Contralateral shoe-lift: Effect on oxygen cost of walking with an immobilized knee
Contralateral shoe-lift: Effect on oxygen cost of walking with an immobilized knee
复制标题
DOI：
10.1016/s0003-9993(96)90006-4
复制
发表时间：
1996-07-01
影响因子：
4.3
通讯作者：
LaRaia, PJ
中科院分区：
文献类型：
--
作者：
Abdulhadi, HM;Kerrigan, DC;LaRaia, PJ
设计：前瞻性定量评价不同条件下步行的氧耗。受试者行走（1）正常（N），（2）单膝固定（I），（3）单膝固定，对侧鞋提半英寸（1/2 "L），（4）单膝固定，并进行一英寸的提鞋（I 1" L）。10名没有已知心肺或肌肉骨骼问题的身体健全的受试者。主要结果测量：呼吸-呼吸耗氧量测量（mL/kg/m2）。结果：膝关节固定（I）的平均耗氧量比正常（N）高20%（平均差异= 0.0298 +/-0.0245 mL/kg/m，p = 0.002）。半英寸鞋提法的耗氧量显著降低（比正常行走高11%比20%）（I 1/2 "和I之间的平均差异= 0.0167 +/-0.0138 mL/kg/m，p = 0.002）。同样，氧气成本也显著降低（比正常行走高12%比20%）（I1 "L和I之间的平均差异= .0142 +/- .0116，p = .002）。这项研究表明，膝关节固定的受试者穿着对侧鞋行走所需的能量更少-并提供了科学证据，为因膝关节融合导致膝关节固定、因石膏或矫形器导致膝关节固定或与上运动神经元疾病相关的痉挛性麻痹性下肢僵硬步态的患者开具提鞋处方。(C)1996年由美国康复医学大会和美国物理医学与康复学会
Design: A prospective quantitative evaluation of oxygen cost of walking under varying conditions. Subjects walked (1) normally (N), (2) with one knee immobilized (I), (3) with one knee immobilized and with a one-half-inch shoe-lift applied to the contralateral shoe (I1/2 '' L), and (4) with one knee immobilized and with a one-inch shoe-lift (I1 '' L).Setting: Exercise: physiology laboratory.Subjects: Ten able-bodied subjects without known cardiopulmonary or musculoskeletal problemsMain Outcome Measure: Breath-by-breath oxygen consumption measurements in mL/kg/m.Results: Oxygen cost on average was 20% more with the knee immobilized (I) compared to normal (N) (mean difference = .0298 +/- .0245 mL/kg/m, p = .002). Oxygen cost was significantly less (11% versus 20% above that of normal walking) with the half-inch shoe-lift (mean difference between I1/2 '' and I = .0167 +/- .0138 mL/kg/m, p = .002). Similarly, oxygen cost was significantly less (12% versus 20% above that of normal walking) with the one-inch shoe-lift (mean difference between I1 '' L and I = .0142 +/- .0116, p = .002).Conclusion: This study demonstrates that a subject with an immobilized knee requires less energy to walk with a contralateral shoe-lift and provides scientific evidence for prescribing a shoe-lift in patients with an immobilized knee as a result of knee joint fusion, knee immobilization as a result of casting or orthotics, or spastic paretic stiff-legged gait associated with upper motor neuron disease. (C) 1996 by the American congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation