Institute of Neuroscience and Physiology, Section of Clinical Neuroscience and Rehabilitation Medicine, University of Gothenburg, Gothenburg, Sweden.
Physiother Theory Pract. 2010 Nov;26(8):519-27. doi: 10.3109/09593980903585042. Epub 2010 Jul 22.
The purpose of this study is to assess short- and long-distance walking performance in indoor and outdoor environments of slow and fast walkers' subjects living in the community in the later stage post-stroke. Thirty-six subjects with at least 6 months post-stroke were included and divided into two groups based on their walking speed in the clinical setting. Thirty-meter walk tests (30 mWT) at self-selected and maximum speeds were assessed in three environments: (1) clinical setting; (2) basement setting; and (3) outdoor setting. Six-minute walk test (6 MWT) distance was assessed in the clinical and outdoor settings. The differences between the 30 mWT and the 6 MWT, as measured by the actual distance obtained in the 6 MWT and the predicted distance calculated for the 30 mWT, were also investigated. There was no difference in walking speed when subjects performed short-distance walking in different environments. However, a difference was found in performance of long-distance walking. Subjects who walked 0.8 m/s or faster also walked further in the outdoor setting. The findings of our study demonstrate that in those who scored below 0.8 m/s, performance of short- and long-distance walking evaluated in an indoor environment reflects the results obtained in an outdoor environment. However, for subjects post-stroke who score 0.8 m/s or faster, distance was increased in the outdoor environments during long-distance walking. Walking speed obtained over a short distance seemed to overestimate long-distance walking capacity for the slow walkers, despite the environment.
本研究旨在评估社区内处于脑卒中后晚期的慢速和快速步行者在室内和室外环境中的短距离和长距离步行能力。纳入了 36 名至少在脑卒中后 6 个月的受试者，并根据其在临床环境中的步行速度将其分为两组。在三个环境中评估了 30 米步行测试（30mWT）的自选择速度和最大速度：（1）临床环境；（2）地下室环境；（3）户外环境。在临床和户外环境中评估了 6 分钟步行测试（6MWT）的距离。还研究了 6MWT 实际距离与 30mWT 预测距离之间的差异。在不同环境中进行短距离步行时，受试者的步行速度没有差异。然而，长距离步行的表现存在差异。以 0.8m/s 或更快速度行走的受试者在户外环境中走得更远。本研究的结果表明，对于得分低于 0.8m/s 的人来说，在室内环境中评估的短距离和长距离步行表现反映了在户外环境中获得的结果。然而，对于得分在 0.8m/s 或更快的脑卒中后受试者来说，在长距离步行中，户外环境中的距离会增加。对于慢速步行者，尽管环境不同，短距离行走速度似乎高估了长距离行走能力。
