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Gait improvement in adults with hemiparesis using a rolling cane: A cross-over trial.
使用滚动手杖改善成人轻偏瘫的步态: 交叉试验。
- 影响因子:2.17
- DOI:10.2340/16501977-2705
- 作者列表:"Deltombe T","Leeuwerck M","Jamart J","Frederick A","Dellicour G
- 发表时间:2020-06-11
Abstract
OBJECTIVE:To assess the changes in gait parameters in adults with hemiparesis using a rolling cane (quadripod cane with small wheels; Wheeleo®) compared with a classical quadripod cane. DESIGN:A prospective, multicentric, cross-over randomized trial. PARTICIPANTS:Thirty-two ambulatory adults with hemiparesis. METHODS:Participants were assessed using a quadripod cane and a rolling cane. Outcome measures were changes in: walking speed during a 10-m walk test and a 6-min walk test; frequency of 2-step gait; physiological cost index; number of therapist interventions to control the balance; perceived exertion; and participant satisfaction. RESULTS:The following outcomes were improved with the use of a rolling cane: walking speed during a 10-m walk test at comfortable (+22%: p < 0.001) and maximal (+30: p < 0.001) speeds; walking speed (+50%: p < 0.001) and distance (+49%: p < 0.001) during a 6-min walk test; and the frequency of 2-step gait. The physiological cost index, perceived exertion, and number of therapist interventions to control the balance remained unchanged. Participant satisfaction improved. CONCLUSION:A rolling cane, Wheeleo®, increases walking speed in adults with hemiparesis without additional risk of falls.
摘要
目的: 使用滚动手杖 (quadripod cane with small wheel) 评估轻偏瘫成人步态参数的变化; Wheeleo®) 与经典的四足动物手杖相比。 设计: 一项前瞻性、多中心、交叉随机试验。 参与者: 32 例非卧床成人轻偏瘫患者。 方法: 参与者使用四足动物手杖和滚动手杖进行评估。结果指标为: 10 m 步行试验和 6 min 步行试验期间的步行速度; 2 步步态频率; 生理成本指数; 控制平衡的治疗师干预次数; 自觉用力; 和参与者满意度。 结果: 使用滚动手杖改善了以下结果: 舒适 (+ 22%: p <0.001) 时 10 米步行测试中的步行速度和最大 (+ 30: p <0.001) 速度; 步行速度 (+ 50%: p <0.001) 和距离 (+ 49%: p <0.001) 在 6 分钟步行试验期间;和 2 步步态的频率。生理成本指数、自觉用力和治疗师控制平衡的干预次数保持不变。参与者满意度提高。 结论: 一个滚动的手杖,Wheeleo®,增加轻偏瘫成人的步行速度,没有额外的跌倒风险。
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