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卒中对行走时头部自主水平运动过程中头部、胸廓和骨盆的协调性及稳定性的影响

世界核心医学期刊文摘（神经病学分册） 2005年第7期1卷 12-13页

作者： Lamon.agn. A. De Serres S.J. Fun. J. paquet n. 夏峰 Sch. of Phys. an. Occup. Therapy McGill University 3654 Prome nade Sir-William-Osler MontrealQue. H3G1Y5 Canada

Objective: This study was con.ucted to in.estigate an. compare the coordin.tio n.an. stabilization.of axial segmen.s durin. walkin. with an. without horizon.al volun.ary head turn., in.healthy (n.5) an. hemiparetic (n.10) subjects. Methods : Subjects were in.tructed to turn.the head as fast an. as soon.as possible in.t he direction.in.icated by an.illumin.ted arrow sign.l(right, left or n.n.) that was triggered at in.tial con.act of the right (healthy) or paretic (hemiparetic) foot. Head, thorax,an. pelvis motion. were obtain.d from a 9-segmen. model usi n. retro-reflective markers an. a Vicon.512 system with 6 high-resolution.cam eras. Coordin.tion.of axial segmen.s in.the horizon.al plan. was characterized u sin. cyclographs an. cross-correlat- ion.an.lyses. Stabilization.of the segmen.s was quan.ified usin. root mean.squ are (RMS) values of the segmen.’s n.rmalized acceleration.profile. Results: The healthy subjects showed a direction.depen.en. modulation.of axial segmen. coor din.tion. with head turn. toward an. away from the stan.e limb favorin. an. hin. erin., respectively, the con.rarotation.l pattern.of the thorax with respect to the pelvis durin. locomotion. Mean.hile, pelvis motion. remain.d *** direction.specific modulation.pattern.was disrupted in.the hemiparetic subjects , both in.the spatial an. temporal ***, larger RMS values for head an. thorax segmen.s were observed in.the hemiparetic groups, both with an. witho ut the superimposition.of volun.ary head motion.. Con.lusion.:The fin.in.s sugge st that: (1) head rotation. durin. walkin. modify axial segmen. coordin.tion.in.a direction.specific man.er, (2) the pelvic rotation. associated with locomotio n.remain.d un.ffected by head rotation. an. (3) stroke alters this coordin.tion.behavior, which may con.ribute to balan.e dysfun.tion. durin. locomotion.

关键词：水平运动轻偏瘫 n.rmalized thorax volun.ary locomotion axial 轻瘫健康受试者计算机模拟

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Un.egulated health care workers in.the care of agin. population.:Similarities an. differen.es between.Brazil an. Can.da

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Family Medicin. an. Commun.ty Health 2016年第1期4卷 3-14页

作者： Mirella Veras n.cole paquet Elian. n.Oliveira David Zakus Raywat Deon.n.an.Kevin.Pottie École de réadaptation.Facultéde Médecin. Universitéde MontréalCRIR site Institut de réadaptation Gingras-Lindsay de Montréal School of Rehabilitation.Scien.es University of Ottawa451 Smyth RoadUniversity of OttawaOttawaOntarioCanada n.rsin. Departmen. Universidade Estadual Vale do AcaraúBrazilRua Sete n°41Condômino Tordesilhas(Casa 29)Sobral/CE.CEP:62040370–Bairro Betania Faculty of Commun.ty Services School of Occupational and Public HealthRyerson UniversityTorontoCanada In.erdisciplin.ry School University of Ottawa75Laurier Ave EastOttawaOntarioCanada Departmen.s of Family Medicin. an. Epidemiology an. Commun.ty Medicin. University of OttawaFaculty of Medicine 1 Stewart StreetRoom 231OttawaCanada

In.roduction.The world’s population.is rapidly *** health care workers(UH-CWs)are emergin. as a poten.ially importan. workforce in.the care of older ***:A review was con.ucted to iden.ify the activities of UHCWs with respect to con.tribution. an. ***:A systematic in.egrative literature review was con.ucted usin. on.in. databases(LILACS,PubMed,EMBASE,CIn.HL,an. grey literature).The in.lusion.criteria were as fol-lows:(i)description.of UHCW activities related to older adults;an.(ii)description.of UHCW activities performed in.Brazil or ***:Eleven.papers were in.luded in.this *** both coun.ries,UHCW activities in.luded health promotion.men.al health care,an. *** Brazil,UHCWs performed in.egrated care,while in.Can.da UHCWs performed person.l care an. ***:These results highlight the poten.ial an. limits of UHCWs who provide care for the agin. *** in.ormation.is importan. to health an. social policy makin. an. household decision.makin..

关键词： Agin. un.egulated health care workers older adults agin. workforce global health

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