utilized in clinical settings. This narrative review presents categories of commercially available gait analysis systems, their capabilities, and prior implementation for gait analysis of individuals with LLA in clinical settings. Twenty-three articles of commercially available gait analysis systems (instrumented treadmills, instrumented walkways, inertial measurement unit-based, and markerless motion capture (MMC)) for the LLA population were included. This review of clinical applications of commercially available gait analysis systems identifies gaps in current clinical practice and offers recommendations to incorporate point-of-care gait analysis within the prosthetic phase of rehabilitation for individuals with LLA.

摘要

下肢截肢(LLA)患者康复护理的主要目标是恢复安全、有效的步态。传统的步态分析,包括观察性和定量性分析,评估LLA患者的步态偏差,为临床管理提供依据。在临床环境中进行的观察性步态分析可能具有高度主观性,而定量步态分析通常成本高、耗时,因此在即时护理临床环境中进行并不实际。为了加强针对LLA患者的临床决策,识别能够在临床环境中高效、有效使用的商用步态分析系统是有益的。这篇叙述性综述介绍了商用步态分析系统的类别、它们的功能,以及此前在临床环境中对LLA患者进行步态分析的应用情况。纳入了23篇关于适用于LLA人群的商用步态分析系统(仪器化跑步机、仪器化步道、基于惯性测量单元的系统以及无标记运动捕捉(MMC)系统)的文章。这篇对商用步态分析系统临床应用的综述确定了当前临床实践中的差距,并提出了建议,以便在LLA患者康复的假肢阶段纳入即时护理步态分析。

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