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Three-dimensional kinematic analysis of upper and lower limb motion during gait of post-stroke patients

机译:脑卒中后患者步态上下肢运动的三维运动学分析

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The aim of this study was to analyze the alterations of arm and leg movements of patients during stroke gait. Joint angles of upper and lower limbs and spatiotemporal variables were evaluated in two groups: hemiparetic group (HG, 14 hemiparetic men, 53 ± 10 years) and control group (CG, 7 able-bodied men, 50 ± 4 years). The statistical analysis was based on the following comparisons (P ≤ 0.05): 1) right versus left sides of CG; 2) affected (AF) versus unaffected (UF) sides of HG; 3) CG versus both the affected and unaffected sides of HG, and 4) an intracycle comparison of the kinematic continuous angular variables between HG and CG. This study showed that the affected upper limb motion in stroke gait was characterized by a decreased range of motion of the glenohumeral (HG: 6.3 ± 4.5, CG: 20.1 ± 8.2) and elbow joints (AF: 8.4 ± 4.4, UF: 15.6 ± 7.6) on the sagittal plane and elbow joint flexion throughout the cycle (AF: 68.2 ± 0.4, CG: 46.8 ± 2.7). The glenohumeral joint presented a higher abduction angle (AF: 14.2 ± 1.6, CG: 11.5 ± 4.0) and a lower external rotation throughout the cycle (AF: 4.6 ± 1.2, CG: 22.0 ± 3.0). The lower limbs showed typical alterations of the stroke gait patterns. Thus, the changes in upper and lower limb motion of stroke gait were identified. The description of upper limb motion in stroke gait is new and complements gait analysis.
机译:这项研究的目的是分析中风步态患者手臂和腿部运动的变化。两组评估上下肢的关节角度和时空变量:半盲组(HG,14名半盲男性,53±10岁)和对照组(CG,7名强壮男性,50±4岁)。统计分析基于以下比较(P≤0.05):1)CG的右侧与左侧; 2)HG的受影响(AF)与未受影响(UF)的一面; 3)CG与HG的受影响端和未受影响端,以及4)HG和CG之间的运动学连续角度变量的周期内比较。这项研究表明,中风步态中受影响的上肢运动的特征是盂肱(HG:6.3±4.5,CG:20.1±8.2)和肘关节(AF:8.4±4.4,UF:15.6± 7.6)在整个周期内的矢状面和肘关节屈曲(AF:68.2±0.4,CG:46.8±2.7)。肱肱关节的外展角较大(AF:14.2±1.6,CG:11.5±4.0),在整个循环过程中外旋度较低(AF:4.6±1.2,CG:22.0±3.0)。下肢表现出典型的中风步态改变。因此,可以确定中风步态上下肢运动的变化。对中风步态中上肢运动的描述是新的,是对步态分析的补充。

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