Bonnyaud Céline, Pradon Didier, Zory Raphael, Bensmail Djamel, Vuillerme Nicolas, Roche Nicolas
Université Versailles Saint Quentin en Yvelines, APHP Service de physiologie et d'exploration fonctionnelle, Hôpital Raymond Poincaré, Garches, France Laboratoire AGIM, FRE 3405 CNRS/UJF Grenoble/UPMF/EPHE, La Tronche, France.
Université Versailles Saint Quentin en Yvelines, APHP Service de physiologie et d'exploration fonctionnelle, Hôpital Raymond Poincaré, Garches, France.
NeuroRehabilitation. 2015;36(1):73-80. doi: 10.3233/NRE-141194.
The Timed Up and Go (TUG) is a test of functional mobility which is routinely used in the assessment of hemiparetic patients. This easy and rapid to perform test includes motor tasks which occur frequently in daily life (stand up, walk, turn, sit down). Correlations between TUG performance and kinematic and kinetic gait parameters have never been studied.
The aim of this study was to determine whether kinematic and kinetic gait parameters would be more related to TUG performance than spatio-temporal parameters in stroke patients.
Sixty hemiparetic patients able to walk alone performed the TUG test and underwent 3D gait analysis and a clinical evaluation. A stepwise regression analysis was used to select the gait variables that best explained the variability in TUG performance.
The percentage of the gait cycle spent in single support phase on the paretic limb was the factor which was the most predictive and correlated with TUG performance, explaining 67% of the variance. No kinematic or kinetic gait parameters explained TUG performance. The results also suggested that TUG performance is mainly related to paretic lower limb motor function.
TUG performance in hemiparetic patients mainly depends on the motor ability of the paretic lower limb, particularly the single support phase on the paretic side. Kinematic and kinetic gait parameters do not predict the TUG performance in stroke patients.
定时起立行走测试（TUG）是一种功能性活动能力测试，常用于评估偏瘫患者。这项易于执行且快速的测试包括了日常生活中常见的运动任务（起立、行走、转身、坐下）。TUG测试表现与运动学和动力学步态参数之间的相关性从未被研究过。
本研究的目的是确定在中风患者中，运动学和动力学步态参数是否比时空参数与TUG测试表现的相关性更强。
60名能够独立行走的偏瘫患者进行了TUG测试，并接受了三维步态分析和临床评估。采用逐步回归分析来选择最能解释TUG测试表现变异性的步态变量。
患侧肢体单支撑相占步态周期的百分比是最具预测性且与TUG测试表现相关的因素，解释了67%的方差。没有运动学或动力学步态参数能够解释TUG测试表现。结果还表明，TUG测试表现主要与患侧下肢运动功能有关。
偏瘫患者的TUG测试表现主要取决于患侧下肢的运动能力，尤其是患侧的单支撑相。运动学和动力学步态参数不能预测中风患者的TUG测试表现。
