Lower limb muscle synergies during walking after stroke: a systematic review
Lower limb muscle synergies during walking after stroke: a systematic review
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中风后行走期间下肢肌肉的协同作用：系统评价
DOI：
10.1080/09638288.2019.1578421
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发表时间：
2019
影响因子：
2.2
通讯作者：
W. Saeys
中科院分区：
文献类型：
--
作者：
T. van Criekinge;Jordi Vermeulen;Keanu Wagemans;Jonas Schröder;Elissa Embrechts;S. Truijen;A. Hallemans;W. Saeys
摘要目的：本系统综述的目的是确定中风患者步态中肌肉协同作用的数量和肌肉重量的分布。材料和方法：本综述在PROSPERO（编号：CRD 42018088701）上注册，并按照PRISMA指南撰写。使用以下数据库进行系统检索：PubMed、Web of Science、Naric、科克伦和PEDro。方法学质量由Newcastle-Ottawa量表评估，数据提取（受试者特征、结果测量和步行协议）由两名独立研究人员进行。肌肉协同作用的数量和结构是两个主要的结果指标。结果：共纳入10项研究。虽然四种协同作用在健康对照中很常见，但中风患者在步态中往往表现出较少的协同作用。协同作用由测量的肌肉数量确定，其在研究之间变化很大。所有研究中仅评估了胫骨前肌、比目鱼肌、腓肠肌和股直肌。结论：关于中风患者肌肉协同作用的数量和组成的共识是困难的。大多数人观察到三到四个肌肉协同作用。协同作用的减少可以通过合并协同作用来解释，通常见于髋/膝伸肌与跖屈肌以及髋/膝伸肌与膝屈肌。肌肉协同分析是评估和分类神经功能缺损的有力工具。肌肉协同作用的减少与运动功能受损有关。在麻痹侧和非麻痹侧观察到协调肌肉活动的差异。髋/膝伸肌与跖屈肌、髋/膝伸肌与膝屈肌融合较常见。
Abstract Purpose: The aim of this systematic review was to determine the number of muscle synergies and the distribution of muscle weightings in stroke patients during gait. Material and Methods: This review is registered on PROSPERO (number: CRD42018088701) and is written following the PRISMA guidelines. A systematic search was conducted using following databases: PubMed, Web of Science, Naric, Cochrane and PEDro. Methodological quality was assessed by the Newcastle-Ottawa Scale and data extraction (subject characteristics, outcome measures and walking protocols) was performed by two independent researchers. The amount and structure of the muscle synergies were the two main outcome measures. Results: In total, ten studies were included in this review. While four synergies are common in healthy controls, stroke patients often showed less synergies during gait. Synergies were determined by the number of muscles measured which varied greatly between studies. Only Tibialis Anterior, Soleus, Gastrocnemius and Rectus Femoris were assessed in all studies. Conclusions: A consensus regarding the amount and composition of muscle synergies in stroke patients is difficult. The majority observed three to four muscle synergies. The decrease in amount of synergies can be explained by merging of synergies, often seen in hip/knee extensors with plantar flexors and hip/knee extensors with knee flexors. IMPLICATIONS FOR REHABILITATION Muscle synergy analyses are a powerful tool for assessing and classifying neurological deficits. A decreased amount of muscle synergies is related to impaired motor function. Differences in coordinated muscle activity was seen in the paretic and non-paretic side. Merging was often seen in hip/knee extensors with plantar flexors and hip/knee extensors with knee flexors.
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影响因子：
2.5
作者：
Tresch, MC;Cheung, VCK;d'Avella, A
通讯作者：
d'Avella, A
影响因子：
2.5
作者：
Clark, David J.;Ting, Lena H.;Kautz, Steven A.
通讯作者：
Kautz, Steven A.
影响因子：
2.9
作者：
Safavynia SA;Torres-Oviedo G;Ting LH
通讯作者：
Ting LH
影响因子：
2.5
作者：
Dipietro, L.;Krebs, H. I.;Hogan, N.
通讯作者：
Hogan, N.
影响因子：
2.4
作者：
Neptune RR;Clark DJ;Kautz SA
通讯作者：
Kautz SA