经历足下垂的多发性硬化症患者6分钟步行试验期间的踝关节运动学和时间步态特征

IF 1.5 Q3 REHABILITATION Rehabilitation Research and Practice Pub Date : 2018-07-02 eCollection Date: 2018-01-01 DOI:10.1155/2018/1260852
Marietta L van der Linden, Georgia Andreopoulou, Judy Scopes, Julie E Hooper, Thomas H Mercer
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引用次数: 12

摘要

足下垂是多发性硬化症(pwMS)患者常见的步态障碍,但在一些足下垂可能只发生在一段时间的长时间步行后,可能是运动疲劳的迹象。该研究的目的是探讨,对于pwMS,一个适应的6分钟步行测试(6minWT)是否会导致脚落差的增加,使用电测法测量。记录了15名患有MS (EDSS 4-6)的参与者(10名女性和5名男性,年龄37-64岁)在6分钟内的踝关节矢状位运动学。比较6minWT前10和后10个步态周期的踝关节运动学和时间步幅参数。与开始时相比,挥拍时的背屈峰值在6minWT结束时显著减少,15名参与者中有6人的背屈峰值减少了2度或更多。时间步幅参数有统计学意义的变化表明步行速度下降。我们的研究结果表明,使用本研究中使用的方案,可以识别由于长时间运动任务而导致足部下降增加的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Ankle Kinematics and Temporal Gait Characteristics over the Duration of a 6-Minute Walk Test in People with Multiple Sclerosis Who Experience Foot Drop.

Foot drop is a common gait impairment in people with MS (pwMS) but in some foot drop may only occur after a period of prolonged walking and may be a sign of motor fatigability. The purpose of the study was to explore whether, for pwMS, an adapted six-minute walk test (6minWT) would result in an increase in foot drop as measured using electrogoniometry. Sagittal ankle kinematics were recorded for fifteen participants (10 females and 5 males, aged 37-64) with MS (EDSS 4-6) throughout the 6minWT. Ankle kinematics and temporal stride parameters were compared between the first and last 10 gait cycles of the 6minWT. Peak dorsiflexion in swing was significantly reduced at the end of the 6minWT compared to the start, with six of the fifteen participants having a decrease of two degrees or more. Statistically significant changes in temporal stride parameters suggested a decrease in walking speed. Our results suggest that with the protocol used in this study it is feasible to identify patients who experience increased foot drop as a result of a prolonged exercise task.

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来源期刊
CiteScore
3.80
自引率
0.00%
发文量
16
审稿时长
19 weeks
期刊介绍: Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.
期刊最新文献
Physical Health and Socioeconomic Status in Ambulatory Adults With Bilateral Spastic Cerebral Palsy. Comparing the Physiological Responses to the 6-Minute Walk Test, Timed Up and Go Test, and Treadmill Cardiopulmonary Exercise Test. Virtual Reality Technology for Physical and Cognitive Function Rehabilitation in People With Multiple Sclerosis. Categories of the Patient-Specific Functional Scale Activities in Chronic Neck Pain and Their Relationship to the Neck Disability Index. The NewGait Rehabilitative Device Corrects Gait Deviations in Individuals With Foot Drop.
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