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验证特定于中风的 10 米步行测试和 6 分钟步行测试方案,这些方案使用 15 米和 30 米的步道进行。

Validation of stroke-specific protocols for the 10-meter walk test and 6-minute walk test conducted using 15-meter and 30-meter walkways.

机构信息

Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.

Lunenfeld-Tanenbaum Research Institute-Sinai Health System, Bridgepoint Collaboratory for Research and Innovation, Toronto, Canada.

出版信息

Top Stroke Rehabil. 2020 May;27(4):251-261. doi: 10.1080/10749357.2019.1691815. Epub 2019 Nov 21.

Abstract

: Stroke-specific protocols for the 10-meter and 6-minute walk tests that include instructions for people with aphasia, accessible walkway lengths, and allow provision of assistance to walk are needed to facilitate uptake in hospital settings.: To estimate the test-retest reliability, measurement error, and construct validity of stroke-specific protocols for the 10-meter walk test (10mWT), and 6-minute walk test conducted using a 15-meter walkway (6MWT) and 30-meter walkway (6MWT), in people post-stroke. A quantitative, cross-sectional study involving ambulatory people post-stroke was conducted.: Data were collected from 21 and 20 participants at baseline and retest, respectively, 1-3 days apart. Mean age was 61 years, median time post-stroke was 134 days, and 90% had experienced an ischemic stroke. Performance on the 10mWT, 6MWT, and 6MWT across sessions yielded intraclass correlation coefficient (ICC) estimates of test-retest reliability of 0.83, 0.97, 0.95, respectively, and minimal detectable change values at the 95% confidence level of 0.40m/s, 44.0m, and 67.5m, respectively. Pearson correlation coefficients were 0.80-0.95 ( < .001) between results on all three walk tests and 0.27-0.48 ( < .25) between walk test results and strength subscale scores on the Stroke Impact Scale.: Findings showed excellent test-retest reliability; measurement error values similar to current literature; and support for construct validity of the 10mWT, 6MWT, and 6MWT. Due to the shorter walkway, the 6MWT may be more feasible to implement than the 6MWT in hospital settings. A larger sample with more severe deficits is required to improve generalizability.

摘要

需要制定针对失语症患者的 10 米步行测试和 6 分钟步行测试的特定于中风的方案,包括无障碍通道长度和允许提供步行辅助,以促进在医院环境中的应用。目的是评估特定于中风的 10 米步行测试(10mWT)和使用 15 米步道(6MWT)和 30 米步道(6MWT)进行的 6 分钟步行测试(6MWT)的重测信度、测量误差和结构效度。这是一项涉及脑卒中后能行走的人的定量、横断面研究。研究分别在基线和复测时收集了 21 名和 20 名参与者的数据,两次测试之间间隔 1-3 天。平均年龄为 61 岁,中位脑卒中后时间为 134 天,90%的人患有缺血性脑卒中。在各次测试中,10mWT、6MWT 和 6MWT 的表现产生了 0.83、0.97 和 0.95 的重测信度的组内相关系数(ICC)估计值,95%置信水平下的最小可检测变化值分别为 0.40m/s、44.0m 和 67.5m。所有三项步行测试之间的皮尔逊相关系数为 0.80-0.95( < 0.001),步行测试结果与中风影响量表的力量子量表评分之间的相关系数为 0.27-0.48( < 0.25)。研究结果表明,该测试具有极好的重测信度;测量误差值与现有文献相似;支持 10mWT、6MWT 和 6MWT 的结构效度。由于步道较短,6MWT 在医院环境中可能比 6MWT 更可行。需要更大的样本量和更严重的缺陷来提高普遍性。

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