Guzik Agnieszka, Drużbicki Mariusz, Kwolek Andrzej, Przysada Grzegorz, Brzozowska-Magoń Agnieszka, Wolan-Nieroda Andżelina, Ćwirlej-Sozańska Agnieszka, Wiśniowska-Szurlej Agnieszka, Wyszyńska Justyna
J Back Musculoskelet Rehabil. 2020;33(1):159-168. doi: 10.3233/BMR-170991.
To examine the effects of age, time from stroke onset, gender and side of paresis in gait re-education with the use of treadmill with biofeedback, in patients with chronic stroke.
The study was performed with a group of 50 patients. 10-metre walk test, 2-minute walk test, "Up and Go" test, the number of steps performed with the paretic lower limb at a distance of 10 metres, Barthel index and FIM scale were used to assess the effects of rehabilitation.
The study shows that the subjects' abilities and fitness prior to the rehabilitation were not related to age, sex or side of paresis. Analysis of the impact of age, time from stroke and sex on rehabilitation outcomes showed no statistically significant correlations. On the other hand, analysis of rehabilitation results relative to the side of paresis showed that the latter factor significantly differentiates rehabilitation outcomes measured with gait velocity test - p= 0.045.
Age, duration of time from stroke onset, and sex do not affect outcomes of gait re-education based on treadmill training in patients at a chronic stage post-stroke and Brunnstrom recovery stage 3-4. Side of paresis significantly differentiates rehabilitation outcomes measured with speed test. The best scores in all the performance measures before rehabilitation were identified in the group 3-6 years after stroke.
研究年龄、卒中发作后的时间、性别以及偏瘫侧别在慢性卒中患者使用生物反馈跑步机进行步态再训练中的作用。
对50例患者进行研究。采用10米步行试验、2分钟步行试验、“起立-行走”试验、偏瘫下肢在10米距离内的步数、Barthel指数和FIM量表评估康复效果。
研究表明，康复前受试者的能力和健康状况与年龄、性别或偏瘫侧别无关。对年龄、卒中发作后的时间和性别对康复结果的影响进行分析，未发现有统计学意义的相关性。另一方面，对与偏瘫侧别相关的康复结果进行分析表明，后一因素在用步态速度试验测量的康复结果中具有显著差异——p = 0.045。
年龄、卒中发作后的持续时间和性别不影响卒中后慢性期和Brunnstrom恢复阶段3-4患者基于跑步机训练的步态再训练结果。偏瘫侧别在用速度试验测量的康复结果中具有显著差异。在卒中后3-6年的组中，康复前所有性能指标的得分最高。
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