《言出必行：中风后步行康复的当前证据、未来途径和研究与临床实践的使命》
Walk the Talk: Current Evidence for Walking Recovery After Stroke, Future Pathways and a Mission for Research and Clinical Practice.
机构信息
Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK, and Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom (S.A.M.).
Department of Rehabilitation Exercise and Nutritional Science, University of Cincinnati, OH (P.B.).
出版信息
Stroke. 2022 Nov;53(11):3494-3505. doi: 10.1161/STROKEAHA.122.038956. Epub 2022 Sep 7.
Abstract
Achieving safe, independent, and efficient walking is a top priority for stroke survivors to enable quality of life and future health. This narrative review explores the state of the science in walking recovery after stroke and potential for development. The importance of targeting walking capacity and performance is explored in relation to individual stroke survivor gait recovery, applying a common language, measurement, classification, prediction, current and future intervention development, and health care delivery. Findings are summarized in a model of current and future stroke walking recovery research and a mission statement is set for researchers and clinicians to drive the field forward to improve the lives of stroke survivors and their carers.
摘要
实现安全、独立和高效的行走是脑卒中幸存者的首要任务，这有助于提高生活质量和未来的健康水平。本叙述性综述探讨了脑卒中后行走康复的科学现状和发展潜力。探讨了针对步行能力和表现的重要性，以与个体脑卒中幸存者的步态恢复相关，应用共同的语言、测量、分类、预测、当前和未来的干预措施发展以及医疗保健服务。研究结果总结在当前和未来脑卒中行走康复研究模型中，并为研究人员和临床医生设定了任务说明，以推动该领域的发展，改善脑卒中幸存者及其护理人员的生活。
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Front Neurol. 2022 Feb 4;13:812875. doi: 10.3389/fneur.2022.812875. eCollection 2022.
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4
Technical validation of real-world monitoring of gait: a multicentric observational study.真实世界步态监测的技术验证：一项多中心观察性研究。
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