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首页> 外文期刊>Gait & posture >Speed- and cane-related alterations in gait parameters in individuals with multiple sclerosis.
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Speed- and cane-related alterations in gait parameters in individuals with multiple sclerosis.

机译:多发性硬化症患者步态参数中与速度和手杖有关的改变。

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摘要

Previous literature reporting gait parameters in the MS population has largely focused on preferred walking speed without the use of an assistive device. However, these data may not fully represent daily activity, as individuals with MS vary their speed or use a cane when walking. In this exploratory study, 11 MS participants and 13 controls walked at both maximal and preferred speed for a distance of 25-feet. Participants with MS that used a cane daily (n=6) were asked to complete additional trials with their cane. When walking unassisted at both speeds, MS participants displayed significantly reduced velocity, cadence, stride length, step length ratio, single support and swing time, as well as increased double support and stance time compared to controls. Cane use resulted in significantly higher velocities when walking at maximal speeds, and showed significantly improved variability, gait asymmetry, and bilateral coordination at preferred walking speed. In conclusion, the use of a cane may significantly improve gait for individuals with MS. Furthermore, gait parameters should be measured at both maximal and preferred speeds, with and without a cane, as its use may mask underlying gait impairment.
机译:先前报道MS人群中步态参数的文献主要集中在不使用辅助装置的优选步行速度上。但是,这些数据可能无法完全代表日常活动,因为患有MS的人会改变自己的速度或走路时使用拐杖。在这项探索性研究中,11位MS参与者和13位控制者以最大和首选速度行走25英尺。每天使用手杖(n = 6)的MS参与者被要求完成其手杖的其他试验。当以两种速度无助行走时,与对照组相比,MS参与者显示出明显降低的速度,节奏,步幅,步长比,单支撑和挥杆时间,以及双支撑和站姿时间。以最大速度行走时,使用甘蔗会导致明显更高的速度,并在优选的行走速度下显示出明显改善的变异性,步态不对称性和双边协调性。总之,使用拐杖可以显着改善MS患者的步态。此外,步态参数应在有手杖和无手杖的情况下以最大和首选速度进行测量,因为其使用可能会掩盖潜在的步态障碍。

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