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Treadmill gait analysis of rehabilitated and independent lower-limb amputees

机译:康复和独立下肢截肢者的跑步机步态分析

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Purpose. A description of gait analysis during overground locmotion has been the subject of various studies, in relation to describing both the kinetic and spatial-temporal characteristics of walking. Measuring the gait of amputees using treadmills is a useful test to quantify locomotive ability, and a tool that helps to control gait parameters during rehabilitation. The aim of this study is to describe the kinetic and spatial-temporal characteristics of gait of rehabilitated amputees, measured with an instrumented treadmill. Methods. Twenty-four participants aged between 20 and 40 years were chosen, who had all suffered unilateral traumatic amputation either above or below the knee, and were classified as well-rehabilitated. Following a paperbased assessment form, the participants were subjected to gait analysis on an instrumented treadmill fitted with two force platforms. Results. The first peak vertical force of intact and amputated limbs presented higher values and was significantly (p 0.05) larger than the second peak vertical force for the amputated limb, indicating less propulsion during walking. A significant difference was observed in the load rate in intact and amputated limbs, indicating more overload in the intact limb. The spatial-temporal variables, cadence, step and stride length were significantly greater (p 0.05) in the below-knee than in the above-knee amputees. Conclusions. The kinetic and spatial-temporal characteristics of gait, measured with an instrumented treadmill, which were observed in all lower limb amputees involved in this study, were similar to the ones commonly reported in numerous studies on overground walking. Thus, treadmill gait training and control of the progress of rehabilitation with amputees is recommended.
机译:目的。关于描述步行的动力学特征和时空特征,对地上运动期间的步态分析的描述已成为各种研究的主题。使用跑步机测量被截肢者的步态是量化机车能力的有用测试,并且是在康复过程中有助于控制步态参数的工具。这项研究的目的是描述康复的截肢者步态的动力学和时空特征,用仪器的跑步机测量。方法。选择二十四名年龄在20至40岁之间的参与者,他们都在膝盖以上或以下都遭受了单侧外伤性截肢,并且被归类为康复良好。根据纸质评估表,参与者在配有两个测力平台的仪器式跑步机上进行步态分析。结果。完整肢体和截肢的第一垂直力峰值较高,且显着(p 0.05)大于截肢肢的第二垂直力,表明行走过程中的推进力较小。在完整和截肢的肢体中观察到负荷率的显着差异,表明完整肢体的负荷更多。膝下截肢者的时空变量,节奏,步长和步幅明显大于膝上截肢者(p 0.05)。结论。在本研究涉及的所有下肢截肢者中观察到的用仪器跑步机测量的步态动力学和时空特征与在地面上行走的许多研究中普遍报道的相似。因此,建议对跑步机的步态进行训练并控制截肢者的康复进度。

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