Gait coordination after stroke: Benefits of acoustically paced treadmill walking
Gait coordination after stroke: Benefits of acoustically paced treadmill walking
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DOI：
10.2522/ptj.20050394
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发表时间：
2007-08-01
期刊：
影响因子：
3.2
通讯作者：
Beek, Peter J.
中科院分区：
文献类型：
--
作者：
Roerdink, Melvyn;Lamoth, Claudine J. C.;Beek, Peter J.
背景和目的中风后步态协调通常会受到损害。本研究的目的是评估声控步速跑步机行走作为改善中风后患者步态协调性的一种方法的功效。参与者 10 名中风后自愿参加该研究并组成实验组。 9名健康老年人作为对照组。方法对参与者在有声起搏和无声起搏的跑步机上行走时检查步态周期参数、肢体间协调性和听觉运动协调性。结果所有参与者的步频均调整为不同的声学起搏频率。对于中风后的人来说，声学起搏可以改善步态对称性。它们主要协调非麻痹肢体与同侧音调的运动。 讨论和结论结果表明，声控步速跑步机行走提供了一种有效的方法，可立即改变中风后患者的步频并改善步态协调性，因此可有效应用于物理治疗师实践中。讨论了在物理治疗师实践中使用声速跑步机行走制定指南的未来研究方向。
Background and PurposeGait coordination often is compromised after stroke. The purpose of this study was to evaluate the efficacy of acoustically paced treadmill walking as a method for improving gait coordination in people after stroke.ParticipantsTen people after stroke volunteered for the study and comprised the experimental group. Nine elderly people who were healthy served as a control group.MethodsGait cycle parameters, interlimb coordination, and auditory-motor coordination were examined while participants walked on a treadmill with and without acoustic pacing.ResultsStride frequency was adjusted to different acoustic pacing frequencies in all participants. In people after stroke, gait symmetry improved with acoustic pacing. They predominantly coordinated movements of the nonparetic limb to ipsilateral tones.Discussion and ConclusionThe results suggest that acoustically paced treadmill walking provides an effective means for immediately modifying stride frequency and improving gait coordination in people after stroke and, therefore, may be usefully applied in physical therapist practice. Future research directions for developing guidelines for using acoustically paced treadmill walking in physical therapist practice are discussed.