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脊髓损伤患者行走能力评估方法的系统评价

Walking Ability Outcome Measures in Individuals with Spinal Cord Injury: A Systematic Review.

机构信息

International Doctoral School, Rey Juan Carlos University, 28008 Madrid, Spain.

Biomechanics and Technical Aids Unit, Hospital Nacional de Parapléjicos, 45071 Toledo, Spain.

出版信息

Int J Environ Res Public Health. 2021 Sep 9;18(18):9517. doi: 10.3390/ijerph18189517.

Abstract

Walking function recovery in spinal cord injury (SCI) is tackled through several therapeutic approaches in which precise evaluation is essential. A systematic review was performed to provide an updated qualitative review of walking ability outcome measures in SCI and to analyze their psychometric properties. PubMed, Cochrane, and PEDro databases were consulted until 1 April 2020. Seventeen articles written in English were included. Five of them studied the walking index for SCI, four studied the 10 meter walk test, and two studied the six-minute walk test, the timed Up and go test, and the Berg balance scale. The rest of the articles studied the following metrics: gait profile score, spinal cord injury functional ambulation profile, five times sit-to-stand test, spinal cord injury functional ambulation inventory, spinal cord independence measure (indoors and outdoors mobility items), locomotor stages in spinal cord injury, community balance and mobility scale, and activity-based balance level evaluation scale. The choice of a single or a set of metrics should be determined by the clinician. Based on the results obtained in this review, a combination of outcome measures is proposed to assess walking ability. Future work is required to integrate a more realistic environment for walking assessment.

摘要

脊髓损伤(SCI)的步行功能恢复通过几种治疗方法来解决,其中精确的评估是必不可少的。进行了系统评价,对 SCI 步行能力评估结果的测量指标进行了更新的定性综述,并分析了它们的心理测量特性。检索了 PubMed、Cochrane 和 PEDro 数据库,截至 2020 年 4 月 1 日。共纳入了 17 篇英文文章。其中 5 篇研究了脊髓损伤步行指数,4 篇研究了 10 米步行测试,2 篇研究了 6 分钟步行测试、起立行走计时测试和伯格平衡量表。其余的文章研究了以下指标:步态分析评分、脊髓损伤功能性步行能力量表、5 次坐立试验、脊髓损伤功能性步行量表、脊髓损伤独立性测量(室内和室外活动项目)、脊髓损伤运动阶段、社区平衡和移动量表以及基于活动的平衡水平评估量表。单一或一组指标的选择应由临床医生决定。基于本综述的结果,提出了一种组合评估方法来评估步行能力。需要进一步的研究来整合更现实的步行评估环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/897c/8472084/50222e8bd400/ijerph-18-09517-g001.jpg

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