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