| 王一吉,周红俊,刘根林,郑樱,郝春霞,卫波.不完全性脊髓损伤患者与健康人步态变异性、对称性和协调性的对照研究[J].中国康复,2023,38(12):724-728 |
| 不完全性脊髓损伤患者与健康人步态变异性、对称性和协调性的对照研究 |
| A comparative study on gait variability, symmetry and coordination between patients with incomplete spinal cord injury and healthy individuals |
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| DOI： |
| 中文关键词: 脊髓损伤 步态 变异性 对称性 协调性 |
| 英文关键词: spinal cord injury gait: variability symmetry coordination |
| 基金项目:国家重点研发计划（2020YFC2007505）；中国康复研究中心科研基金（2020-Q8） |
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| 中文摘要: |
| 目的：通过观察不完全性脊髓损伤患者的步态变异性、对称性和协调性，更加全面了解脊髓损伤患者的步态特点。方法：选取22例不完全性脊髓损伤患者（观察组）及健康人（对照组），健康人按正常歩速及匹配患者速度行走分为（对照组A）及（对照组B），采用三维运动采集系统及足底压力采集系统进行步态测试。用步态变异值、对称值和相位协调指数表示步态变异性、对称性和协调性，比较3组受试者步态变异性、对称性和协调性的差异及与步行功能相关性。结果：观察组的步长变异值、站立相变异值及迈步相变异值均高于对照组A，观察组的步长对称值、站立相对称值、迈步相对称值和相位协调指数均低于对照组，且差异有统计学意义（P＜0.05）。观察组的步态变异值、对称值和相位协调指数与脊髓损伤步行能力负相关。多元线性回归分析显示站立相变异值、站立相对称值和PCI对WISCI-II步行指数均有显著负影响，PCI对FIM步行指数有显著负相影响。结论：不完全性脊髓损伤患者的步态变异性、对称性和协调性均低于健康人，在为不完全性脊髓损伤患者制定康复训练方案时，应考虑步态变异性、对称性和协调性等指标对步行功能的影响。 |
| 英文摘要: |
| Objective: By observing the gait variability, symmetry, and coordination of patients with incomplete spinal cord injury, we can gain more comprehensive gait characteristics of patients with spinal cord injury. Methods: A total of 22 patients with incomplete spinal cord injury (observation group) and healthy subjects (control group) were selected, and the healthy subjects were divided into two subgroups (control group A and control group B) according to the normal walking speed and the matching speed of the patients. Gait test was performed by three-dimensional motion acquisition system and plantar pressure acquisition system. Gait variability, symmetry and coordination were represented by gait variation value, symmetry value and phase coordination index, and the differences of gait variability, symmetry and coordination and their correlation with walking function were compared among the three groups. Results: The variation values of step size, standing phase and stepping phase in observation group were higher than those in control group A. The symmetry values of step size, standing relative weighing value, stepping relative weighing value and phase coordination index in observation group were lower than those in control group, and the difference was statistically significant (P<0.05). In the observation group, gait variation, symmetry and phase coordination index were negatively correlated with walking ability after spinal cord injury. Multiple linear regression analysis showed that standing phase variance, standing relative scale and PCI had significantly negative effects on WISCI-II walk index, and PCI had significantly negative effects on FIM walking index. Conclusion: The gait variability, symmetry, and coordination of patients with incomplete spinal cord injury are lower than those of healthy individuals. When developing rehabilitation training plans for patients with incomplete spinal cord injury, we should consider the impact of gait variability, symmetry, and coordination on walking function. |
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