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ID:37773826
大小:35.50 KB
页数:3页
时间:2019-05-30
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1、Intervention干预BodyWeightSupportSystemandTreadmillTheBWSsystemusedwastheLiteGaitI.Thesystemconsistsofanadult-sizedframewithanadjustablehandrail.Theharnessand2pointsofBWSprovideneededposturalandweightsupport.lockingwheelsallowBWSambulationtrainingwithatreadmillaswellasoverground.Abilat
2、eralsymmetryscalemountedwithintheframedisplaystheamountofweightsupportedbythedeviceatanyparticularmoment.ThetreadmillusedwastheProformCrosswalkwhichhada35-_114-cmwalkingsurfaceandrangedinspeedfrom0.1mph(0.04m/s)to10mph(4.44m/s).OverviewofInterventionBWSambulationtrainingoccurred2to3t
3、imesperweekovera6-to7-weekperiod.Ineachsession,therewere4boutsofambulation.Thefirst3boutsconsistedofambulationonthetreadmillwithBWS,andthefourthboutconsistedofovergroundambulationwithBWS.Boutswereseparatedbya5-minuterestinterval.Thedurationofeachboutwaslimitedbyparticipanttoleranceor
4、toamaximumof10minutes.Atinitiationoftheintervention,40%ofeachparticipant’sbodyweightwassupported.ThispercentageofBWSwasselectedbasedonresearchthatdemonstratedthatsupportgreaterthan40%actuallyinterferedwithheel-groundcontactforsomepatients.Participantswerestartedonthetreadmillat0.5mph
5、(0.22m/s).Bodyweightsupportconsistedof3levels:40%,20%,and0%ofbodyweight.Treadmillspeedalsoconsistedof3levels:0.5mph(0.22m/s),0.75mph(0.33m/s),and1.0mph(0.44m/s).ProgressionwasaccomplishedbydecreasingBWSorincreasingtreadmillspeed.Weconsideredtheparticipantsashavinganadequategaittechni
6、queiftheywereabletosupportweightontheaffectedlimbwithoutbuckling,alongwithsomewhatconsistentandsymmetricalsteplength,cadence,andfootclearance.Ifadequategaittechniquewasachieved,thepercentageofBWSwasdecreasedtothenextlevel.Wedefinedadequateenduranceasoccurringwhentheparticipantscoulda
7、mbulatemorethan5minutesin2of3treadmillbouts.Ifadequateendurancewasachieved,speedwasincreasedtothenextlevel.Speedofambulationduringovergroundwalkingwasprimarilydeterminedbytheparticipant.Duringtreadmillandovergroundwalking,verbalcueingandmanualguidanceweregiven.ParticipantAParticipant
8、Acompleted21
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