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中风后患者步态功能的相关因素

Factors Related to Gait Function in Post-stroke Patients.

作者信息

Cho Ki Hun, Lee Joo Young, Lee Kun Jae, Kang Eun Kyoung

机构信息

Department of Rehabilitative and Assistive Technology, Korea National Rehabilitation Research Institute, Republic of Korea.

Department of Rehabilitation Medicine, Seoul Bukbu Hospital, Republic of Korea.

出版信息

J Phys Ther Sci. 2014 Dec;26(12):1941-4. doi: 10.1589/jpts.26.1941. Epub 2014 Dec 25.

Abstract

[Purpose] Gait function after a stroke is an important factor for determining a patient's ability to independently perform activities of daily living (ADL). The objective of this study was to elucidate the factors associated with gait function in post-stroke patients. [Subjects] Thirty-nine stroke patients (16 females and 23 males; average age 67.82 ± 10.96 years; post-onset duration: 200.18 ± 27.14 days) participated in this study. [Methods] Their gait function, motor function (Manual Muscle Test [MMT] and Brünnstrom stage), level of cognition (Mini-Mental State Examination score [MMSE], and the Loewenstein Occupational Therapy Cognitive Assessment for the Geriatric Population [LOTCA-G]), and ADL (Korean modified Barthel index [K-MBI]) were assessed. [Results] The degree of gait function showed significant positive correlations with the following variables: MMT of the elbow, knee, ankle and wrist; Brünnstrom stage; MMSE; LOTCA-G subscores except motor praxis; K-MBI. Stepwise linear regression analysis revealed the Brünnstrom stage was the only explanatory variable closely associated with gait level. [Conclusion] Gait function of post-stroke patients was related to motor function, cognition, and ADL. In particular, there is a significant association between gait level and the Brünnstrom stages, reflecting the importance of monitoring the motor recovery of gait function in post-stroke patients.

摘要

[目的] 中风后的步态功能是决定患者独立进行日常生活活动(ADL)能力的重要因素。本研究的目的是阐明中风后患者步态功能的相关因素。[对象] 39例中风患者(女性16例,男性23例;平均年龄67.82±10.96岁;发病后病程:200.18±27.14天)参与了本研究。[方法] 评估他们的步态功能、运动功能(徒手肌力测试[MMT]和Brünnstrom分期)、认知水平(简易精神状态检查表评分[MMSE]以及老年人群的洛温斯坦职业疗法认知评估[LOTCA-G])和ADL(韩国改良巴氏指数[K-MBI])。[结果] 步态功能程度与以下变量呈显著正相关:肘部、膝部、踝部和腕部的MMT;Brünnstrom分期;MMSE;除运动运用外的LOTCA-G子评分;K-MBI。逐步线性回归分析显示,Brünnstrom分期是与步态水平密切相关的唯一解释变量。[结论] 中风后患者的步态功能与运动功能、认知和ADL相关。特别是,步态水平与Brünnstrom分期之间存在显著关联,这反映了监测中风后患者步态功能运动恢复的重要性。

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Factors Related to Gait Function in Post-stroke Patients.中风后患者步态功能的相关因素
J Phys Ther Sci. 2014 Dec;26(12):1941-4. doi: 10.1589/jpts.26.1941. Epub 2014 Dec 25.

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