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基于坐-站、站-坐能力的躯体活动与亚急性脑卒中伴步行困难:一项横断面研究。

Physical activity according to sit-to-stand, standing, and stand-to-sit abilities in subacute stroke with walking difficulty: a cross-sectional study.

机构信息

Department of Kaifukuki-suppot, Hatsudai Rehabilitation Hospital, Shibuya, Japan.

Department of Physical Therapy, Kyorin University School of Health Sciences, Mitaka-city, Japan.

出版信息

Physiother Theory Pract. 2023 Nov 2;39(11):2327-2335. doi: 10.1080/09593985.2022.2074928. Epub 2022 May 11.

Abstract

OBJECTIVE

This study investigated the characteristics of physical activity according to sit-to-stand, standing, and stand-to-sit abilities in subacute stroke with walking difficulty.

METHODS

In this study, 29 participants with subacute stroke and walking difficulty were enrolled and classified into two groups: participants who successfully completed three items (i.e., sit-to-stand, standing, and stand-to-sit) of the Functional Balance Scale (independent group, n = 13) and those who showed incomplete scores on any of the three items (dependent group, n = 16). Light-intensity physical activity (LIPA) and moderate-to-vigorous physical activity (MVPA) were measured using an accelerometer at three periods (i.e. daytime, therapy time, and non-therapy time) for a week.

RESULTS

Two-way analysis of variance (groups × physical activity intensity) demonstrated a significant interaction in each period. Post-hoc tests showed significantly more LIPAs and MVPAs in the independent group in all periods, except for MVPA in the non-therapy time. Particularly, LIPA showed significant between-group differences in each period.

CONCLUSIONS

Among individuals with subacute stroke and walking difficulty, those who could completely perform sit-to-stand, standing, and stand-to-sit could perform more LIPAs. Increasing sit-to-stand, standing, and stand-to-sit abilities could be an important factor in increasing the opportunity to perform LIPAs.

摘要

目的

本研究旨在探讨在有步行困难的亚急性脑卒中患者中,根据坐站、站立和站到站能力的特点进行身体活动。

方法

本研究纳入了 29 名有亚急性脑卒中且有步行困难的患者,并将其分为两组:成功完成功能性平衡量表(FBS)中三个项目(即坐站、站立和站到站)的参与者(独立组,n = 13)和在三个项目中的任何一个项目上得分不完整的参与者(依赖组,n = 16)。使用加速度计在一周的三个时间段(即白天、治疗时间和非治疗时间)测量低强度身体活动(LIPA)和中高强度身体活动(MVPA)。

结果

两组×身体活动强度的双向方差分析显示,每个时间段都存在显著的交互作用。事后检验显示,除了非治疗时间的 MVPA 外,独立组在所有时间段的 LIPA 和 MVPA 都显著增加。特别是,LIPA 在每个时间段都显示出显著的组间差异。

结论

在有步行困难的亚急性脑卒中患者中,那些能够完全完成坐站、站立和站到站的患者能够进行更多的 LIPA。增加坐站、站立和站到站的能力可能是增加进行 LIPA 的机会的一个重要因素。

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