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慢性卒中患者功能平衡与步行能力之间的关系

Relationship between functional balance and walking ability in individuals with chronic stroke.

作者信息

Hessam Masumeh, Salehi Reza, Yazdi Mohammad Jafar Shaterzadeh, Negahban Hossein, Rafie Shahram, Mehravar Mohammad

机构信息

Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Iran: Golestan St, Ahvaz, 6135733133, Iran.

Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Iran.

出版信息

J Phys Ther Sci. 2018 Aug;30(8):993-996. doi: 10.1589/jpts.30.993. Epub 2018 Jul 24.

Abstract

[Purpose] The objective of this cross sectional study was to investigate the validity of Functional Ambulation Category in evaluating functional balance and identifying the relationship between balance impairment and functional ambulation in individuals with chronic stroke. [Participants and Methods] A total of 31 chronic stroke patients with first ever ischemic middle cerebral artery strokes, with no cognitive deficits were recruited. Participants had a mean age of 54.84 (SD=7.05) years and a time after stroke of 22.74 (SD=27.13) months. Community ambulation was determined by Functional Ambulation Category and functional balance was assessed by Berg Balance Scale. [Results] The mean Berg Balance Scale and the Functional Ambulation Category scores were 47.38 (SD=7.54) and 3.8 (SD=0.79), respectively. Correlation analysis revealed that balance impairment and ambulatory function was significantly positively correlated with each other (r=0.80). [Conclusion] The results shows that the Functional Ambulation Category is a valid tool in evaluating functional balance and suggest that functional balance may be an important goal for rehabilitation to achieve improvement in walking ability in people with chronic stroke.

摘要

[目的] 本横断面研究的目的是调查功能步行分类在评估慢性卒中患者功能平衡以及确定平衡障碍与功能步行之间关系方面的有效性。[参与者与方法] 共招募了31例首次发生缺血性大脑中动脉卒中且无认知缺陷的慢性卒中患者。参与者的平均年龄为54.84(标准差 = 7.05)岁,卒中后时间为22.74(标准差 = 27.13)个月。通过功能步行分类确定社区步行能力,通过伯格平衡量表评估功能平衡。[结果] 伯格平衡量表的平均得分和功能步行分类得分分别为47.38(标准差 = 7.54)和3.8(标准差 = 0.79)。相关分析显示,平衡障碍与步行功能显著正相关(r = 0.80)。[结论] 结果表明,功能步行分类是评估功能平衡的有效工具,并提示功能平衡可能是康复的一个重要目标,以改善慢性卒中患者的步行能力。

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