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首页> 外文期刊>Journal of NeuroEngineering Rehabilitation >Effect of progressive horizontal resistive force on the comfortable walking speed of individuals post-stroke
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Effect of progressive horizontal resistive force on the comfortable walking speed of individuals post-stroke

机译:渐进式水平阻力对中风后个体舒适行走速度的影响

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Background Individuals post-stroke select slow comfortable walking speeds (CWS) and the major factors used to select their CWS is unknown. Objective To determine the extent to which slow CWS post-stroke is achieved through matching a relative force output or targeting a particular walking speed. Methods Ten neurologically nonimpaired individuals and fourteen chronic stroke survivors with hemiplegia were recruited. Participants were instructed to “walk at the speed that feels most comfortable” on a treadmill against 12 progressively increasing horizontal resistive force levels applied at the pelvis using a robotic system that allowed participant to self-select their walking speed. We compared slope coefficients of the simple linear regressions between the observed normalized force vs. normalized speed relationship in each group to a slope of -1.0 (i.e. ideal slope for a constant relative force output) and 0.0 (i.e. ideal slope for a constant relative speed). We also compared slope coefficients between groups. Results The slope coefficients were significantly greater than -1.0 (p?
机译:背景技术中风后个体选择缓慢的舒适步行速度(CWS),用于选择其CWS的主要因素尚不清楚。目的通过匹配相对力输出或以特定步行速度为目标来确定慢速CWS中风后的程度。方法招募10名神经系统无障碍人士和14名慢性脑卒中偏瘫幸存者。指示参与者“使用跑步机以最舒适的速度行走”,以使用允许参与者自行选择行走速度的机器人系统,对逐渐施加在骨盆上的12阶水平阻力水平。我们将观察到的归一化力与归一化速度关系之间的简单线性回归的斜率系数与-1.0(即恒定相对力输出的理想斜率)和0.0(即恒定相对速度的理想斜率)之间的斜率进行比较)。我们还比较了组之间的斜率系数。结果斜率系数显着大于-1.0(两者均p << 0.001),显着小于0(两者均p << 0.001)。但是,与未受损的人相比,中风后的人保持步行速度的能力较弱(p = 0.003)。结论本研究结果为卒中后个体在选择CWS时相对力输出的调节与以特定速度运动的意图之间的复杂相互作用提供了证据。这表明治疗干预措施不仅应侧重于特定任务的下肢加强锻炼(例如抵抗阻力走路),而且还应着重于增加人们可以安全行走的速度范围。

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