Gait control in hemiparesis.

Gait control in hemiparesis.
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偏瘫的步态控制。

DOI:
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发表时间:
1981
期刊:
Scandinavian Journal of Rehabilitation Medicine
影响因子:
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通讯作者:
E. Knutsson
E. Knutsson
中科院分区:
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文献类型:
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作者:
E. Knutsson

文献摘要

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痉挛性轻偏瘫患者的步态分析结果进行了审查。最近的分析的基础是运动记录结合几个腿部肌肉的肌电图。虽然运动和肌肉激活的个体间差异很大,但步态的异常控制通常与三种类型的干扰之一有关。其特征在于:(1)过度的牵张反应干扰了原本保存良好的步态控制,(2)中枢产生的模式化肌肉激活的消除或减少,或(3)几个肌肉群的异常共激活。通过使用计算机收集和分析数据,步态分析可以用于临床常规,用于指导治疗和训练。
Findings in gait analysis of patients with spastic hemiparesis are reviewed. The basis of recent analysis has been records of movement combined with EMG from several leg muscles. Though the interindividual variation in movement and muscle activation is large, the abnormal control of gait usually can be related to one of three types of disturbances. These are characterized by (1) exaggerated stretch responses disturbing an otherwise well preserved gait control, (2) abolishment or decrease of the centrally generated patterned muscle activation, or (3) abnormal coactivation of several muscle groups. By using a computer for collection and analysis of data, gait analysis can be used in clinical routine for guidance of therapy and training.