期刊
CLINICAL BIOMECHANICS
卷 29, 期 3, 页码 265-271出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.clinbiomech.2013.12.012
关键词
Stroke; Locomotion; Load; Task-oriented training; Rehabilitation
资金
- SensoriMotor Rehabilitation Research Team
- Canadian Institutes of Health Research (CIHR)
- Ontario March of Dimes (Toronto)
- Fonds de la Recherche en Sante du Quebec (FRSQ)
Background: Walking with a load at the ankle during gait training is a simple way to resist lower limb movements to induce functional muscle strengthening. This study investigated the effects of walking with different loads attached above the paretic ankle on biomechanical gait parameters during over ground walking in post-stroke participants. Methods: Ten participants with moderate chronic hemiparesis were evaluated while walking over ground with three different loads (0.5, 1.0, and 1.5 kg) attached above the paretic ankle. Gait speed, cadence, step lengths as well as hip and knee angular displacements, joint moments and power of the paretic limb were compared while walking with and without loads. Findings: Walking with a load led to an increased in gait speed (+0.03-0.05 m/s), and in step length of the paretic leg (+5.6 to 9.4% step length, effect size = 0.49-0.63), but not of the non-paretic leg. The proportion of the stance and swing phases did not change. Maximal joint moments (+20 to 48%, effect size = 0.26-0.55) and power (+20 to 114%, effect size = 030-0.57) increases varied across participants but were mostly affected in early stance at the hip and during the late swing phase at the knee. Mean angular displacement changes were less than 4 degrees. Interpretation: Post-stroke participants are able to increase hip and knee power bursts to meet the increased mechanical demand of added loads attached to the paretic ankle, while preserving the basic pattern of walking. Further study is needed before using loading to functionally strengthen paretic muscles. (C) 2013 Elsevier Ltd. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据