Dodd Karen J, Morris Meg E
School of Physiotherapy, La Trobe University, Bundoora, Australia.
Arch Phys Med Rehabil. 2003 Aug;84(8):1200-5. doi: 10.1016/s0003-9993(03)00142-4.
To measure the amplitude and symmetry of lateral pelvic displacement (LPD) in patients with acute hemiparetic stroke; to assess the relationship between LPD and walking speed; and to quantify changes in LPD during 1- and 4-week intervals in the early stages of gait rehabilitation.
LPD amplitude and symmetry were measured in stroke patients on admission to acute rehabilitation, 1 week later, and at 4-week follow-up. Performance was compared with sex-, height-, and age-matched control subjects.
Urban geriatric inpatient rehabilitation facility in Australia.
Fifteen patients with a single-hemisphere stroke, confirmed by computed tomography, were compared with the data from 12 control subjects. Patients' FIM trade mark instrument scores ranged from 54 to 124.
Gait rehabilitation involved twice-daily individual physical therapy sessions of 45 to 60 minutes, 5 days a week, incorporating whole and part practice, mental rehearsal, verbal feedback on performance, manual guidance, and strengthening techniques.
Three-dimensional motion analysis of LPD amplitude and symmetry; and preferred walking speed over 10m.
Compared with controls, stroke patients initially showed increased amplitude of LPD, with no difference in LPD symmetry. A statistically significant linear relationship existed between walking speed and amplitude of LPD (r=-.53; P=.04), yet not between walking speed and symmetry (r=-.41, P=.13). Amplitude and symmetry values remained consistent during the 4-week period of rehabilitation.
These results provide baseline LPD values for patients with acute hemiparetic stroke and demonstrate the relationship between LPD and walking speed. Change in LPD during inpatient rehabilitation was not uniform or predictable, particularly during longer periods. This highlights the need for therapists to regularly reassess each patient during the early rehabilitation phase after stroke, especially given that individual differences can be marked.
测量急性偏瘫性卒中患者骨盆侧移（LPD）的幅度和对称性；评估LPD与步行速度之间的关系；并量化步态康复早期1周和4周期间LPD的变化。
在急性康复入院时、1周后和4周随访时测量卒中患者的LPD幅度和对称性。将表现与性别、身高和年龄匹配的对照受试者进行比较。
澳大利亚城市老年住院康复机构。
15例经计算机断层扫描确诊为单半球卒中的患者与12例对照受试者的数据进行比较。患者的FIM商标工具评分范围为54至124。
步态康复包括每周5天、每天两次、每次45至60分钟的个体物理治疗，包括整体和部分练习、心理演练、对表现的言语反馈、手动指导和强化技术。
LPD幅度和对称性的三维运动分析；以及10米以上的首选步行速度。
与对照组相比，卒中患者最初显示LPD幅度增加，LPD对称性无差异。步行速度与LPD幅度之间存在统计学显著的线性关系（r = -0.53；P = 0.04），但步行速度与对称性之间不存在（r = -0.41，P = 0.13）。在4周的康复期间，幅度和对称性值保持一致。
这些结果为急性偏瘫性卒中患者提供了LPD的基线值，并证明了LPD与步行速度之间的关系。住院康复期间LPD的变化并不一致或可预测，尤其是在较长时期内。这突出表明治疗师在卒中后早期康复阶段需要定期重新评估每位患者，特别是考虑到个体差异可能很明显。
