Courbon Annabelle, Calmels Paul, Roche Frédéric, Ramas Julien, Rimaud Diana, Fayolle-Minon Isabelle
Unité PPEH-GIP E2S EA 3062, Faculté de Médecine Jacques Lisfranc, Université Jean Monnet Service de Médecine Physique et de Réadaptation, Hôpital Bellevue CHU, Saint-Etienne, France.
Am J Phys Med Rehabil. 2006 May;85(5):436-42. doi: 10.1097/01.phm.0000214359.94735.c8.
To evaluate the relationship between maximal exercise capacity and walking capacity in hemiplegic stroke patients.
An uncontrolled observational study was conducted in the physical medicine and rehabilitation unit in an academic hospital. Participants were 21 hemiplegic stroke patients (18 men, 3 women; age, 18-70 yrs) whose stroke occurred >3 mos before the study and who could walk independently with or without walking aids. Main outcome measures were peak oxygen uptake, workload, walking capacity, and motor impairment.
There was a significant correlation between walking capacity (6-min-walk test) and both peak oxygen uptake (r=0.602, P=0.0032) and maximal power output (r=0.867, P<0.0001).
Aerobic capacity and walking capacity are decreased in hemiplegic stroke patients and are correlated with each other. These results underscore the need for future studies, to confirm the role of fitness in relation to walking capacity, and to evaluate the benefit of integrating aerobic training into more traditional rehabilitation programs after stroke.
评估偏瘫中风患者的最大运动能力与步行能力之间的关系。
在一家学术医院的物理医学与康复科进行了一项非对照观察性研究。参与者为21名偏瘫中风患者（18名男性，3名女性；年龄18 - 70岁），其中风发生在研究前3个月以上，且能够在有或没有助行器的情况下独立行走。主要结局指标为峰值摄氧量、工作量、步行能力和运动障碍。
步行能力（6分钟步行试验）与峰值摄氧量（r = 0.602，P = 0.0032）和最大功率输出（r = 0.867，P < 0.0001）之间均存在显著相关性。
偏瘫中风患者的有氧运动能力和步行能力均下降，且两者相互关联。这些结果强调了未来研究的必要性，以证实体能与步行能力的关系，并评估将有氧训练纳入中风后更传统康复计划的益处。
