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COMPARISON OF TRIGGER POINT THERAPY AND CONVENTIONAL PHYSICAL THERAPY IN TENSION TYPE HEADACHES 触发点疗法与常规物理疗法治疗紧张性头痛的比较
Pub Date : 2019-06-30 DOI: 10.52567/trj.v3i01.25
S. Aslam, Aqeel Ahmed, Sundas Zia, Noureen Farooq
Objective: To compare the effectiveness of trigger point release and conventional physical therapy in tension type headaches. Materials & Methods: Randomized controlled trial (RCT) conducted from 18th February 2017 to 13 July 2018, at Isra institute of Rehabilitation Sciences (IIRS) Isra University, Islamabad Campus, Pakistan. A total of n=31 healthy individuals with tension type headache below the age of 50 years, were selected through non probability convenient sampling technique and randomly divided into conventional physical therapy and trigger point therapy group. The pain and Headache disability index data was compared at baseline and during and after the intervention while quality of life was measured pre and post the sessions. For within the groups changes RM-ANOVA was used and for between the groups differences independent sample t-test was used. Results: The results showed that pain was significantly reduced at the end of intervention in conventional physical therapy group as compare to trigger point therapy group (1.31±0.47 ver. 2.13±0.64, p<0.001). Regarding headache disability index, at the end of intervention trigger point therapy group show better results as compare to conventional physical therapy group (32.75±12.83 ver. 53.27±26.57, p=0.01). While comparing quality of life between the groups, no significant difference was observed after intervention. Conclusion: It was concluded that both conventional physical therapy and trigger point therapy are effective in the management of tension type headache. It decreased pain and disability caused by headache but no effect on quality of life due to shorter duration of study. Keywords: Tension type headache, trigger point therapy, stretching exercises.
目的:比较触发点释放法与常规物理疗法治疗紧张性头痛的疗效。材料与方法:随机对照试验(RCT)于2017年2月18日至2018年7月13日在巴基斯坦伊斯兰堡校区以色列大学康复科学研究所(IIRS)进行。采用非概率方便抽样方法,选取50岁以下健康的紧张性头痛患者31例,随机分为常规物理治疗组和触发点治疗组。在基线、干预期间和之后比较疼痛和头痛残疾指数数据,同时测量治疗前后的生活质量。对于组内变化使用RM-ANOVA,对于组间差异使用独立样本t检验。结果:常规物理治疗组与触发点治疗组相比,干预结束时疼痛明显减轻(1.31±0.47);2.13±0.64,p < 0.001)。干预结束时,触发点治疗组头痛失能指数优于常规物理治疗组(32.75±12.83)。53.27±26.57,p = 0.01)。在比较两组患者的生活质量时,干预后无明显差异。结论:常规物理疗法和触发点疗法均可有效治疗紧张性头痛。它减少了由头痛引起的疼痛和残疾,但由于研究时间较短,对生活质量没有影响。关键词:紧张性头痛,触发点疗法,伸展运动。
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引用次数: 0
STRESSORS FOR PARENTS OF CHILDREN WITH COCHLEAR IMPLANT IN PAKISTAN 巴基斯坦植入人工耳蜗儿童父母的压力源
Pub Date : 2019-06-30 DOI: 10.52567/TRJ.V3I01.21
Faseeha Shafqat
Cochlear implants (CI) are electronic devices that are surgically implanted in children with profound hearing loss to enable them experience sensation of sound. U.S was the first to approve CI surgeries for children in 1990 and the minimum age was lowered to 12 months by U.S Food and Drug Administration by 2002.1 Growing numbers of evidence has demonstrated positive outcomes of CI in language and communication by improving children’s speech perception and speech production.2 Outcomes of CI are neither instant nor irrefutably assured and demands continuous effortful habilitation process to prove this surgery a wise decision.3,4 Evidence shows great variability in outcomes following CI which indicates that children may continue to show hearing and communication problems.5 Long-term habilitation processes of CI and continued exposure to difficulties generate many stressors to parents along with challenges to parental role. Furthermore, to ensure success of CI, parents play a key role by complying with whole rehabilitation process. Therefore any factor that can cause stress for parents and destroys their mental health, can affect child’s progress. Literature reveals that psychological distress is more experienced among parents of children with CI not only in comparison to parents of normal hearing children6 but also do parents of deaf and conventional hearing aid users.7 In Pakistan CI programme began in 2000 and at that time due to financial constraints only few patients were able to afford this and faced many difficulties in its long term rehabilitation process.8 Currently many hospitals in liaison with international companies are offering CI surgeries with habilitation services. Some of those hospitals are Dow University of Health Sciences Karachi, Capital Development hospital Islamabad, Combined Military Hospital Rawalpindi, Bahria International Hospital Lahore and Central park hospital Lahore. Many schemes also provide free cochlear implant surgery services with one year fund for habilitation services i.e. audiological services and speech therapies. It is commendable that services to patients of CI in Pakistan are growing at exponential rate from selection of CI candidate to habilitation process post-surgery, but parallel to that parents’ increasing stress level affecting their psychosocial life cannot be ignored. It has been observed that at first hand CI poses great financial burden that can continue to upheaval at any stage of life even after bearing expense of costly CI surgery, when any piece of device gets damaged or need repair. Even if insurance is sought it requires depositing minimum eighty thousand rupees per year that is only affordable for high economic strata. Services of CI surgeries are only offered in few big cities and for every mapping and follow up. Patients from far-flung areas are required to travel long distances and for life long they become dependent on their CI panel and/or company no matter how many difficulties, bad a
应该进行研究,找出造成这种压力的所有可能因素。虽然,CI的多学科团队(MDT)不可能降低由CI费用引起的压力,但应通过确保提供训练有素的专业人员来消除因MDT成员的渎职和不当指导而增加推力的压力源。
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引用次数: 1
ASSOCIATION BETWEEN URINARY INCONTINENCE AND DIFFERENT LEVEL OF PHYSICAL ACTIVITIES 尿失禁与不同运动水平的关系
Pub Date : 2019-06-30 DOI: 10.52567/trj.v3i01.24
Ramsha Sohail, Q. Ain, Abdul haseeb Bhutta, N. Asif
Objective: This research study aimed to find out the association between physical activity and urinary incontinence in elderly population. Methods: A cross-sectional correlation study design was conducted with n=161 elderly male and female subjects with age ≥ 55 years. Non- probability convenience sampling was used in order to collect data from the respondents. Rapid Assessment of Physical Activity (RAPA) and MESA questionnaire was used to evaluate level of physical activity and presence of urinary incontinence. The association between physical activity and urinary incontinence was measured through Chi-square test. SPSS 21 was used to analyze the data. Results: The mean±SD age of subjects was 64.03± 9.56 years. Level of physical activity found to be significantly associated with urinary incontinence (p≤0.05). A significant association can be seen in participants who are sedentary (p=0.02), who perform moderate physical activity for 30 minutes/day for 5 days/week (p=0.04) and who perform strength activities (p<0.001). Conclusion: Moderate level of regular physical activity at-least 5 days in week and/or activities to increase muscle strength such as weight lifting, calisthenics once a week or more are prevent urinary incontinence in elderly people. Keywords: elderly, incontinence, physical activity, stress incontinence, urinary incontinence, urge incontinence.
目的:探讨老年人运动与尿失禁的关系。方法:采用横断面相关研究设计,对年龄≥55岁的161例老年男性和女性进行研究。为了从被调查者中收集数据,采用了非概率方便抽样。采用身体活动快速评估(RAPA)和MESA问卷来评估身体活动水平和尿失禁的存在。体育活动与尿失禁的相关性采用卡方检验。采用SPSS 21软件对数据进行分析。结果:受试者平均±SD年龄为64.03±9.56岁。体力活动水平与尿失禁显著相关(p≤0.05)。在久坐不动(p=0.02)、每天进行30分钟中等强度体力活动、每周进行5天体力活动(p=0.04)和进行强度活动(p<0.001)的参与者中可以看到显著的关联。结论:每周至少5天中等水平的规律体育活动和/或增加肌肉力量的活动,如举重、每周1次以上的健体操等,可预防老年人尿失禁。关键词:老年人,尿失禁,体力活动,压力性失禁,尿失禁,急迫性失禁。
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引用次数: 0
THE REHABILITATION JOURNAL (TRJ) 康复杂志(trj)
Pub Date : 2017-06-30 DOI: 10.52567/trj.v1i01.44
H. Tariq
On behalf of the entire editorial board, I am delighted to inform you that we are releasing a new multidisciplinary International Journal named ‘The Rehabilitation Journal’ (TRJ), which will be an open access, peer reviewed, and online journal. This journal will cover all topics related to medical rehabilitation including but not limited to musculoskeletal rehabilitation, neurological rehabilitation, cardiopulmonary rehabilitation, sports rehabilitation, psychosocial rehabilitation, speech and language rehabilitation and community based rehabilitation etc. The primary aim of TRJ is to provide the readers with a platform to access high quality research associated with rehabilitation, which will not only deliver scientific basis to the clinicians for evidence-based practice but also promote rehabilitation research with the aim of improvising the existing research with new ideas and bridging the gaps. We intend to build up an international base of the journal and therefore encourage authors from all around the world to participate and make their work published in an International refereed journal. We ensure strict adherence to International guidelines of reviewing to maintain a high standard of an international journal. Every manuscript submitted to TRJ, which falls under the umbrella term of Rehabilitation, will go through a basic process of scrutinizing by the related associate editors, and then will be sent to experts in the relative field for a detailed review. Based on the comments and recommendations made by the reviewers, the final decision will be made by the managing editor. The most distinct feature of TRJ is continuous publication of articles online after acceptance without waiting for a sufficient number of articles for an issue. The review time will be regularly monitored by the editorial board to ensure faster publications avoiding any unnecessary delay. Other features include the provision of open access and online tracking of the status of manuscript. Open access research articles provide fast and efficient sharing of the findings across the globe. This also ensures high quality work to help influence rehabilitation practice in the shortest possible time to the broadest possible population of scientific researchers. Finally, I would like to pay my sincerest gratitude to entire editorial board for their continuous hard work behind launching of this journal. We hope that you will enjoy reading this new journal and contribute to make it an international platform for sharing good quality work in all fields of rehabilitation.
我谨代表整个编辑委员会高兴地通知大家,我们将出版一本新的多学科国际期刊,名为《康复杂志》(the Rehabilitation Journal, TRJ),这将是一本开放获取、同行评议的在线期刊。本刊将涵盖与医学康复相关的所有主题,包括但不限于肌肉骨骼康复、神经康复、心肺康复、运动康复、社会心理康复、语言语言康复和社区康复等。TRJ的主要目的是为读者提供一个获取高质量康复相关研究的平台,不仅为临床医生提供循证实践的科学依据,而且促进康复研究的发展,以创新现有研究,弥合差距。我们打算建立期刊的国际基础,从而鼓励来自世界各地的作者参与并将他们的作品发表在国际评审期刊上。我们确保严格遵守国际评审准则,以保持高水准的国际期刊。提交给TRJ的每一篇稿件都将经过相关副编辑的基本审查程序,然后将被送到相关领域的专家那里进行详细的审查。TRJ属于康复的总称。根据审稿人的意见和建议,最终由总编辑做出决定。TRJ最显著的特点是文章在被接受后不需要等待足够数量的文章就可以在网上持续发表。审稿时间将由编委会定期监督,以确保更快的发表,避免任何不必要的延误。其他功能包括提供开放获取和在线跟踪手稿状态。开放获取的研究文章在全球范围内提供了快速有效的研究成果共享。这也确保了高质量的工作,以帮助在尽可能短的时间内影响尽可能广泛的科学研究人员的康复实践。最后,我要向整个编委会表示最诚挚的感谢,感谢他们为本刊的创办所做的不懈努力。我们希望您喜欢阅读这本新杂志,并为使它成为一个分享康复各个领域高质量工作的国际平台做出贡献。
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引用次数: 0
Memory Impairments and Rehabilitation: Evidence-Based Effects of Approaches and Training Programs 记忆障碍和康复:方法和训练计划的循证效果
Pub Date : 2015-07-31 DOI: 10.2174/1874943720150601e001
O. Pino
This paper provides an update and overview of the field of memory disorders and memory rehabilitation of adults. Progresses in brain plasticity knowledge and neuroimaging observations about compensation after structural losses have influenced non-pharmacological interventions, which represent a growing area with strong theories and explanatory frameworks. Rehabilitation models may follow three directives not alternatives to each other: restore lost functions, develop compensatory strategies or adopt external memory aids. Because of treatment approaches have a differential effect on distinct aspects of memory functions, and the assessment of the treatment outcomes is relevant not only at impairment level but also at the disability level, the effectiveness of restitution oriented therapies and compensatory approaches was evaluated. We discussed these different treatment approaches also reporting a survey of training results and systematic reviews findings. A large body of evidence seems to support, with different efficacy levels according to etiology and type of brain injury, several training programs in stable individuals but not in persons with degenerative diseases. The present paper can serve as a guide for clinicians and researchers.
本文综述了成人记忆障碍和记忆康复领域的最新进展。大脑可塑性知识的进步和关于结构损失后补偿的神经影像学观察影响了非药物干预,这是一个具有强大理论和解释框架的新兴领域。康复模式可以遵循三个相互不可替代的指令:恢复失去的功能,发展补偿策略或采用外部记忆辅助。由于治疗方法对记忆功能的不同方面有不同的影响,而且治疗结果的评估不仅与损伤水平有关,而且与残疾水平有关,因此评估了以恢复为导向的治疗方法和代偿方法的有效性。我们讨论了这些不同的治疗方法,并报告了培训结果的调查和系统评价结果。大量证据似乎支持,根据病因和脑损伤类型的不同,几种训练方案在稳定个体中有不同的疗效水平,但在退行性疾病患者中没有。本文可作为临床医生和研究人员的参考。
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引用次数: 7
Setting, Clinical Pathways, Fast-Track and Rehabilitation FollowingPrimary Knee Arthroplasty: A Literature Review 原发性膝关节置换术后的环境、临床途径、快速通道和康复:文献综述
Pub Date : 2015-03-31 DOI: 10.2174/1874943701508010017
M. Benedetti, D. Sarti, S. Stagni, E. Mariani
In view of the high incidence of total knee replacements, it is important to identify the most efficient yet cost- effective rehabilitation program, in order to optimize patient care within the constraints of the National Healthcare System. This paper aimed at reviewing the literature on post-acute Total Knee Replacement (TKR) rehabilitation discharge setting, and on the strategies for early discharge of TKR patients from orthopedic wards. Research studies on the effectiveness of rehabilitation in intensive rehabilitation care, skilled nursing facilities, home rehabilitation, fast-tracks, enhanced recovery and clinical pathways in total knee replacement patients have been reviewed. Length of stay following knee arthroplasty is influenced by the following factors: age, sex, marital status, co-morbidity, preoperative use of walking aids, pre and postoperative hemoglobin levels, the need for blood transfusion, ASA (American Society of Anesthesiologists) score and time between surgery and mobilization. Clinical pathways and fast tracks seem to be effective in reducing length of stay without increasing clinical complications. However, despite the vast quantity of literature available, results remain inconclusive. There is no clear evidence supporting an algorithm for the optimal rehabilitation management after total knee replacement. Beside the question of which setting or path is preferable in terms of organization, the review enlightens that it is relevant also gaining a deeper understanding of the most important predictors of the best outcomes. There is a need to review criteria for admitting total knee arthroplasty patients to intensive rehabilitation, to start a "fast- track" protocol, to build "Clinical Pathways" and to discharge patients to home rehabilitation.
鉴于全膝关节置换术的高发病率,确定最有效且最具成本效益的康复方案,以在国家医疗保健系统的限制下优化患者护理是很重要的。本文旨在回顾有关急性全膝关节置换术(TKR)后康复出院设置的文献,以及TKR患者早期出院骨科病房的策略。综述了全膝关节置换术患者在强化康复护理、熟练护理设施、家庭康复、快速康复、增强康复和临床途径等方面康复效果的研究。膝关节置换术后的住院时间受以下因素的影响:年龄、性别、婚姻状况、合并症、术前助行器的使用、术前和术后血红蛋白水平、输血需求、ASA(美国麻醉医师协会)评分以及手术和活动之间的时间。临床路径和快速通道似乎在减少住院时间而不增加临床并发症方面有效。然而,尽管有大量的文献,结果仍然是不确定的。没有明确的证据支持全膝关节置换术后最佳康复管理算法。除了在组织方面哪种设置或路径更可取的问题之外,回顾还揭示了对最佳结果的最重要预测因素的更深入理解也是相关的。有必要审查全膝关节置换术患者接受强化康复的标准,启动“快速通道”协议,建立“临床路径”,并使患者出院到家庭康复。
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引用次数: 11
Effects of Moderate Exercise Training on Spatial Behavior Among Old Mice - Preliminary Results 适度运动训练对老年小鼠空间行为的影响——初步结果
Pub Date : 2014-10-31 DOI: 10.2174/1874943701407010006
E. Carmeli, B. Imam, E. Kodesh
Background: Moderate exercise training has innumerable benefits on physical function, cognition and mental health. However, the effects of exercise training on anxiety reduction that results in increased physical activity is much less appreciated. The objective of this study was to examine the effects of moderate exercise training on anxiety-related behaviors that result in increased physical activity. Methods: Old (17 months) female mice (n=6), C57B6 were allocated to either a sedentary or a running group that underwent 12 weeks of treadmill running (20 minutes/day, 6 days/week). Anxiety-related behavior was assessed using an Open Field Test. Results: Moderate exercise training resulted in increased locomotion in the exercised group. These mice entered the 'inner zone' of the open field more frequently; b) exhibited higher movement velocity within the arena; c) traveled a longer distance; and d) spent less time at the corners of the open field. Conclusion: Our results indicate the beneficial effects of moderate exercise training on reducing anxiety-related behavior and triggering spatial behaviors in an Open Field Test among aged mice.
背景:适度的运动训练对身体机能、认知和心理健康有着不可估量的好处。然而,运动训练对减少焦虑的影响,导致增加体力活动的效果却很少得到重视。本研究的目的是检验适度运动训练对导致体力活动增加的焦虑相关行为的影响。方法:老龄(17个月)雌性小鼠(n=6), C57B6被分配到静坐组和跑步组,分别进行12周的跑步机跑步(20分钟/天,6天/周)。焦虑相关行为采用开放式测试进行评估。结果:适度的运动训练使运动组的运动能力增加。这些老鼠更频繁地进入空地的“内区”;B)在运动场上表现出较高的运动速度;C)走了更远的距离;d)在开阔场地的角落呆的时间更少。结论:适度运动训练对老年小鼠焦虑相关行为的减少和空间行为的触发具有有益作用。
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引用次数: 0
Big Five Personality Characteristics and Adherence to Clinic-Based Rehabilitation Activities after ACL Surgery: A Prospective Analysis. 前交叉韧带手术后大五人格特征与临床康复活动依从性的前瞻性分析。
Pub Date : 2014-05-30 DOI: 10.2174/1874943701407010001
Robert C Hilliard, Britton W Brewer, Allen E Cornelius, Judy L Van Raalte

Purpose: A prospective, longitudinal study was conducted to examine Big Five personality characteristics as predictors of adherence to clinic-based rehabilitation activities following anterior cruciate ligament (ACL) reconstruction surgery.

Method: Participants (72 men, 36 women) completed a questionnaire assessing Big Five personality dimensions prior to surgery. For the first 7 weeks after surgery, participants' rehabilitation session attendance was recorded and rehabilitation professionals rated participants' adherence during rehabilitation sessions..

Results: Results of multiple regression analyses indicated that the 5 personality factors explained 11 percent of the variance in attendance and 17 percent of the variance in adherence ratings, that agreeableness was a significant positive predictor of attendance, and that conscientiousness and openness to experience were significant positive predictors of adherence ratings.

Conclusion: As a potential contributor to adherence, personality warrants consideration when implementing rehabilitation programs after ACL surgery.

目的:一项前瞻性、纵向研究旨在检验大五人格特征作为前交叉韧带(ACL)重建手术后临床康复活动依从性的预测因素。方法:参与者(72名男性,36名女性)在手术前完成一份评估大五人格维度的问卷。在手术后的前7周,记录参与者的康复课程出勤率,康复专业人员对参与者在康复课程中的依从性进行评分。多元回归分析结果表明,这5个人格因素解释了出勤率方差的11%和依从性评分方差的17%,亲和性是出勤率的显著正预测因子,严谨性和开放性是依从性评分的显著正预测因子。结论:在前交叉韧带手术后实施康复计划时,人格作为依从性的潜在因素值得考虑。
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引用次数: 29
Regenerative Injection Therapy (Prolotherapy) for Hip Labrum Lesions:Rationale and Retrospective Study 再生注射治疗髋盂病变:理论基础和回顾性研究
Pub Date : 2013-10-18 DOI: 10.2174/1874943720130912001
R. Hauser, A. Orlofsky
Background: Acetabular labral tear is a debilitating condition for which there are few effective non-surgical treatment options. A number of studies in humans and in animal models suggest that the labrum may have a capacity for spontaneous healing, and that therapies that seek to exploit and facilitate this process may be beneficial. Regenerative injection therapies have shown promise in the treatment of several musculoskeletal disorders, but have not previously been applied to labral tear. Methods: We present an initial case series of 19 patients with labral tear that were treated in our clinic with intra-articular injections of hypertonic dextrose. Patient-reported assessments were collected by questionnaire between 1 and 60 months post-treatment (mean = 12 months). Results: All patients reported improvements in pain relief and functionality. Patients reported complete relief of 54% of recorded symptoms. Improvements did not show dependence on the time between treatment and follow-up. No adverse events were reported. Conclusions: Regenerative injection therapy (prolotherapy) for acetabular labral tear appears to be a safe and potentially efficacious procedure that merits further investigation as a non-surgical option.
背景:髋臼唇撕裂是一种使人衰弱的疾病,很少有有效的非手术治疗选择。在人类和动物模型中进行的许多研究表明,阴唇可能具有自发愈合的能力,并且寻求利用和促进这一过程的治疗可能是有益的。再生注射疗法在治疗几种肌肉骨骼疾病方面显示出希望,但以前尚未应用于唇部撕裂。方法:我们报告了19例唇部撕裂患者的初步病例系列,这些患者在我们的诊所接受关节内注射高渗葡萄糖治疗。患者报告的评估在治疗后1至60个月(平均12个月)通过问卷收集。结果:所有患者均报告疼痛缓解和功能改善。患者报告54%的记录症状完全缓解。改善并不依赖于治疗和随访之间的时间。无不良事件报告。结论:再生注射治疗髋臼唇撕裂是一种安全且潜在有效的治疗方法,值得进一步研究作为非手术治疗的选择。
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引用次数: 4
Biomechanical Analysis of Gait Adaptability in Parkinson's Disease 帕金森病步态适应性的生物力学分析
Pub Date : 2013-08-23 DOI: 10.2174/1874943701306010049
Mareike Schwed, T. Getrost, D. Schmidtbleicher, C. Haas
Parkinson's Disease (PD) subjects are less able to adapt gait to fluctuating motor demands in daily life situations than the healthy elderly, e.g. in crowded places, crossing the road, and starting or stopping at traffic lights. Several studies proved gait abnormalities in PD. However, to our knowledge there is currently no biomechanical test that deals with the ability in gait adaptation. The aim of this study was to develop and evaluate a new biomechanical test which proves the adaptability of gait to fluctuating external conditions. In order to have a reproducible, quantitative gait-test, a treadmill was used, accessed by a special software. The so called adaptability-of-gait test (AOG) changed the treadmill's velocity ballistically and unpredictably for the test subjects. 49 PD-subjects and 10 age-matched controls (HC) participated in the study. In order to subdivide PD subjects in homogeneous groups, we used a cluster analysis. In a first-step of evaluation we focused on differences between PD with moderate (PDM) and severe disease stages (PDS) and HC and examined correlations according to existing, valid tests, e.g. Unified Parkinson Disease Rating Scale (UPDRS) subscales, clinical and biomechanical gait-assessments. Results showed significant differences in gait-adaptation between the groups. Severe PD had a worse gait adaptation compared to PD moderate and HC. Correlation analysis of the PD sample showed significance differences between the AOG-test and bradykinesia and facial expression, but no significances differences according to conventional clinical gait assessments, e.g. Webster gait-test. We conclude that the AOG-test has potentials to identify a new gait performance: the adaptation of gait.
与健康老年人相比,帕金森病(PD)患者的步态适应日常生活中波动的运动需求的能力较差,例如在拥挤的地方、过马路、在红绿灯处起步或停车。一些研究证实了PD患者的步态异常。然而,据我们所知,目前还没有针对步态适应能力的生物力学测试。本研究的目的是开发和评估一种新的生物力学测试,以证明步态对波动的外部条件的适应性。为了有一个可重复的,定量的步态测试,使用跑步机,通过一个特殊的软件访问。所谓的步态适应性测试(AOG)对测试对象的跑步机速度产生了巨大而不可预测的改变。49名pd受试者和10名年龄匹配的对照组(HC)参加了这项研究。为了将PD受试者细分为同质组,我们使用了聚类分析。在评估的第一步,我们关注中度(PDM)和重度疾病分期(PDS)和HC的PD之间的差异,并根据现有的有效测试(例如统一帕金森病评定量表(UPDRS)子量表,临床和生物力学步态评估)检查相关性。结果显示各组之间的步态适应有显著差异。与中度和HC PD相比,重度PD患者的步态适应性更差。PD样本相关分析显示,AOG-test与运动迟缓和面部表情差异有统计学意义,而与常规临床步态评估如Webster步态测试差异无统计学意义。我们得出结论,aog测试有潜力识别一种新的步态表现:步态适应。
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引用次数: 2
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The open rehabilitation journal
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