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Musculoskeletal biomechanics in sit-to-stand and stand-to-sit activities with stroke subjects: a systematic review

机译:中风受试者从坐到站和从站到站活动的肌肉骨骼生物力学:系统综述

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INTRODUCTION: Sit-to-stand and stand-to-sit are two of the most mechanically demanding activities undertaken in daily life and which are usually impaired in stroke subjects. OBJECTIVES: To determine the distinguishing characteristics in musculoskeletal biomechanical outcomes of the sit-to-stand and stand-to-sit activities with stroke subjects, with an emphasis on the clinical management of stroke disabilities, in a systematic review. MATERIAL AND METHODS: An extensive literature search was performed with the MEDLINE, CINAHL, EMBASE, PEDro, LILACS, and SciELO databases, followed by a manual search, to select studies on musculoskeletal biomechanical outcomes in both activities with stroke subjects, without language restrictions, and published until December/2007. RESULTS: Out of the 432 studies, only 11 reported biomechanical outcomes of both activities and none reached the total score on the selected quality parameters. The majority of the experimental studies which compared groups did not achieve acceptable scores on their methodological quality (PEDRo). The investigated conditions and interventions were also restricted. Only one study compared biomechanical outcomes between the activities, but only evaluated the time spent to perform them. Few musculoskeletal biomechanical outcomes have been investigated, being weight bearing on the lower limbs and duration of the activities the most investigated. CONCLUSION: There is little information regarding musculoskeletal biomechanical outcomes during these activities with stroke subjects and no definite conclusions can be drawn regarding the particularities of these outcomes on their performance with stroke survivors.
机译:简介:站立和站立坐是日常生活中对机械要求最高的两项活动,通常在中风受试者中会受到损害。目的:通过系统评价,确定中风受试者从坐到站和从站到站的活动在肌肉骨骼生物力学结果中的区别特征,并着重于中风残疾的临床管理。材料和方法:在MEDLINE,CINAHL,EMBASE,PEDro,LILACS和SciELO数据库中进行了广泛的文献检索,然后进行了人工检索,以选择中风受试者在两项活动中对肌肉骨骼生物力学结果的研究,而没有语言限制,并一直发布到2007年12月。结果:在432项研究中,只有11项报道了两项活动的生物力学结果,但均未达到所选质量参数的总分。比较各组的大多数实验研究在方法学质量(PEDRo)上均未获得可接受的分数。调查的条件和干预措施也受到限制。只有一项研究比较了活动之间的生物力学结果,但仅评估了执行这些活动所花费的时间。很少有人研究肌肉骨骼的生物力学结果,而对下肢的重量和活动时间的影响最多。结论:关于中风受试者在这些活动期间肌肉骨骼生物力学结果的信息很少,也无法就这些结果对中风幸存者的表现的特殊性得出明确的结论。

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