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Verbessert mentales Training das Erlernen der Gehbewegung mit Oberschenkelprothese?

Does mental training improve learning to walk with a femoral prosthesis?

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Zusammenfassung

Hintergrund

Mentales Training ist ein aus dem Spitzensport bekanntes Verfahren zur Bewegungsoptimierung, das auch im therapeutischen Kontext Anwendung findet. Es stellt sich die Frage, ob das Erlernen der Gehbewegung nach Versorgung mit einer Oberschenkelprothese durch mentales Training optimiert werden kann.

Methoden

In einer prospektiv-randomisierten Studie sollten gesunde Versuchspersonen (36 Studierende) das Gehen mit einer Oberschenkelprothese erlernen – die Kontrollgruppe (n=18) durch rein praktisches Training, die Experimentalgruppe (n=18) durch praktisches und mentales Training. Abhängige Variablen waren Gangparameter einer computergestützten und observativen Ganganalyse.

Ergebnisse

Die Experimentalgruppe zeigte im Vergleich zur Kontrollgruppe in allen Parametern der computergestützten und observativen Ganganalyse signifikant schnellere Lernfortschritte.

Schlussfolgerung

Das mentale Training ist scheinbar eine wirkungsvolle Methode zum Erlernen der Gehbewegung nach Oberschenkelprothesenversorgung. Ein Transfer in die Rehabilitation, insbesondere bei jüngeren Patienten, erscheint durchaus plausibel.

Abstract

Background

Mental training is a method for optimizing movement patterns, which has become well established through its application in high performance sport and is also adopted in therapeutic contexts. The question arises as to whether the process of learning to walk following the fitting of a femoral prosthesis can be enhanced by means of mental training.

Methods

In the framework of a prospective randomized study, healthy subjects (36 students) were required to learn to walk with a femoral prosthesis: the control group (n=18) exclusively with the aid of practical training and the experimental group (n=18) with practical and mental training. Dependent variables were specified as the gait parameters of a computer-supported and an observational gait analysis.

Results

In comparison to the control group, the experimental group made significantly faster learning progress in all parameters of the computer-supported and observational gait analysis.

Conclusions

Mental training seems to be an effective gait training method following the fitting of a femoral prosthesis. Transferring this method to rehabilitation, particularly in young patients, would most certainly appear feasible.

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Authors and Affiliations

  1. Institut für Sport und Sportwissenschaft, Universität, Heidelberg, Deutschland

    K. Gassner

  2. Zentrum für Chirurgie, Klinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum, Ulm, Deutschland

    T. Einsiedel

  3. Simssee-Klinik GmbH, Bad Endorf, Deutschland

    M. Linke

  4. ATOS-Praxisklinik, Heidelberg, Deutschland

    P. Görlich

  5. Fachhochschule für angewandtes Management, Erding, Deutschland

    J. Mayer

Authors
  1. K. Gassner
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  2. T. Einsiedel
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  3. M. Linke
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  4. P. Görlich
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  5. J. Mayer
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Correspondence to J. Mayer.

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Gassner, K., Einsiedel, T., Linke, M. et al. Verbessert mentales Training das Erlernen der Gehbewegung mit Oberschenkelprothese?. Orthopäde 36, 673–678 (2007). https://doi.org/10.1007/s00132-007-1092-5

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  • DOI: https://doi.org/10.1007/s00132-007-1092-5

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