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Glenohumeral Kinetics in Gait with Crutches during Reciprocal and Swing-Through Gait: A Case Study

机译:在互惠和挥杆步履蹒跚学步期间,Glenohumeral动力学在步态和拐杖步履蹒跚学步:一个案例研究

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摘要

Many patients with incomplete spinal cord (SCI) injury and partial preservation of lower extremity function makes ambulation a mobility goal. Some of these patients have to use Lofstrand crutches to compensate insufficient strength in the lower limbs to permit ambulation. On the other hand, long-term crutch usage results in upper limb overuse pathologies. Here we present a kinetic model of right upper extremity based on rigid bodies to be applied to data generated by a movement capture system and an instrumented Lofstrand crutch with a six-degree-of-freedom load cell at the tip. This trial configuration may provide data for the upper extremity kinetic analysis. Data of forces and force moments of the right shoulder of a SCI patient walking with reciprocal and swing-through gait are shown. In both cases, the reaction force at the glenohumeral joint, during the support phase, was observed to be vertically upward, posterior and medial, whereas internal moments were mainly flexor, adductor and internal rotator.
机译:许多脊髓(SCI)损伤患者(SCI)损伤和下肢局部的部分保存使散步成为移动目标。这些患者中的一些必须使用Lofstrand拐杖来补偿下肢的不足强度以允许走动。另一方面,长期拐杖使用导致上肢过度使用病理。在这里,我们基于刚性体的右上末端的动力学模型应用于由移动捕获系统和尖端的六度自由度称重传感器产生的由运动捕获系统和仪表的Lofstrand拐杖产生的数据。该试用配置可以为上肢动力学分析提供数据。显示了SCI患者右肩的力和力矩的数据,用于互惠和挥杆步履蹒跚学步。在这两种情况下,观察到在支撑阶段的胶质织物关节的反作用力被观察到垂直向上,后侧和内侧,而内部时刻主要是屈肌,收集器和内部旋转器。

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