Immediate effects of stance and swing phase training on gait in patients with stroke
Immediate effects of stance and swing phase training on gait in patients with stroke
复制标题
DOI：
10.1097/mrr.0000000000000464
复制
发表时间：
2021-06-01
影响因子：
1.7
通讯作者：
Ichihashi, Noriaki
中科院分区：
文献类型：
--
作者：
Sakuma, Kaoru;Tateuchi, Hiroshige;Ichihashi, Noriaki
目的：比较针对姿势(站立训练)和摆动阶段(摆动训练)的步态训练在中风受试者中的效果，并量化从站立训练和摆动训练中受益的受试者的特征。对16名中风受试者进行了站立训练和摆动训练，前者侧重于从脚后跟向前足移动的压力中心，后者侧重于提高摆动阶段髋关节屈曲的能力。为了观察站姿训练和摆动训练的即刻效果，在训练前后进行了仪器化步态分析。为了量化这些特征，受试者根据步态速度的变化分为两组。通过临床检查对两组进行比较。站姿训练后偏瘫肢体的压力中心位移较摆动训练增加。与那些从摇摆训练中受益的受试者相比，从站姿训练中受益的受试者起跳和行走的时间更慢，髋关节偏瘫肌肉力量更弱。站姿训练对于起跳和起跳速度较慢、臀部肌肉较弱的受试者可能更有效。
To compare the effects of gait trainings targeting the stance (stance training) and the swing phases (swing training) among the subjects with stroke, and quantify the characteristics in the subjects who benefitted from either the stance training or the swing training. Sixteen subjects with stroke performed the stance training, which focused on the center of pressure to move from the heel to the forefoot, and the swing training, which focused on the improvement of hip flexion in the swing phase. To investigate the immediate effects of the stance training and the swing training, the instrumented gait analysis was performed before and after training. To quantify the characteristics, subjects were divided into two groups based on the gait speed change. These two groups were compared using clinical examinations. After the stance training, the center of pressure displacement of the paretic limb was increased compared with the swing training. Subjects who benefitted from the stance training had slower Timed Up and Go and weaker paretic hip muscle strength than those who benefitted from the swing training. Stance training may be more effective in subjects with slower Timed Up and Go outcomes and weaker hip muscles.