PATHOLOGICAL GAITS - INEFFICIENCY IS NOT A RULE

被引:38
作者
TESIO, L
ROI, GS
MOLLER, F
机构
[1] Department of Orthopaedics and Rehabilitation, Istituto Scientifico Ospedale San Raffaele, Milan
[2] Department of Biomedical Sciences and Technologies, University of Milan
[3] Institute of Statistical and Experimental Methodology, Faculty of Agronomics, University of Milan
关键词
PATHOLOGICAL GAIT; ENERGY EXPENDITURE; EFFICIENCY; HEMIPLEGIA; AMPUTATION; PARAPLEGIA;
D O I
10.1016/0268-0033(91)90041-N
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
The energy expenditure per unit distance, or cost of gait, depends on the efficiency of the locomotory mechanism, which is a function of speed. We compared the cost of gait at corresponding speeds between pathologic (hemiplegic, above-knee amputee, paraplegic) and normal subjects respectively, using a polynomial regression on data available from the literature. In all pathologies the cost-speed function showed a minimum at a speed which may be defined as optimum, as in normal gait. Within the speed range possible for the patients, the cost-speed functions were significantly different from the normal one in the above-knee amputee and in the paraplegic, but not in the hemiplegic. In the amputee, the minimum cost was increased by 38% with respect to that of the normal at a corresponding speed. In contrast, the minimum cost was increased by only 11% in the paraplegic, despite the much more severe impairment.
引用
收藏
页码:47 / 50
页数:4
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