Similarities and differences in manual stretching of physical therapists for equinovarus

Similarities and differences in manual stretching of physical therapists for equinovarus
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马内翻理疗师徒手拉伸的异同

DOI:
10.1109/sii.2014.7028088
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发表时间:
2014
期刊:
2014 IEEE/SICE International Symposium on System Integration
影响因子:
--
通讯作者:
K. Kawakami
K. Kawakami
中科院分区:
--
文献类型:
--
作者:
Naomi Yamada;S. Okamoto;H. Okumura;Yoji Yamada;Kaoru Isogai;K. Kawakami

文献摘要

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马蹄内翻足是一种常见的中风副作用,对于马蹄内翻足来说,持续的肌肉拉伸是主要的治疗形式,其中大部分是由物理治疗师(PTS)手动完成的。识别由PTS执行的手动拉伸技术的变化对于治疗技术的标准化是重要的。在这项研究中,通过运动捕捉系统和仪表式脚托测量了三名患者对一次中风幸存者进行的手动伸展动作,从足部姿势和施加在患病足部的力和扭矩方面进行了分析。基于主成分分析的统计分析表明,PTS的许多伸展动作都是相似的,都是为了控制畸形的脚。然而,施加在脚跟上的力和脚踝周围的内翻和外翻扭矩存在个体差异,这表明不同的患者可能会拉伸不同的肌群。此外,不同运动员在伸展技术执行效率上存在潜在差异。
For equinovarus, a foot condition commonly suffered as a side effect of stroke, sustained muscle stretching is the primary form of treatment, most of which is manually performed by physical therapists (PTs). It is important to identify variations in the execution of manual stretching techniques by PTs for the standardization of therapeutic techniques. In this study, manual stretching motions performed by three PTs on one stroke survivor were analyzed in terms of foot posture and the force and torque applied to the diseased foot, which were measured through a motion capture system and instrumented foot brace. Statistical analyses based on the principal component analysis showed that many of the stretching motions of the PTs were similar in that they served to control the deformed foot. However, individual differences were observed in the force applied to the heel and the inversion and eversion torque around the ankle, suggesting that individual PTs may stretch different muscle groups. Furthermore, there are potential differences in the efficiency of stretching technique execution among PTs.