Department of Rehabilitation, Setagaya Rehabilitation Hospital, 6-37-1 Matsubara, Setagaya, Tokyo, 156-0043, Japan.
Department of Physical Therapy, School of Health Sciences, Tokyo University of Technology, Tokyo, Japan.
Sci Rep. 2021 Nov 4;11(1):21685. doi: 10.1038/s41598-021-01135-3.
We assessed the relationship between energy expenditure (EE) and Functional Independence Measure motor items (FIM-M) score, Berg Balance Scale (BBS) score, and comfortable walking speed (CWS) in patients hospitalised for stroke. The total EE per day (TEE), EE during rehabilitation (REE), and EE during activities other than rehabilitation (OEE) were measured using a single-axis acceleration sensor in 36 patients hospitalised for the first stroke episode. In addition, the relationships between each type of EE and FIM-M, BBS, and CWS were investigated. In these patients (mean age 66.2 ± 10.6 years), the median values of TEE, REE, and OEE were 41.8 kcal, 18.5 kcal, and 16.6 kcal, respectively. Correlations were observed between each EE type and all physical function indices. Following the stratification of patients into two groups (high and low) based on the level of physical function, a significant correlation between EE type and physical function was observed only in the low BBS group. EE was correlated with overall physical function indices, but the trend differed depending on physical ability. When patients were stratified based on ability, there were several groups with no significant correlation. Therefore, several patients were unable to achieve an appropriate EE for their level of physical function.
我们评估了能量消耗（EE）与因中风住院患者的功能独立性测量运动项目（FIM-M）评分、Berg 平衡量表（BBS）评分和舒适步行速度（CWS）之间的关系。在 36 名首次中风住院的患者中，使用单轴加速度传感器测量了每天的总能量消耗（TEE）、康复期间的能量消耗（REE）和康复期间以外活动的能量消耗（OEE）。此外，还研究了每种 EE 类型与 FIM-M、BBS 和 CWS 之间的关系。在这些患者（平均年龄 66.2±10.6 岁）中，TEE、REE 和 OEE 的中位数分别为 41.8 千卡、18.5 千卡和 16.6 千卡。每种 EE 类型与所有身体功能指标均呈正相关。根据身体功能水平将患者分为高和低两组后，仅在低 BBS 组中观察到 EE 类型与身体功能之间存在显著相关性。EE 与整体身体功能指标相关，但趋势因身体能力而异。当根据能力对患者进行分层时，有几个组没有显著相关性。因此，一些患者无法达到与其身体功能水平相适应的 EE。
