[Kinesiologic analysis of gait and abnormal movements].
[Kinesiologic analysis of gait and abnormal movements].
复制标题
[步态和异常运动的运动学分析]。
DOI：
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
P. Burkhard
中科院分区：
文献类型：
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作者：
Y. Blanc;A. Merlo;T. Landis;P. Burkhard
步态障碍、姿势不稳定和运动障碍，如震颤、舞蹈症或肌张力障碍，是日常神经病学实践中的常见症状。仅依靠临床观察很难客观地理解这些病症，但需要对其现象学进行正确评估并准确测量其主要特征，以解决潜在诊断及其可能产生的功能障碍的问题。相比之下，运动学分析可以对步态、姿势和动作进行定性和定量研究，并可能导致特定的治疗干预措施。运动学分析需要在高科技实验室中由训练有素的工作人员进行，其基础是顺序或同时使用各种互补的测量方法，其选择以问题为导向。因此，使用特定的观察分析、三维运动记录、多肌电图和测角仪来分析步态，使用测力板来分析姿势稳定性，并使用肌电图和多轴加速度计或陀螺仪来分析运动障碍。在本文中，我们回顾了这些测量工具的具体特征以及通过病例报告说明其常规使用的临床实用性。
Gait disorders, postural instability and movement disorders, such as tremor, chorea or dystonia, are common complaints in day-to-day neurological practice. These conditions are quite difficult to appreciate objectively when relying on clinical observation only, yet a correct assessment of their phenomenology and an accurate measurement of their main characteristics are required to address the questions of both the underlying diagnosis and the functional impairment they may generate. By contrast, kinesiological analyses allow qualitative and quantitative studies of gait, posture and movements and may lead to specific therapeutic interventions. kinesiological analyses, which requires a high-technology laboratory conducted by a trained staff, is based on the sequential or simultaneous use of various and complementary measurement methods, whose choice is problem-oriented. Hence, the use of specific observational analysis, three-dimensional kinematic recordings, poly-electromyography and electro goniometry for the analysis of gait, the use of force plate for the analysis of postural stability and the use of electromyography and multiaxial accelerometers or gyroscopes for the analysis of movement disorders. In the present article, we review the particular features of these measurement tools and the clinical usefulness of their routine use illustrated by case reports.