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中风后第一个月活动水平的变化。

Changes in activity levels in the first month after stroke.

作者信息

Kramer Sharon F, Churilov Leonid, Kroeders Rosalie, Pang Marco Y C, Bernhardt Julie

机构信息

Stroke Division, Florey Institute of Neuroscience and Mental Health.

出版信息

J Phys Ther Sci. 2013 May;25(5):599-604. doi: 10.1589/jpts.25.599. Epub 2013 Jun 29.

Abstract

[Purpose] To quantify the activity levels of individuals in an acute stroke ward, and to determine if their activity levels change within the first month after stroke. [Methods] In this pilot study, participant activity was monitored prospectively over a single day from 8 a.m. to 5 p.m. on two separate occasions. Individuals with confirmed stroke > 18 years of age and less than 15 days post-stroke at the time of recruitment were eligible for inclusion in this study. Activity was recorded using an electronic device. The first day was scheduled within 15 days and the second at four weeks post-stroke. We looked at the following activity categories: number of transitions, and the times spent lying, sitting and in dynamic activity. [Results] Sixteen individuals were included in this study with a median age of 79.5 years (interquartile range 62.5 to 85). Fifty-six % of the participants had mild, 31% had moderate and 13% had severe stroke, according to the NIHSS score. There were no significant changes in number of transitions, or times spent in dynamic activity and lying and sitting. [Conclusion] Activity levels were low at an acute stroke ward and did not significantly change within the first month.

摘要

[目的]量化急性卒中病房中个体的活动水平,并确定其活动水平在卒中后的第一个月内是否发生变化。[方法]在这项前瞻性试点研究中,对参与者在两个不同日期从上午8点到下午5点的单一日内的活动进行监测。纳入标准为年龄大于18岁且在招募时卒中确诊时间小于15天的个体。使用电子设备记录活动情况。第一天安排在卒中后15天内,第二天安排在卒中后四周。我们观察了以下活动类别:转换次数,以及躺、坐和动态活动所花费的时间。[结果]本研究纳入了16名个体,中位年龄为79.5岁(四分位间距为62.5至85)。根据美国国立卫生研究院卒中量表(NIHSS)评分,56%的参与者为轻度卒中,31%为中度卒中,13%为重度卒中。转换次数、动态活动以及躺和坐所花费的时间均无显著变化。[结论]急性卒中病房中个体的活动水平较低,且在第一个月内没有显著变化。

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本文引用的文献

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Physical activity in hospitalised stroke patients.住院中风患者的身体活动
Stroke Res Treat. 2012;2012:813765. doi: 10.1155/2012/813765. Epub 2011 Sep 28.
2
Predictors of poststroke mobility: systematic review.卒中后运动能力的预测因素:系统评价。
Int J Stroke. 2011 Aug;6(4):321-7. doi: 10.1111/j.1747-4949.2011.00621.x.
7
Is stroke the most common cause of disability?中风是导致残疾最常见的原因吗?
J Stroke Cerebrovasc Dis. 2004 Jul-Aug;13(4):171-7. doi: 10.1016/j.jstrokecerebrovasdis.2004.06.003.
9
Impact of time on improvement of outcome after stroke.时间对卒中后预后改善的影响。
Stroke. 2006 Sep;37(9):2348-53. doi: 10.1161/01.STR.0000238594.91938.1e. Epub 2006 Aug 24.

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