Gait Improvement in Patients with Cerebral Palsy by Visual and Auditory Feedback
Gait Improvement in Patients with Cerebral Palsy by Visual and Auditory Feedback
复制标题
DOI：
10.1111/j.1525-1403.2011.00412.x
复制
发表时间：
2012-01-01
期刊：
影响因子：
2.8
通讯作者：
Lenger, Ruben
中科院分区：
文献类型：
--
作者：
Baram, Yoram;Lenger, Ruben
目的：研究视觉和听觉反馈线索的步态训练对脑瘫步态障碍患者步行能力的影响。材料和方法：视觉和听觉反馈线索由惯性传感器驱动的可穿戴设备产生。随机选择 10 名脑瘫步态障碍患者和 7 名年龄匹配的健康个体接受视觉反馈提示训练，同时 10 名患者和 8 名年龄匹配的健康个体接受听觉反馈提示训练。在使用设备之前测量基线表现（沿着 10 米直道的行走速度和步幅）。使用该设备训练 20 分钟并休息 20 分钟后，再次测量不使用该设备的表现，并与基线表现进行比较。结果：使用视觉反馈训练的患者，步行速度平均提高 21.70% +/- 36.06%，步幅平均提高 8.72% +/- 9.47%。对于接受听觉反馈训练的患者，步行速度平均提高了 25.43% +/- 28.65%，步幅平均提高了 13.58% +/- 13.10%。对于接受视觉反馈训练的健康人来说，步行速度平均提高了 -2.41% +/- 9.54%，步幅平均提高了 -2.84% +/- 10.11%。对于接受听觉反馈训练的健康个体，步行速度平均提高 0.01% +/- 7.73%，步幅平均提高 -2.03% +/- 6.15%。结论：视觉和听觉反馈提示训练可以改善脑瘫步态障碍患者的步态参数。相比之下，年龄匹配的健康个体则没有任何改善。
Objectives: To study the effects of gait training with visual and auditory feedback cues on the walking abilities of patients with gait disorders due to cerebral palsy.Materials and Methods: Visual and auditory feedback cues were generated by a wearable device, driven by inertial sensors. Ten randomly selected patients with gait disorders due to cerebral palsy and seven age-matched healthy individuals trained with visual feedback cues, while ten patients and eight age-matched healthy individuals trained with auditory feedback cues. Baseline performance (walking speed and stride length along a 10-m straight track) was measured before device use. Following 20-min training with the device and a 20-min break, performance without the devicewas measured again and compared with the baseline performance.Results: For the patients who trained with visual feedback, the average improvement was 21.70% +/- 36.06% in the walking speed and 8.72% +/- 9.47% in the stride length. For the patients who trained with auditory feedback, the average improvement was 25.43% +/- 28.65% in the walking speed and 13.58% +/- 13.10% in the stride length. For the healthy individuals who trained with visual feedback, the average improvement was -2.41% +/- 9.54% in the walking speed and -2.84% +/- 10.11% in the stride length. For the healthy individuals who trained with auditory feedback, the average improvement was 0.01% +/- 7.73% in the walking speed and -2.03% +/- 6.15% in the stride length.Conclusions: Training with visual and auditory feedback cues can improve gait parameters in patients with gait disorders due to cerebral palsy. This was contrasted by no improvement in age-matched healthy individuals.