The impact of rollator loading on gait and fall risk in neurorehabilitation – a pilot study
The impact of rollator loading on gait and fall risk in neurorehabilitation – a pilot study
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助行车负载对神经康复中步态和跌倒风险的影响——一项试点研究
DOI：
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
C. Grüneberg
中科院分区：
文献类型：
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作者：
T. Braun;D. Marks;D. Zutter;C. Grüneberg
摘要目的：侧倾器负载是临床上有时用于改善患者步态的功能完整性和安全性的应用。由于支持这种干预的经验证据是模棱两可的，本研究的目的是检查助行车负荷对几个步态参数和跌倒风险的影响。方法：采用解释性实验，对福尔斯进行随访队列研究。在研究的实验部分，通过不同的步态和跌倒风险评估对参与者（n = 25）进行了三次评估，其中每次试验均采用不同的助行车负荷（分别为0、4.5和9 kg）进行。参与者对施加的负荷不知情。此外，还确定了全天康复生活中福尔斯跌倒与助行车负荷的比值比。结果如下：在测试样本中，通过临床测量，未发现与特定负载相关的时空步态参数和跌倒风险发生变化。单独的亚组分析（帕金森病，轻偏瘫和共济失调）显示，在每种情况下，负荷的影响很小。助转器负荷对住院患者跌倒风险的比值比没有影响。结论：根据我们的研究结果，既不鼓励也不推荐使用助行车。康复的影响，除非更多的研究是已经进行了关于这个话题，既不能推荐也不鼓励个人患有神经系统疾病的滚动负荷。还需要更多的研究来检查在不同情况下，如严重共济失调和害怕摔倒时，对amphetamine的影响。
Abstract Purpose: Rollator loading is an application used clinically sometimes to improve functional integrity and security of the patients’ gait. As empirical evidence supporting this intervention is equivocal, the purpose of this study was to examine the effects of rollator loading on several gait parameters and fall risk. Methods: An explicatory experiment with a follow-up cohort study of falls was conducted. In the experimental part of the study, participants (n = 25) were evaluated three times by means of different gait and fall risk assessments, whereby each trial was carried out with different rollator loading (0, 4.5 and 9 kg, respectively). Participants were blinded towards the applied load. In addition, the odds ratio of falls with respect to rollator loading in all-day rehabilitation life was determined. Results: No changes in spatio-temporal gait parameters and fall risk in relation to a particular load could be identified by clinical measures in the tested sample. A separate sub-group analysis (Parkinson’s disease, hemiparesis and ataxia) showed only little impact of the load in each case. Rollator loading had no impact on the odds ratio of inpatient fall risk. Conclusion: On the basis of our findings, weighting of rollators can neither be discouraged nor recommended. Implications for Rehabilitation Unless more research is has been conducted on this topic, rollator loading can neither be recommended nor discouraged in individuals suffering from neurologic diseases. There is more research needed to examine the impact on ambulation in distinct conditions such as severe ataxia and fear of falling.
影响因子：
158.5
作者：
TINETTI, ME;SPEECHLEY, M;GINTER, SF
通讯作者：
GINTER, SF
影响因子：
8.3
作者：
Lyden, P;Lu, M;Zivin, J
通讯作者：
Zivin, J