Danks Kelly A, Roos Margaret A, McCoy Dana, Reisman Darcy S
Department of Physical Therapy, University of Delaware , Newark, DE , USA and.
Disabil Rehabil. 2014;36(26):2233-6. doi: 10.3109/09638288.2014.903303. Epub 2014 Mar 27.
The purpose of this study was to examine whether the walking activity of persons with stroke could be increased through participation in a step activity monitoring program and to assess whether this occurred through a change in the structure of walking activity.
Sixteen individuals living with chronic stroke (>6 months post-stroke) wore a StepWatch Activity Monitor (SAM) and completed a four-week goal centered activity monitoring program. Descriptors of step activity were averaged across baseline and the last week of monitoring, and were used to analyze the changes. Descriptors of step activity included: steps per day, bouts per day, steps per bout, total time walking per day, and the number of short (<40 steps), medium (41-500 steps), and long (>500 steps) walking bouts.
As a group, the number of steps per day significantly increased over the four weeks of activity monitoring (p = 0.005). Subjects also demonstrated a significant improvement in the total time walking (p = 0.023), and the number of medium (p = 0.033) and long (p = 0.050) walking bouts. At the baseline and the final assessment, more than half of the bouts were short bouts of walking (67.6 ± 8% and 68.2 ± 8% respectively).
A goal centered step activity monitoring program can improve daily walking activity after stroke through increases in the amount of total time walking, and medium and long walking bouts.
本研究的目的是检验中风患者的步行活动是否可以通过参与步数活动监测计划而增加，并评估这是否通过步行活动结构的改变而发生。
16名慢性中风患者（中风后超过6个月）佩戴步数监测仪（SAM），并完成了一个以目标为中心的为期四周的活动监测计划。步数活动的描述指标在基线期和监测的最后一周进行平均，并用于分析变化情况。步数活动的描述指标包括：每日步数、每日步数段数、每段步数、每日步行总时间，以及短（<40步）、中（41 - 500步）和长（>500步）步行段数。
作为一个群体，在四周的活动监测期间，每日步数显著增加（p = 0.005）。受试者在步行总时间（p = 0.023）、中距离（p = 0.033）和长距离（p = 0.050）步行段数方面也有显著改善。在基线期和最终评估时，超过一半的步数段是短距离步行段（分别为67.6±8%和68.2±8%）。
一个以目标为中心的步数活动监测计划可以通过增加步行总时间以及中长距离步行段数来改善中风后的日常步行活动。
