人工脊髓小组/人体运动力学/Constraints on Stance-Phase Force Production during Overground Walking in Persons with Chronic Incomplete Spinal Cord Injury:修订间差异

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phase forces compared to AB controls, which are further impacted by AD use and slower
phase forces compared to AB controls, which are further impacted by AD use and slower
walking speed. Minimizing AD use and/or providing propulsive biofeedback during walking
walking speed. Minimizing AD use and/or providing propulsive biofeedback during walking
could enhance GRF production following iSCI.|DetaialsDM=不完全脊髓损伤患者的足底压力}}
could enhance GRF production following iSCI.|DetaialsDM=不完全脊髓损伤患者的足底压力|Citation_=9}}

2024年1月18日 (四) 22:38的版本

推荐理由

文章探究了不完全脊髓损伤后,借助辅助设备与不借助辅助设备的的患者与正常人行走时,足底压力的区别,对脊髓损伤的患者康复过程中行走时足底压力大小的研究有借鉴意义。

文章简介
期刊 Journal of Neurotrauma
发表年份 2018
DOI 10.1089/neu.2017.5146
类型 研究性工作
领域 人体运动力学
引用量 9
推荐信息
推荐人 张韫哲
审核 马伯志、张博扬
推荐小组 人工脊髓小组

摘要

Persons with incomplete spinal cord injury (iSCI) face ongoing struggles with walking, including reduced speed and increased reliance on assistive devices (ADs). The forces underlying body weight support and gait, as measured by ground reaction forces (GRFs), are likely altered following iSCI due to weakness and AD dependence but have not been studied. The purpose of this study was to examine GRF production during overground walking after iSCI, as greater insight into GRF constraints is important for refining therapeutic interventions. Due to reduced and discoordinated motor output after iSCI, we hypothesized that persons with iSCI would exert smaller GRFs and altered GRF modifications to increased cadence compared to able‐bodied (AB) persons, especially when using an AD. Fifteen persons with chronic iSCI, stratified into no AD (n=7) and AD (n=8) groups, walked across an instrumented walkway at self‐selected and fast (115% self‐ selected) cadences. Fifteen age‐matched AB controls walked at their own cadences and iSCI‐matched conditions (cadence and AD). Results showed fore‐aft GRFs are reduced in persons with iSCI as compared to AB controls, with reductions greatest in individuals dependent on an AD. When controlling for cadence and AD, propulsive forces were still lower in persons with iSCI. Compared to AB controls, persons with iSCI demonstrated altered GRF modifications to increased cadence. Persons with iSCI exhibit different stance‐ phase forces compared to AB controls, which are further impacted by AD use and slower walking speed. Minimizing AD use and/or providing propulsive biofeedback during walking could enhance GRF production following iSCI.

细分领域

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