Muren Marie Almkvist, Hütler Matthias, Hooper Julie
Department of Physiotherapy, Haukeland University Hospital, Bergen, Norway.
Top Stroke Rehabil. 2008 Jan-Feb;15(1):51-8. doi: 10.1310/tsr1501-51.
In individuals post stroke, cardiovascular and functional capacity is frequently reduced independent of severity. The psychological consequences of this reduction have only been briefly investigated. This study investigated the relationship between functional capacity and health-related quality of life (HRQoL) in individuals post stroke.
Thirty subjects with a mild stroke were tested 60 +/- 27 months (mean +/- SD) post stroke. Functional capacity was quantified with the 6-minute walk test (6MWT) and perceived HRQoL was evaluated by using the Stroke Impact Scale (SIS) version 3.0 questionnaire.
The 6MWT distance walked was 353 +/- 137 m, that is, 63% of the distance predicted for healthy adults. HRQoL was reduced with the lowest SIS scores in the domains of strength, hand function, and participation domains and the highest scores in the domains of mobility, communication, activities of daily living/instrumental activities of daily living (ADL/IADL), and memory. The SIS domains of hand function, strength, mobility, ADL/IADL, and participation were all positively correlated with 6MWT distance, with the strongest correlation for the latter four domains.
Reductions in both functional capacity and HRQoL were documented. Functional capacity was positively correlated with six of the HRQoL domains and was strongest with the SIS domains most related to demands made on the individual throughout the day.
在中风后的个体中，心血管功能和身体机能常常会下降，且与中风严重程度无关。这种下降所带来的心理影响仅得到了简要研究。本研究调查了中风后个体的身体机能与健康相关生活质量（HRQoL）之间的关系。
对30名轻度中风患者在中风后60±27个月（均值±标准差）进行测试。通过6分钟步行试验（6MWT）对身体机能进行量化，并使用3.0版中风影响量表（SIS）问卷评估其感知到的HRQoL。
6MWT步行距离为353±137米，即健康成年人预测距离的63%。HRQoL有所下降，在力量、手部功能和参与领域的SIS得分最低，而在移动性、沟通、日常生活活动/工具性日常生活活动（ADL/IADL）和记忆领域得分最高。手部功能、力量、移动性、ADL/IADL和参与这些SIS领域均与6MWT距离呈正相关，后四个领域的相关性最强。
记录了身体机能和HRQoL均有所下降。身体机能与六个HRQoL领域呈正相关，与全天对个体要求最相关的SIS领域相关性最强。
