Facilitating Weight Shifting During Treadmill Training Improves Walking Function in Humans With Spinal Cord Injury: A Randomized Controlled Pilot Study.
Facilitating Weight Shifting During Treadmill Training Improves Walking Function in Humans With Spinal Cord Injury: A Randomized Controlled Pilot Study.
复制标题
在跑步机训练期间促进体重转移可改善脊髓损伤患者的步行功能：一项随机对照试点研究。
DOI：
10.1097/phm.0000000000000927
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发表时间：
2018
影响因子：
3
通讯作者：
Wei,Feng
中科院分区：
文献类型：
--
作者：
Wu,Ming;Kim,Janis;Wei,Feng
目的探讨将动态重心转移与跑步机训练相结合是否能提高脊髓损伤患者的跑步机训练效果。设计：将16名脊髓损伤患者随机分为机器人训练组和跑步机训练组，进行6周训练。在机器人组中，对骨盆施加力以促进重量转移，对腿部施加力以帮助腿部摆动。在仅使用跑步机的组中，没有对参与者施加任何援助力量。观察指标包括地面步行速度、6min步行距离等临床指标，并在训练前、训练后6wk和训练结束后8wk进行评估。结果机器人训练后6min步行距离较单纯跑步机训练后有更大的改善(P=0.03)，但两组之间步行速度的改善无显著差异。然而，接受机器人训练的参与者比只接受跑步机训练的参与者有更大的改善(15%比2%)。结论在跑步机训练中使用骨盆辅助力量来促进重量转移可能会改善脊髓损伤患者的运动功能。
ObjectiveThe aim of the study was to determine whether the integration of dynamic weight shifting into treadmill training would improve the efficacy of treadmill training in humans with spinal cord injury.DesignSixteen humans with spinal cord injury were randomly assigned to receive robotic or treadmill-only training and underwent 6 wks of training. A force was applied to the pelvis for facilitating weight shifting and to the legs for assisting with leg swing for participants in the robotic group. No assistance force was applied for participants in the treadmill-only group. Outcome measures consisted of overground walking speed, 6-min walking distance, and other clinical measures and were assessed before, after 6 wks of training, and 8 wks after the end of training.ResultsA greater improvement in 6-min walking distance was observed after robotic training than that after treadmill-only training (P= 0.03), but there was not a significant difference between the two groups in improvements in walking speed. However, a greater improvement was observed for the participants who underwent robotic training than those who underwent treadmill-only training (ie, 15% vs. 2%).ConclusionsApplying a pelvis assistance force for facilitating weight shifting during treadmill training may improve locomotor function in humans with spinal cord injury.