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Efficacy of ultrasonography-guided compared to surface landmark-based corticosteroid injection for people with chronic pes anserine tendinitis or bursitis: a randomised controlled trial 超声引导下与表面标志性皮质类固醇注射治疗慢性肌腱炎或滑囊炎的疗效比较:一项随机对照试验
IF 0.5 Q4 REHABILITATION Pub Date : 2023-04-02 DOI: 10.12968/ijtr.2021.0140
Sarvenaz Zavarei, S. Soltani, G. Raissi, A. Babaei-Ghazani, S. Safarnezhad, Hosnieh Soleymanzadeh, T. Ahadi
One of the main aetiologies of patients' symptoms who have degenerative knee disease is pes anserine tendinitis or bursitis. Local corticosteroid injection is an effective treatment for chronic cases. The aim of this study was to compare the efficacy of an ultrasonography-guided corticsosteroid injection vs a landmark-based injection. A total of 31 patients with clinical chronic (>3 months) pes anserine tendinitis bursitis, confirmed by ultrasonography, were randomised into two groups. One group received a corticosteroid injection (40 mg triamcinolone acetonide) with ultrasonographic guidance, and the other group received a corticosteroid injection without ultrasonographic guidance. Participants and the assessor were blind to the type of procedure. Participants were clinically assessed using the Western Ontario and McMaster University knee questionnaire before and 2 weeks after the injection and a visual analogue scale before, 2 and 12 weeks after the injection. There were significant decreases for both groups in the visual analogue scale at 2 weeks and 12 weeks after the injection, with a superior decline in the ultrasound-guided group (mean difference: 60.00, P<0.001 in ultrasound-guided group, and mean difference: 25.33, P<0.022 in the surface landmark-based group). The Western Ontario and McMaster University questionnaire scores also demonstrated significant improvement in both groups, with no preferential difference between groups (mean difference: 26.87, P<0.001 in the ultrasound-guided group, and mean difference: 22.20, P<0.001 in the surface landmark-based group). Steroid injection is an effective treatment to manage chronic pes anserine bursitis, and ultrasonography guidance may further improve clinical outcomes.
有退行性膝关节疾病的患者症状的主要病因之一是猪链球菌肌腱炎或滑囊炎。局部注射皮质类固醇是治疗慢性病例的有效方法。本研究的目的是比较超声引导皮质类固醇注射与地标性注射的疗效。将31例经超声检查证实为临床慢性(bb10 ~ 3个月)型鹅嘌呤肌腱炎滑囊炎患者随机分为两组。一组在超声引导下给予皮质类固醇注射(曲安奈德40 mg),另一组在超声引导下给予皮质类固醇注射。参与者和评估员对程序的类型一无所知。在注射前和注射后2周使用西安大略大学和麦克马斯特大学膝关节问卷以及注射前、注射后2周和注射后12周使用视觉模拟量表对参与者进行临床评估。两组在注射后2周和12周的视觉模拟评分均有显著下降,超声引导组下降更明显(超声引导组平均差值为60.00,P<0.001;表面地标性标志物组平均差值为25.33,P<0.022)。西安大略和麦克马斯特大学的问卷得分也显示出两组的显著改善,两组之间没有优先性差异(超声引导组平均差异:26.87,P<0.001,地表地标组平均差异:22.20,P<0.001)。类固醇注射是治疗慢性鹅肝粘液囊炎的有效方法,超声检查指导可进一步改善临床疗效。
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引用次数: 0
Rehabilitative insights on intensive care unit–acquired weakness and post–intensive care syndrome: same setting, different conditions 重症监护室获得性虚弱和重症监护后综合征的康复见解:相同的环境,不同的条件
IF 0.5 Q4 REHABILITATION Pub Date : 2023-03-02 DOI: 10.12968/ijtr.2023.0033
M. Polastri, M. I. Sepúlveda
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引用次数: 0
Rhythmic auditory stimulation to improve gait rehabilitation outcomes for children with acquired brain injury: a pilot study 节律性听觉刺激改善获得性脑损伤儿童的步态康复结果:一项初步研究
IF 0.5 Q4 REHABILITATION Pub Date : 2023-03-02 DOI: 10.12968/ijtr.2022.0121
G. Kelly, J. Pool, Colin Hamilton, J. Rodda
Children with severe acquired brain injury frequently have walking rehabilitation goals. The aim of this study was to investigate if rhythmic auditory stimulation would improve walking speed and gait quality in children with acquired brain injury. A total of four children were included in this study (age 10–12 years; mean time since acquired brain injury 12.75 weeks). A multiple baseline single case experimental study design was followed. The baseline phase (phase A) consisted of standard rehabilitation (10 physiotherapy sessions a week) and for the intervention phase (phase B), two out of the 10 sessions were replaced with rhythmic auditory stimulation. A 10-metre walk test and the Edinburgh Visual Gait Score was completed twice a week at the beginning and end of the session. Visual analysis of level, slope and trend, and statistical analysis of effect size (Tau-U) was conducted across phases. Descriptive analysis of within-session change was completed. All children showed improvement. In the 10-metre walk test, three children demonstrated a steeper trendline in phase A and one child demonstrated consistent trendlines between phases A and B. Tau-U indicated a small effect size (−0.207 (z =−1.32, P=0.1853)) that was not statistically significant for the Edinburgh Visual Gait Score; one child showed a steeper trendline in phase A and one in phase B, while others were consistent. One child’s Edinburgh Visual Gait Score improved greatly in phase B. Tau-U indicated a large effect size (−0.6235 (z=−3.9981, P=0.0001)) that was statistically significant. Within session changes indicated that, overall, children showed greater immediate changes with the Edinburgh Visual Gait Score and 10-metre walk test with the rhythmic auditory stimulation than with standard physiotherapy. In addition to standard physiotherapy, rhythmic auditory stimulation may be of benefit to children relearning to walk after an acquired brain injury, potentially having a greater effect on gait biomechanics than walking speed. Rhythmic auditory stimulation can be considered alongside other gait interventions, but more research is required.
患有严重后天性脑损伤的儿童经常有步行康复的目标。本研究的目的是研究有节奏的听觉刺激是否能改善获得性脑损伤儿童的行走速度和步态质量。本研究共纳入四名儿童(年龄10-12岁;自获得性脑损伤以来的平均时间为12.75周)。采用多基线单病例实验研究设计。基线阶段(A阶段)包括标准康复(每周10次物理治疗),干预阶段(B阶段),10次治疗中有两次被有节奏的听觉刺激取代。在课程开始和结束时,每周完成两次10米步行测试和爱丁堡视觉步态评分。对水平、斜率和趋势进行可视化分析,并对影响大小(Tau-U)进行跨阶段统计分析。已完成会话内更改的描述性分析。所有的孩子都表现出了进步。在10米步行测试中,三名儿童在a期表现出更陡的趋势线,一名儿童在B期和a期之间表现出一致的趋势线。Tau-U表示影响大小较小(-0.207(z=-1.32,P=0.1853)),对爱丁堡视觉步态得分无统计学意义;一个孩子在a期和B期的趋势线更陡,而其他孩子则一致。一名儿童的Edinburgh视觉步态评分在B期有很大改善。Tau-U显示出较大的影响大小(-0.6235(z=−3.9981,P=0.0001)),具有统计学意义。会话内的变化表明,总体而言,与标准理疗相比,儿童在爱丁堡视觉步态评分和10米步行测试中表现出更大的即时变化。除了标准的物理治疗外,有节奏的听觉刺激可能有利于儿童在后天性脑损伤后重新学习走路,可能对步态生物力学的影响比走路速度更大。节奏性听觉刺激可以与其他步态干预措施一起考虑,但还需要更多的研究。
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引用次数: 0
Comparing body posture and postural control in children with intellectual disability and dyslexia to typically developing children using technology‑based assessments 使用基于技术的评估比较智力残疾和阅读障碍儿童与正常发育儿童的身体姿势和姿势控制
IF 0.5 Q4 REHABILITATION Pub Date : 2023-03-02 DOI: 10.12968/ijtr.2022.0007
A. Emir, D. Tarakçı, E. Atılgan, E. Tarakçı
Children with intellectual disability and dyslexia have poor academic and behavioural skills related to social participation, as well as poor motor skills compared to typically developing children. Most training programmes for these children focus on the academic and behavioural aspects of special education, overlooking musculoskeletal and motor development needs. The aim of this study was to investigate body posture and postural control in children with intellectual disability and dyslexia compared to typically developing children using technology-based assessments. A total of 77 children (36 with dyslexia, 21 with intellectual disability and 20 typically developing children) took part in the study. The PostureScreen Mobile app was used to evaluate body posture and the Fizyosoft Balance System was used to assess postural control. Significant postural differences were observed in children with intellectual disability when compared to typically developing children. Head, shoulder and knee translations in the sagittal plane were significantly higher in children with intellectual disability than typically developing children. Centre of pressure velocities were significantly higher in children with dyslexia. Centre of pressure displacements showed non-significant differences in the children with dyslexia compared to the children with intellectual disability and typically developing children. The present study found that children with dyslexia had poor postural control and children with intellectual disability had poor quality of posture compared to typically developing children. The authors believe that motor and physical assessments with objective outcome measurements should be conducted for children with dyslexia and intellectual disability to help improve their motor development.
与典型的发育中儿童相比,智力残疾和阅读障碍儿童在参与社会活动方面的学习和行为技能较差,运动技能较差。大多数针对这些儿童的培训方案侧重于特殊教育的学术和行为方面,忽视了肌肉骨骼和运动发展的需求。本研究的目的是通过基于技术的评估,与典型发育中的儿童相比,研究智力残疾和阅读障碍儿童的身体姿势和姿势控制。共有77名儿童(36名患有阅读障碍,21名患有智力残疾,20名典型发育中的儿童)参加了这项研究。PostureScreen Mobile应用程序用于评估身体姿势,Fizyosoft平衡系统用于评估姿势控制。与典型发育中的儿童相比,智力残疾儿童的姿势存在显著差异。智力残疾儿童在矢状面上的头部、肩部和膝盖平移明显高于典型发育中的儿童。阅读障碍儿童的压力中心速度明显较高。压力位移中心显示,与智力残疾和典型发育中的儿童相比,阅读障碍儿童的压力位移中心差异不显著。本研究发现,与典型发育中的儿童相比,阅读障碍儿童的姿势控制能力较差,智力残疾儿童的姿势质量较差。作者认为,应该对患有阅读障碍和智力残疾的儿童进行运动和身体评估,并进行客观的结果测量,以帮助改善他们的运动发育。
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引用次数: 0
Fear of falling, meaningful activity participation and community reintegration among stroke survivors in southwest Nigeria: a cross-sectional study 尼日利亚西南部中风幸存者对跌倒的恐惧、有意义的活动参与和重新融入社区:一项横断面研究
IF 0.5 Q4 REHABILITATION Pub Date : 2023-02-02 DOI: 10.12968/ijtr.2022.0029
O. Dada, Joy Jesutomisin Akingbesote
Community reintegration remains one of the most important goals of rehabilitation. The aim of this study was to investigate the relationships between fear of falling, meaningful activity participation and community reintegration of community-dwelling stroke survivors. The Fall Efficacy Scale-International, Engagement in Meaningful Activities Survey and Reintegration to Normal Living Index were used to assess fear of falling, meaningful activity participation and community reintegration respectively among self-ambulant stroke survivors receiving treatment in physiotherapy outpatient clinics. The study was a cross-sectional survey. Tests of relationships, regression and association were performed with a level of significance set at P<0.05. A significant relationship was found between fear of falling and community reintegration (r=−0.27; P=0.01; 95% confidence interval=−0.53 to 0.04); meaningful activity participation and community reintegration (r=0.72; P=0.001; 95% CI=0.48 to 0.89) and fear of falling and meaningful activity participation (r=−0.71; P=0.53; 95% CI=−0.32 to 0.24). Older participants had lower levels of community reintegration and meaningful activity participation. A significant association was found between fear of falling and fall history (P=0.02); increased falls meant higher levels of fear of falling. Sex and duration of stroke had no significant impact on fear of falling, meaningful activity participation and community reintegration. Meaningful activity participation was the strongest predictor of community reintegration (β=1.7; 95% CI=1.30 to 2.11; P=0.001). Fear of falling might limit participation in meaningful activity and community integration among stroke survivors. These parameters should be assessed by allied health professionals during stroke rehabilitation.
重返社区仍然是康复的最重要目标之一。本研究的目的是调查社区中风幸存者对跌倒的恐惧、有意义的活动参与和重新融入社区之间的关系。采用国际跌倒疗效量表、参与有意义活动调查和重返正常生活指数,分别评估在物理治疗门诊接受治疗的自行行走的中风幸存者对跌倒的恐惧、有意义的活动参与和重返社区的情况。这项研究是一项横断面调查。相关性、回归和关联性测试的显著性水平设定为P<0.05。对跌倒的恐惧与重新融入社区之间存在显著关系(r=−0.27;P=0.01;95%置信区间=−0.53至0.04);有意义的活动参与和重新融入社区(r=0.72;P=0.001;95%CI=0.48至0.89)以及对跌倒的恐惧和有意义的参与活动(r=-0.71;P=0.53;95%CI=-0.32至0.24)。老年参与者的社区重新融入和有意义活动参与水平较低。跌倒恐惧与跌倒史之间存在显著相关性(P=0.02);跌倒次数的增加意味着对跌倒的恐惧程度更高。性别和中风持续时间对跌倒恐惧、有意义的活动参与和重新融入社区没有显著影响。有意义的活动参与是重新融入社区的最强预测因素(β=1.7;95%CI=1.30-2.11;P=0.001)。对跌倒的恐惧可能会限制中风幸存者参与有意义活动和融入社区。这些参数应在中风康复期间由专职卫生专业人员进行评估。
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引用次数: 0
Factors that support and hinder recovery and adjustment after traumatic brain injury: a qualitative multiple case study 支持和阻碍创伤性脑损伤后恢复和调整的因素:一个定性的多案例研究
IF 0.5 Q4 REHABILITATION Pub Date : 2023-02-02 DOI: 10.12968/ijtr.2021.0190
Lauren Woods, Anne H. Zachry
The numbers of individuals acquiring brain injuries in childhood is increasing. The deficits caused by brain injury can often have long-term implications that require support from caregivers, friends and the community. This study was conducted to gain an understanding of the shared perspectives of parental caregivers and their adolescent children as to what factors supported and hindered recovery and adjustment after traumatic brain injury. In this qualitative multiple case study, semi-structured interviews were conducted with a purposive sample of four individuals with traumatic brain injury and their five parental caregivers. A thematic, cross-case analysis was used to identify factors that support and hinder recovery and adjustment. Seven themes were identified from the interviews: lack of educational resources about traumatic brain injury; poor consistency of care; caregiver stress and guilt; disconnection and isolation; connection, empathy and social support; being high achieving and resourceful; and authentic relationships between adolescents with traumatic brain injury and their parents. The findings highlight the need for improved access to follow-up or community-based services for adolescents with traumatic brain injury who do not experience a hospital or inpatient rehabilitation stay. Additionally, healthcare providers should capitalise on the relationships between adolescents with traumatic brain injury and their parents to support recovery. The information gained from this study can be used to inform allied health professionals when developing and implementing interventions to support recovery in adolescents with traumatic brain injury and their parental caregivers.
儿童时期遭受脑损伤的人数正在增加。脑损伤引起的缺陷往往具有长期影响,需要护理人员、朋友和社区的支持。进行这项研究是为了了解父母照顾者及其青少年子女对哪些因素支持和阻碍创伤性脑损伤后的恢复和调整的共同看法。在这项定性的多案例研究中,对四名创伤性脑损伤患者及其五名父母照顾者进行了半结构化访谈。采用专题、跨案例分析来确定支持和阻碍恢复和调整的因素。访谈确定了七个主题:缺乏关于创伤性脑损伤的教育资源;护理一致性差;照顾者的压力和内疚;断开和隔离;联系、同理心和社会支持;成就卓著,足智多谋;以及患有创伤性脑损伤的青少年与其父母之间的真实关系。研究结果强调,对于没有住院或住院康复的创伤性脑损伤青少年,需要改善他们获得后续或社区服务的机会。此外,医疗保健提供者应利用创伤性脑损伤青少年与其父母之间的关系来支持康复。从这项研究中获得的信息可用于在制定和实施干预措施以支持创伤性脑损伤青少年及其父母照顾者的康复时向相关的卫生专业人员提供信息。
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引用次数: 0
Test–retest reliability and validity of cervical range of motion measurement using a smartphone clinometer and compass application among individuals with and without neck pain 在有和没有颈部疼痛的个体中,使用智能手机测斜仪和指南针应用程序测量颈椎运动范围的信度和效度
IF 0.5 Q4 REHABILITATION Pub Date : 2023-02-02 DOI: 10.12968/ijtr.2022.0004
A. Khan, Aafreen, Ashfaque Khan, H. Ahmed, M. Shaphe, Mohammed Qasheesh
Cervical disorders are major health problems in our society and an important source of disability. Assessing range of motion is a significant part of the physical therapist’s role when evaluating a patient presenting with cervical disorders. The purpose of this study was to evaluate the intrarater relibility as well as the criterion validity of two phone applications (clinometer and compass) when assessing the cervical range of motion among individuals with and without neck pain. In total, 80 participants were included in this study and split into two groups. Group A comprised 40 participants (18 women and 22 men) without neck pain. Group B included 40 participants (26 women and 14 men) with neck pain (mean pain rating on visual analogue scale 3.76 ± 0.93). Cervical range of motion was measured with the clinometer application (flexion, extension, right and left lateral flexion) and compass application (right and left rotation). The readings were compared with a universal goniometer. Estimates of reliability and validity were then established using the intraclass correlation coefficient, standard error of measurement and minimum detectable change. The smartphone applications had good intrarater reliability when compared to a universal goniometer, showing good to excellent validity (intraclass correlation coefficient >0.65) for all six cervical ranges of motion in participants with and without neck pain. The smartphone clinometer application was found to be valid and reliable in measuring frontal and sagittal cervical ranges of motion in participants with and without neck pain. The compass application was found to be valid and reliable when assessing the horizontal cervical range of motion in a seated position. The applications will benefit physiotherapists when assessing cervical range of motion.
宫颈疾病是我们社会的主要健康问题,也是残疾的重要来源。评估活动范围是物理治疗师在评估颈椎疾病患者时的重要角色。本研究的目的是评估两种手机应用程序(测斜仪和指南针)在评估有和没有颈部疼痛的个体的颈椎活动范围时的内部信度和标准效度。共有80名参与者参与了这项研究,并被分为两组。A组包括40名无颈部疼痛的参与者(18名女性和22名男性)。B组40例颈部疼痛患者(女性26例,男性14例)(视觉模拟评分平均疼痛评分3.76±0.93)。使用测斜仪(屈、伸、左右侧屈)和指南针(左右旋转)测量颈椎活动度。这些读数与通用测角仪进行了比较。然后使用类内相关系数、测量标准误差和最小可检测变化建立信度和效度估计。与通用测角仪相比,智能手机应用程序具有良好的内部可靠性,在有或没有颈部疼痛的参与者的所有六个颈椎活动范围中显示出良好的有效性(类内相关系数>0.65)。发现智能手机测斜仪应用程序在测量有或没有颈部疼痛的参与者的前额和矢状颈椎运动范围方面是有效和可靠的。指南针的应用被发现是有效和可靠的,当评估水平颈椎运动范围在一个坐姿。该应用程序将有利于物理治疗师评估颈椎活动范围。
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引用次数: 2
Effects of Popping For Parkinson’s dance class on the mood of people with Parkinson’s disease Popping For Parkinson舞蹈课对帕金森病患者情绪的影响
IF 0.5 Q4 REHABILITATION Pub Date : 2023-02-02 DOI: 10.12968/ijtr.2021.0069
Simone Sistarelli, L. Annett, Peter Lovatt
Depression, low mood and apathy can affect people with Parkinson’s disease, impacting on their quality of life. The aim of this study was to investigate the effects of one Popping For Parkinson’s dance session on the mood of people with Parkinson’s disease. A total of 33 people with Parkinson’s disease, with a mean age of 67.5 years (standard deviation 10.3 years), mean Parkinson’s level of 1.8 (standard deviation 1.6), took part in one Popping For Parkinson's dance class at four different locations: London (UK), Hatfield (UK), New York City (USA) and Turin (Italy). Participants’ mood was measured with the Profile of Mood States questionnaire at four time points: immediately before the dance class, immediately after the dance class, 24 hours after the dance class and 1 week after the dance class. Participants’ total mood score and the subscale score of vigour increased, while the subscales of tension, depression, and confusion decreased on the Profile of Mood States, significantly immediately after the dance intervention. However, at 24 hours and 1 week after the dance class, mood scores did not differ significantly compared with baseline measurements. The improvements in mood immediately after the dance class did not differ depending on sex, age, previous dance experience, the location of the dance class, stage of Parkinson’s disease, presence of tremor and deep brain stimulation treatment. Participating in a Popping For Parkinson’s dance class boosts mood in the short term, and this improvement lasts less than 24 hours. This finding has implications for the provision of dance classes, suggesting that regular attendance may be necessary for sustained improvements. Further studies are needed to determine whether attending a series of Popping for Parkinson’s classes may have longer-term effects.
抑郁症、情绪低落和冷漠会影响帕金森病患者,影响他们的生活质量。本研究的目的是调查一次“为帕金森而跳”舞蹈对帕金森病患者情绪的影响。共有33名帕金森病患者,平均年龄67.5岁(标准差10.3岁),平均帕金森水平1.8(标准差1.6),在四个不同的地点参加了一个“为帕金森而跳”舞蹈班:伦敦(英国)、哈特菲尔德(英国),纽约市(美国)和都灵(意大利)。参与者在四个时间点的情绪状况问卷进行测量:舞蹈课前、舞蹈课后、舞蹈课24小时后和舞蹈课后1周。参与者的总情绪得分和活力分量表得分增加,而紧张、抑郁和困惑分量表在情绪状态档案中减少,这在舞蹈干预后立即显著。然而,在舞蹈课后24小时和1周,情绪得分与基线测量相比没有显著差异。舞蹈课后情绪的改善并没有因性别、年龄、以前的舞蹈经历、舞蹈课的地点、帕金森氏症的阶段、震颤的存在和大脑深层刺激治疗而有所不同。参加Popping For Parkinson’s舞蹈课可以在短期内提升情绪,这种改善持续不到24小时。这一发现对舞蹈课程的提供有启示,表明定期上课可能是持续改进的必要条件。需要进一步的研究来确定参加一系列针对帕金森氏症的Popping课程是否会产生长期影响。
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引用次数: 0
Hemidiaphragm elevation after thoracic and cardiac surgical procedures: there is room for respiratory physiotherapy 胸外科和心脏外科手术后半膈抬高:有呼吸物理治疗的空间
IF 0.5 Q4 REHABILITATION Pub Date : 2023-02-02 DOI: 10.12968/ijtr.2023.0009
M. Polastri, L. Marco, A. Dell’Amore, V. Comellini
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引用次数: 0
The effect of whole body vibration on gait stability in individuals with Parkinson's disease: a preliminary study 帕金森病患者全身振动对步态稳定性影响的初步研究
IF 0.5 Q4 REHABILITATION Pub Date : 2023-01-02 DOI: 10.12968/ijtr.2020.0031
A. P. Silveira-Ciola, F. Barbieri, Carolina Favarin Soares, N. Marques, L. Simieli, Flávia Roberta Faganello-Navega
Whole body vibration could benefit functional mobility in people with Parkinson's disease. A preliminary study was undertaken to analyse the acute effect of whole body vibration on unobstructed walking and obstacle circumvention in people with Parkinson's disease. People with Parkinson's disease and typically healthy individuals as matched controls were divided into four groups with nine individuals in each: experimental or placebo for people with Parkinson's disease and experimental or placebo for the control group. The participants were evaluated in two different gait conditions: unobstructed walking and obstacle circumvention. Then the participants undertook a session of whole body vibration on a KIKOS P201 lateral vibratory platform in two positions: feet shoulder-width apart, and feet shoulder-width apart with slightly flexed knees. The participants were re-evaluated after this session. After whole body vibration, those in the experimental Parkinson's disease group had a reduced co-contraction of the tibialis anterior and the gastrocnemius lateralis muscles during unobstructed walking, whereas the co-contraction of the tibialis anterior and the gastrocnemius lateralis muscles increased in the experimental control group. In addition, those in the experimental control group had reduced stride duration in unobstructed walking and in obstacle circumvention. After the placebo intervention, the co-contraction of the tibialis anterior and the gastrocnemius lateralis muscles increased in all conditions and stride duration was reduced in unobstructed walking. Although whole body vibration had no acute efficiency on gait (unobstructed walking and obstacle circumvention), it can improve other components, such as strength, which could be important for people with Parkinson's disease.
全身振动有利于帕金森病患者的功能活动。进行了一项初步研究,以分析全身振动对帕金森病患者无障碍行走和障碍规避的急性影响。帕金森病患者和作为匹配对照的典型健康人被分为四组,每组9人:帕金森病患者为实验组或安慰剂组,对照组为实验组和安慰剂组。参与者在两种不同的步态条件下进行评估:无障碍行走和绕过障碍。然后,参与者在KIKOS P201横向振动平台上以两个姿势进行全身振动:双脚分开与肩同宽,膝盖微微弯曲。会议结束后,对参与者进行了重新评估。在全身振动后,实验性帕金森病组的患者在无障碍行走期间胫骨前肌和腓肠肌外侧肌的共同收缩减少,而实验对照组的胫骨前肌与腓肠肌外侧肌肉的共同收缩增加。此外,实验对照组在无障碍行走和绕过障碍时的步幅持续时间缩短。安慰剂干预后,在所有情况下,胫骨前肌和腓肠肌外侧肌的共同收缩都会增加,在无障碍行走中,步幅持续时间会缩短。尽管全身振动对步态(无障碍行走和绕过障碍)没有急性影响,但它可以提高其他成分,如力量,这对帕金森病患者来说可能很重要。
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引用次数: 0
期刊
International Journal of Therapy and Rehabilitation
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