慢性特发性颈痛患者单任务和双任务时的时空步态参数、骨盆运动和骨盆对称性

Hatice AYAN KARATAŞ, B. Kara, R. Erbayraktar
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引用次数: 0

摘要

目的:颈部疼痛与步态障碍有关。本研究的第一个目的是比较CINP患者与健康受试者在单任务和双任务条件下的时空步态参数、骨盆运动和骨盆对称性。第二个目的是研究CINP患者的残疾和步态之间的关系。方法:31例CINP患者(平均年龄22.06±1.38岁,年龄范围18-56岁)和24例HS患者(平均年龄22.60±1.51岁,年龄范围18-43岁)参与研究。CINP组完成颈部残疾指数。所有参与者在两种情况下进行10米步行测试:(1)以通常速度头部直走,(2)以通常速度头部直走,同时拿着托盘。BTS G-Walk可穿戴传感器用于评估时空参数(速度、节奏、步长)、骨盆运动(倾斜、倾斜、旋转)和骨盆对称性。结果:在单任务步态中,CINP组行走速度明显降低,步幅明显缩短,骨盆倾斜对称性明显变差(p<0.05),但骨盆运动在HS上无显著差异(p<0.05)。双任务条件下,与HS相比,CINP组的节奏、步速和步长明显降低,盆腔运动明显增加,盆腔旋转对称性明显差(p<0.05)。结论:与HS相比,CINP患者步态较慢,步长较短,骨盆对称性下降,骨盆运动增加。在双任务步态中,两组之间的步态和骨盆运动的差异比单任务步态更明显。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SPATIOTEMPORAL GAIT PARAMETERS, PELVIC MOVEMENTS AND PELVIC SYMMETRY DURING SINGLE AND DUAL TASK IN INDIVIDUALS WITH CHRONIC IDIOPATHIC NECK PAIN
Purpose: Neck pain is associated with gait disturbances. The first aim of this study was to examine spatiotemporal gait parameters, pelvic movements and pelvic symmetry during single and dual task conditions in persons with CINP compared to healthy subjects (HS). The second aim was to investigate the relationship between disability and gait in persons with CINP.Methods: Thirty-one individuals with CINP (mean age 22.06±1.38 years, range 18-56 years) and 24 HS (mean age 22.60±1.51 years, range 18-43 years) participated in the study. CINP group completed Neck Disability Index. All participants performed 10-meter walking test in two conditions: (1) walking with head straight at usual speed, (2) walking with head straight at usual speed while carrying a tray. The BTS G-Walk wearable sensor was used to assess spatiotemporal parameters (speed, cadence, step length), pelvic movements (tilt, obliquity, rotation), and pelvic symmetry. Results: During single task gait, the CINP group had significantly lower walking speed, shorter stride length and worse pelvic tilt symmetry (p<0.05), but pelvic movements did not differ significantly according to the HS (p<0.05). During dual task condition, the CINP group had significantly lower cadence, gait speed and stride length, significantly increased pelvic movements and significantly worse pelvic rotation symmetry compared to HS (p<0.05). Conclusion: Patients with CINP had a slower gait, lower stride length, decreased pelvic symmetry and increased pelvic movements compared to HS. Differences in gait and pelvic movements between the two groups were more pronounced during the dual task gait than single task gait. 
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