Bohannon R W
Southeastern Regional Rehabilitation Center, Cape Fear Valley Medical Center, Fayetteville, NC 28302.
Arch Phys Med Rehabil. 1987 Nov;68(11):777-81.
This study was designed to determine if specific variables measured routinely at a rehabilitation center were predictors of gait performance of hemiparetic stroke patients. Nine predictor and four gait measures were taken. Of the five predictor variables hypothesized to be significantly correlated with a gait measurement, four were correlated with at least two gait measures (balance, weight-bearing ratio, motor control, and normalized strength of paretic lower limbs). Four gait measures (speed, cadence, independence, and appearance) were all significantly correlated with one another. Stepwise multiple regressions indicated that motor control and balance were the best predictors of gait performance. The results provide guidance as to which predictor variables might be important in assessing stroke patients. The results also provide some guidance for identifying appropriate targets for treatment intervention with hemiparetic stroke patients.
本研究旨在确定康复中心常规测量的特定变量是否为偏瘫中风患者步态表现的预测指标。研究采用了九个预测指标和四项步态测量指标。在假设与步态测量显著相关的五个预测变量中,有四个与至少两项步态测量指标(平衡、负重比例、运动控制和偏瘫下肢的标准化力量)相关。四项步态测量指标(速度、步频、独立性和外观)之间均显著相关。逐步多元回归分析表明,运动控制和平衡是步态表现的最佳预测指标。这些结果为评估中风患者时哪些预测变量可能具有重要意义提供了指导。同时,这些结果也为确定偏瘫中风患者治疗干预的合适目标提供了一些指导。