在慢性偏瘫患者健侧下肢行走时使用鞋垫的立竿见影效果。

IF 1.9 4区 医学 Q4 NEUROSCIENCES
Chaeyoo Park, Youngkeun Woo, Jongim Won, Sujin Kim
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引用次数: 0

摘要

背景:不对称步态主要见于中风偏瘫患者。这些异常步态导致速度异常和日常活动能力下降:本研究旨在确定在偏瘫患者健侧下肢穿戴鞋垫后,步态参数和抬高时足底压力的即时变化:招募了 36 名参与者,其中包括卒中后随访时间≥3 个月且功能性行走类别评分≥2 分的患者。受试者被要求在其健侧鞋内穿和不穿 1 厘米鞋垫行走,穿或不穿鞋垫的顺序随机。使用 GAITRite 步行系统测量步态参数、双侧步态参数和动态足底压力:采用配对 t 检验法检测同组患者在穿鞋垫和不穿鞋垫时步态参数和足底压力的即时变化。总体而言,步速和步长明显降低(P虽然这项研究没有显示出对步态参数和步态周期的直接积极影响,但通过足底压力的变化从足底输入的感觉可能有助于改善步态不对称和调节姿势对称。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Immediate effects of insoles applied to the sound side lower extremity of patients with chronic hemiplegia during walking.

Background: Asymmetric gait patterns are mostly observed in hemiplegic stroke patients. These abnormal gait patterns resulting in abnormal speed, and decreased ability in daily of activity living.

Objective: This study aimed to determine the immediate changes in gait parameters and plantar pressure during elevation by wearing an insole on the sound side lower extremity of patients with hemiplegia.

Methods: Thirty-six participants were recruited, comprising those with a post-stroke follow-up of ≥3 months and a functional ambulation category score of ≥2. The participants were asked to walk with and without a 1 cm insole in the shoe of their sound side, and the order of wearing or not wearing the insole was randomized. Gait parameters, bilateral gait parameters, and dynamic plantar pressure were measured using the GAITRite Walkway System.

Results: Paired t-test was used to examine immediate changes in gait parameters and plantar pressure with and without insoles during walking in the same group. Overall, gait velocity and step length significantly decreased (p < 0.05), whereas step time significantly increased (p < 0.05). The swing phase of the affected sidelower extremities significantly increased (p < 0.05), and the stance phase significantly decreased (p < 0.05). Double-support unloading phase (pre-swing phase) significantly increased (p < 0.05). The changes in plantar pressure were significantly increased in some lateral zones and significantly decreased in the medial zone of the mid-hindfoot, both in terms of pressure per time and peak pressure (p < 0.05).

Conclusion: Although this study did not show immediate positive effects on gait parameters and gait cycle, it is expected that sensory input from the sole of the foot through changes in plantar pressure may help improve gait asymmetry and regulate postural symmetry.

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来源期刊
CiteScore
5.40
自引率
3.60%
发文量
22
审稿时长
>12 weeks
期刊介绍: This interdisciplinary journal publishes papers relating to the plasticity and response of the nervous system to accidental or experimental injuries and their interventions, transplantation, neurodegenerative disorders and experimental strategies to improve regeneration or functional recovery and rehabilitation. Experimental and clinical research papers adopting fresh conceptual approaches are encouraged. The overriding criteria for publication are novelty, significant experimental or clinical relevance and interest to a multidisciplinary audience. Experiments on un-anesthetized animals should conform with the standards for the use of laboratory animals as established by the Institute of Laboratory Animal Resources, US National Academy of Sciences. Experiments in which paralytic agents are used must be justified. Patient identity should be concealed. All manuscripts are sent out for blind peer review to editorial board members or outside reviewers. Restorative Neurology and Neuroscience is a member of Neuroscience Peer Review Consortium.
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