Sakaki Satoko, Takahashi Tetsuya, Matsumoto Junichi, Kubo Kasuya, Matsumoto Takuya, Hishinuma Ryo, Terabe Yuuta, Ando Hiroshi
Department of Rehabilitation, Kasukabe Chuo General Hospital, Japan.
School of Health Sciences, Tokyo University of Technology, Japan.
J Phys Ther Sci. 2016 Dec;28(12):3454-3457. doi: 10.1589/jpts.28.3454. Epub 2016 Dec 27.
[Purpose] The purpose of this study was to evaluate the amount of physical activity of the patients with critical limb ischemia consecutively in order to clarify the characteristics of physical activity of critical limb ischemia. [Subjects and Methods] Twelve patients who were eligible for the 2 months of consecutive evaluation of the amount of physical activity were enrolled in the study (men: 11; woman: 1; mean age: 64.4 [range: 44-80]). A pedometer with an accelerometer was used for the measurement of the number of steps walked as an index of the amount of physical activity. Participants were asked to lead a regular life and no instruction was given as to the number of steps. [Results] The average number of daily steps walked was 2,323 steps (range: 404-6,505). There was no clear tendency in the number of amputation site-specific steps walked. There was also no correlation between the number of steps walked and age as well as the maximum strength of the knee-extension muscle, skin perfusion pressure of the sole and the dorsum, and QOL scores. [Conclusion] The number of steps walked of the patients with critical limb ischemia was remarkably low and no significant association with health-related QOL.
[目的]本研究旨在连续评估严重肢体缺血患者的身体活动量,以阐明严重肢体缺血患者身体活动的特征。[对象与方法]本研究纳入了12例符合连续2个月身体活动量评估条件的患者(男性11例;女性1例;平均年龄:64.4岁[范围:44 - 80岁])。使用带有加速度计的计步器测量行走步数,作为身体活动量的指标。参与者被要求保持正常生活,未对步数给出任何指导。[结果]每日平均行走步数为2323步(范围:404 - 6505步)。特定截肢部位的行走步数没有明显趋势。行走步数与年龄、伸膝肌最大力量、足底和足背皮肤灌注压以及生活质量评分之间也没有相关性。[结论]严重肢体缺血患者的行走步数显著较低,且与健康相关生活质量无显著关联。