Gatti M A, Broggi M S, Rivas M E, Muzio D, Bonetto M, Alessandro L
Unidad de Terapia Física, FLENI, Buenos Aires, Argentina.
Unidad de Terapia Física, FLENI, Buenos Aires, Argentina.
Rehabilitacion (Madr). 2022 Oct-Dec;56(4):279-283. doi: 10.1016/j.rh.2022.03.003. Epub 2022 May 28.
Gait deficits and falls in patients with amyotrophic lateral sclerosis (ALS) restrict mobility. The aim of this study is to examine the appropriate use of walking aids and wheelchairs, based on the risk of falling and walking speed of patients with ALS.
Retrospective data from patients from the ALS clinic were included. Age, gender, evolution time, wheelchair use, walking aids, gait speed and the Berg Balance Scale were registered. Categorical variables were related to the Chi Square test and Fisher's exact test.
Fifty eight patients met the inclusion criteria. Twenty-seven (46.55%) had adequate use of a wheelchair based on walking speed (p=.50). This association decreases to 6% in patients who walked at a speed lower than 0.88m/s. Forty-two (70.69%) had adequate use of an assistive device based on the risk of falls (p=.001). Of the subgroup with Berg Balance score ≤ 45, 38% did not use the appropriate device (p=.06).
Patients with severe gait and balance deficits had inappropriate use of walking aids and/or wheelchairs. The findings of this study may mean a contribution that could be considered in the clinical evaluations of patients with ALS to minimize risks and improve the participation of this group of people.
肌萎缩侧索硬化症（ALS）患者的步态缺陷和跌倒限制了其行动能力。本研究旨在根据ALS患者的跌倒风险和步行速度，探讨助行器和轮椅的合理使用情况。
纳入来自ALS诊所患者的回顾性数据。记录年龄、性别、病程、轮椅使用情况、助行器、步态速度和伯格平衡量表得分。分类变量采用卡方检验和费舍尔精确检验。
58例患者符合纳入标准。基于步行速度，27例（46.55%）患者合理使用了轮椅（p = 0.50）。在步行速度低于0.88m/s的患者中，这一比例降至6%。基于跌倒风险，42例（70.69%）患者合理使用了辅助装置（p = 0.001）。在伯格平衡评分≤45的亚组中，38%的患者未使用合适的装置（p = 0.06）。
严重步态和平衡缺陷的患者助行器和/或轮椅使用不当。本研究结果可能为ALS患者的临床评估提供参考，以降低风险并提高该群体的参与度。
