The effects of hip and ankle stretching on gait function of older people
The effects of hip and ankle stretching on gait function of older people
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DOI：
10.1016/j.apmr.2007.12.043
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发表时间：
2008-08-01
影响因子：
4.3
通讯作者：
Christiansen, Cory L.
中科院分区：
文献类型：
--
作者：
Christiansen, Cory L.
目的：探讨髋踝关节拉伸油对老年人步态功能的影响。设计：随机对照试验。环境：柔韧性训练在参与者家中进行。评估在生物力学实验室进行。参与者：40名健康志愿者（平均年龄+/- SD， 72.1 +/- 4.7y）随机分为两组：干预组（n = 20）和对照组（n = 20）。干预组：干预组参与者完成所有8周拉伸计划，对照组参与者保持8周的活动水平。一名调查人员每周访问一次，指导和监督参与者。主要结局指标：主要结局指标为髋关节伸展和踝关节背屈的被动关节运动和自由选择的步态速度。次要结果测量是自由选择步速和设定步速行走时的步态参数（步幅、关节位移）。结果：与对照组相比，干预组髋膝联合活动（P = 0.023）、踝关节活动（P = 0.020）增加，步态速度自由选择（P = 0.016）。干预组在自由选择的步速和设定的步速下，步长增加的趋势没有统计学意义。结论：研究结果表明，关节运动是一种可改变的损伤，可以有效地针对老年人进行柔韧性训练。干预组的参与者在关节运动方面有所改善，自由选择的步态速度也有所增加。自由选择步态速度变化的机制值得进一步研究。
Objective: To examine effects of hip and ankle Stretching Oil (gait function of older people.Design: Randomized controlled trial.Setting: Flexibility training was performed in participants homes. Assessments were performed in a biomechanics laboratory.Participants: Forty healthy volunteers (mean age +/- SD, 72.1 +/- 4.7y) randomized to 2 groups: intervention (n = 20) and control (n = 20).Intervention: Intervention participants performed all 8-week stretching program and control group participants maintained activity level for 8 weeks. One investigator made weekly visits to instruct and monitor participants.Main Outcome Measures: Primary outcome measures were passive Joint motion for hip extension and ankle dorsiflexion and freely chosen gait speed. Secondary outcome measures were gait parameters during freely chosen gait speed and set gait speed walking (stride length, Joint displacement).Results: Compared with the control group, the intervention group had increased combined hip and knee motion (P = .023), ankle motion (P = .020), and freely chosen gait speed (P = .016). The intervention Group showed statistically nonsignificant trends of increased stride length at freely chosen gait speed and set gait speed.Conclusions: Findings suggest joint motion is a modifiable impairment that is effectively targeted with flexibility training for older people. Participants in the intervention group had improvements in joint motion as well as increased freely chosen gait speed. Mechanisms responsible for changes in freely chosen gait speed warrant further investigation.