Courbon A, Calmels P, Roche F, Ramas J, Fayolle-Minon I
Unité PPEH-GIP E2S EA 3062, service de médecine physique et de réadaptation, faculté de médecine Jacques-Lisfranc, université Jean-Monnet, hôpital Bellevue, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 02, France.
Ann Readapt Med Phys. 2006 Nov;49(8):614-20. doi: 10.1016/j.annrmp.2006.04.019. Epub 2006 Apr 27.
To evaluate the relation between walking capacity and maximal exercise capacity, strength and motor deficiency in hemiplegic stroke patients.
Uncontrolled observational study.
Physical medicine and rehabilitation unit in a teaching hospital.
Twenty hemiplegic stroke patients (17 men and 3 women) aged 18-70 years, whose stroke occurred more than 3 months before the study and who could walk independently with or without walking aids.
Peak oxygen uptake (VO(2peak)), maximal power output walking capacity (6-min walk test) and motor deficiency (Fugl-Meyer scale).
Walking capacity was correlated with both VO(2peak) and maximal power output (Pmax) [r=0.609, P<0.003 and r=0.868, P<0.0001, respectively] but also with strength (from r=0.640 to r=0.734; P=0.0018 to P=0.0001) and motor deficiency (r=0.6; P=0.004).
Aerobic capacity and walking capacity are correlated and decreased in hemiplegic stroke patients. 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.
评估偏瘫性卒中患者的步行能力与最大运动能力、力量及运动功能障碍之间的关系。
非对照观察性研究。
一家教学医院的物理医学与康复科。
20例年龄在18 - 70岁之间的偏瘫性卒中患者（17例男性，3例女性），其卒中发生在研究前3个月以上，且无论有无助行器均可独立行走。
峰值摄氧量（VO₂peak）、最大步行功率输出（6分钟步行试验）及运动功能障碍（Fugl - Meyer量表）。
步行能力与VO₂peak及最大输出功率（Pmax）均相关[r分别为0.609，P < 0.003；r为0.868，P < 0.0001]，也与力量相关（r从0.640至0.734；P从0.0018至0.0001）以及与运动功能障碍相关（r = 0.6；P = 0.004）。
偏瘫性卒中患者的有氧运动能力与步行能力相关且均下降。这些结果强调未来研究需要证实体能与步行能力的关系，并评估将有氧运动训练纳入卒中后更传统康复计划的益处。
