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首页> 外文期刊>Clinical rehabilitation >The effect of an arm sling on energy consumption while walking in hemiplegic patients: a randomized comparison.
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The effect of an arm sling on energy consumption while walking in hemiplegic patients: a randomized comparison.

机译：偏瘫患者行走时手臂吊带对能量消耗的影响：随机比较。

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OBJECTIVE: To evaluate the effect of an arm sling on gait speed and energy efficiency of patients with hemiplegia. DESIGN: A randomized crossover design. SETTING: A rehabilitation department of a university hospital. SUBJECTS: Thirty-seven outpatients with hemiplegia were included in this study. INTERVENTIONS: All patients walked on a 20-m walkway twice on the same day, randomly with and without an arm sling, at a self selected speed. Main measures: The heart rate, gait speed, oxygen cost and oxygen rate were measured on all patients. We analysed all values with and without an arm sling and also compared them after all patients being stratified according to demographic and clinical characteristics. RESULTS: When we compared the heart rate between walking with (90.7 +/- 17.2 beats/min) and without (91.2 +/- 18.6 beats/min) the arm sling, it was significantly decreased while walking with the arm sling. When we compared the gait speed between walking with (32.8 m/min) and without (30.1 m/min), it was significantly increased with the arm sling walking. The O(2) rate in hemiplegic patients walking with the arm sling was significantly decreased by 7%, compared to walking without arm sling (5.8 mL/kg min and 6.2 mL/kg min, respectively). The O(2) cost in hemiplegic patients walking without arm sling was significantly 1.4 times greater than walking with it (0.2 mL/kg m and 0.3 mL/kg m, respectively). CONCLUSION: An arm sling can be used to improve the gait efficiency.
机译：目的：评估手臂吊带对偏瘫患者步态速度和能量效率的影响。设计：随机交叉设计。地点：大学医院的康复科。研究对象：37名偏瘫门诊患者。干预措施：所有患者在同一天在20米长的人行道上行走两次，随机选择是否带有手臂吊带，并且以自己选择的速度行走。主要测量指标：测量所有患者的心率，步态速度，氧气消耗和氧气速率。我们分析了有无臂吊带的所有数值，并根据人口统计学和临床​​特征对所有患者进行了分层之后，对它们进行了比较。结果：当我们比较有（90.7 +/- 17.2次/分）和没有（91.2 +/- 18.6次/分）手臂悬带行走时的心率，使用手臂悬带行走时心率明显降低。当我们比较走路（32.8 m / min）和不走路（30.1 m / min）之间的步态速度时，手臂悬带走路时步速显着提高。与没有手臂悬带的步行相比，偏瘫患者的O（2）率显着降低了7％（分别为5.8 mL / kg和6.2 mL / kg分钟）。在没有手臂吊带的偏瘫患者中，O（2）的费用比在有手臂吊带的情况下行走的O（2）成本高得多（分别为0.2 mL / kg m和0.3 mL / kg m）。结论：手臂吊带可用于提高步态效率。

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