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老年脑卒中患者患侧下肢屈肌力量与摆动相时间和步行速度的相关性。

Association of affected lower limb flexor muscle strength with swing phase duration and gait speed in elderly post-stroke patients.

机构信息

Rehabilitation Services Department, King Abdulaziz Medical City, Ministry of the National Guard-Health Affairs, Riyadh, Saudi Arabia.

King Abdullah International Medical Research Center and King Saud Bin Abdulaziz University for Health Sciences Ministry of the National Guard-Health Affairs, Riyadh, Saudi Arabia.

出版信息

NeuroRehabilitation. 2020;47(4):443-450. doi: 10.3233/NRE-203150.


DOI:10.3233/NRE-203150
PMID:33136075
Abstract

BACKGROUND: Although several studies have shown an association of muscle weakness with gait speed (GS), no study has explored the relationship of muscle strength with swing phase duration and GS after stroke among the elderly in Saudi Arabia. OBJECTIVE: To examine the association of affected ankle dorsiflexor and hip flexor muscle strength with swing phase duration and GS in the elderly with different stroke chronicity. METHODS: In this cross-sectional study, we included a total of 60 post-stroke patients aged ≥55 years who were admitted in neurorehabilitation units between May 2017 and August 2018. Linear regression was employed to examine the association of muscle strength (measured using a handheld dynamometer) with swing phase duration and GS (both measured using the computerized Zebris-Mat). RESULTS: The chronicity of the stroke was negatively associated (p < 0.05) with swing phase duration. The ankle dorsiflexor muscle strength was significantly associated with GS (β= 0.656, p = 0.041). In contrast, hip flexor muscle strength was significantly associated with GS (β= 0.574, p < 0.0001) even after adjusting for stroke chronicity (β= 0.561, p < 0.0001). CONCLUSIONS: Stroke chronicity was the predictor that reduced swing phase duration. The ankle dorsiflexor muscle strength was associated with GS. However, the hip flexor muscle strength was associated with GS even after adjusting for stroke chronicity.

摘要

背景:尽管已有多项研究表明肌肉力量与步态速度(GS)之间存在关联,但尚无研究探索沙特阿拉伯老年人中肌肉力量与摆动相持续时间和中风后 GS 的关系。

目的:探讨不同卒中慢性期老年患者受影响的踝关节背屈肌和髋关节屈肌力量与摆动相持续时间和 GS 的关系。

方法:在这项横断面研究中,我们共纳入了 60 名年龄≥55 岁的卒中后患者,他们于 2017 年 5 月至 2018 年 8 月期间入住神经康复病房。采用线性回归分析来评估肌肉力量(使用手持式测力计测量)与摆动相持续时间和 GS(均使用计算机化 Zebris-Mat 测量)之间的关系。

结果:卒中慢性期与摆动相持续时间呈负相关(p<0.05)。踝关节背屈肌力量与 GS 显著相关(β=0.656,p=0.041)。相反,髋关节屈肌力量与 GS 显著相关(β=0.574,p<0.0001),即使在校正卒中慢性期后也是如此(β=0.561,p<0.0001)。

结论:卒中慢性期是缩短摆动相持续时间的预测因素。踝关节背屈肌力量与 GS 相关。然而,髋关节屈肌力量与 GS 相关,即使在校正卒中慢性期后也是如此。

相似文献

[1]
Association of affected lower limb flexor muscle strength with swing phase duration and gait speed in elderly post-stroke patients.

NeuroRehabilitation. 2020

[2]
Gait Velocity and Joint Power Generation After Stroke: Contribution of Strength and Balance.

Am J Phys Med Rehabil. 2019-10

[3]
Relationship between hip flexion and ankle dorsiflexion during swing phase in chronic stroke patients.

Clin Biomech (Bristol). 2015-3

[4]
Merged swing-muscle synergies and their relation to walking characteristics in subacute post-stroke patients: An observational study.

PLoS One. 2022

[5]
High-intensity unilateral dorsiflexor resistance training results in bilateral neuromuscular plasticity after stroke.

Exp Brain Res. 2012-11-30

[6]
Strength of the lower limb and trunk muscles is associated with gait speed in individuals with sub-acute stroke: a cross-sectional study.

Braz J Phys Ther. 2018-3-15

[7]
Contributions to the understanding of gait control.

Dan Med J. 2014-4

[8]
Cryotherapy reduces muscle hypertonia, but does not affect lower limb strength or gait kinematics post-stroke: a randomized controlled crossover study.

Top Stroke Rehabil. 2019-5

[9]
Discriminatory Ability of Lower-Extremity Peak Torque and Rate of Torque Development in the Identification of Older Women With Slow Gait Speed.

J Appl Biomech. 2018-8-1

[10]
Ankle dorsiflexor function after plantar flexor surgery in children with cerebral palsy.

J Bone Joint Surg Am. 2011-12-7

引用本文的文献

[1]
Investigate the Efficacy of Dual-Target Electrical Stimulation in the Treatment of Knee Osteoarthritis After Stroke and its Effect on Cerebral Cortical Activity: A Randomized Controlled Trial.

Neural Plast. 2025-8-6

[2]
Does spastic myopathy determine active movement and ambulation speed in chronic spastic paresis?-A cross-sectional study on plantar flexors.

PLoS One. 2024

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