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Walking speed at the acute and subacute stroke stage: A descriptive meta-analysis.急性和亚急性卒中阶段的步行速度：一项描述性荟萃分析。
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Inter-rater reliability and agreement of 6 Minute Walk Test and 10 Meter Walk Test at comfortable walk speed in patients with acute stroke.急性脑卒中患者舒适步行速度下 6 分钟步行试验和 10 米步行试验的组内信度和一致性。
Physiother Theory Pract. 2023 May;39(5):1024-1032. doi: 10.1080/09593985.2022.2030830. Epub 2022 Feb 3.
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Robot-Assisted Gait Training Plan for Patients in Poststroke Recovery Period: A Single Blind Randomized Controlled Trial.机器人辅助步态训练计划用于脑卒中恢复期患者：一项单盲随机对照试验。
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中风患者10米步行测试中最小可检测变化的估计：一项按步态速度分层的研究

Estimation of minimal detectable change in the 10-meter walking test for patients with stroke: a study stratified by gait speed.

作者信息

Hosoi Yuichiro, Kamimoto Takayuki, Sakai Katsuya, Yamada Masanari, Kawakami Michiyuki

机构信息

Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.

Department of Physical Therapy, Faculty of Health Sciences, Tokyo Metropolitan University, Tokyo, Japan.

出版信息

Front Neurol. 2023 Jul 19;14:1219505. doi: 10.3389/fneur.2023.1219505. eCollection 2023.

DOI:10.3389/fneur.2023.1219505
PMID:37538254
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10395330/
Abstract

OBJECTIVE

This study aimed to classify and calculate the minimal detectable changes (MDC) in gait time and gait speed in a 10-meter walking test (10MWT) in patients with stroke classified according to their gait speed.

METHODS

The participants were 84 patients with stroke. Their gait times were measured twice each at their comfortable gait speed (CGS) and maximum gait speed (MGS) on a 10-meter straight track, and gait speed was calculated using gait time. Participants were assigned to three speed groups based on their CGS: low-speed (<0.4 m/s;  = 19); moderate-speed (0.4-0.8 m/s;  = 29); and high-speed (>0.8 m/s;  = 36). For each group, first and second retest reliability and MDC of CGS and MGS were calculated using gait time and gait speed in the 10MWT.

RESULTS

MDCs in the 10MWT at CGS were: low-speed group, gait time 5.25 s, gait speed 0.05 m/s; moderate-speed group, gait time 2.83 s, gait speed 0.11 m/s; and high-speed group, gait time 1.58 s, gait speed 0.21 m/s. MDCs in the 10MWT at MGS were: low-speed group, gait time 7.26 s, gait speed 0.04 m/s; moderate-speed group, gait time 2.48 s, gait speed 0.12 m/s; and high-speed group, gait time 1.28 s, gait speed 0.19 m/s.

CONCLUSION

Since the MDC of gait speed and gait time differ depending on the participant's gait speed, it is necessary to interpret the results according to the participant's gait speed when judging the effectiveness of therapeutic interventions.

摘要

目的

本研究旨在对根据步态速度分类的中风患者在10米步行测试（10MWT）中的步态时间和步态速度的最小可检测变化（MDC）进行分类和计算。

方法

参与者为84名中风患者。他们在10米直道上以舒适步态速度（CGS）和最大步态速度（MGS）各测量两次步态时间，并使用步态时间计算步态速度。参与者根据其CGS被分为三个速度组：低速组（<0.4米/秒；n = 19）；中速组（0.4 - 0.8米/秒；n = 29）；高速组（>0.8米/秒；n = 36）。对于每组，使用10MWT中的步态时间和步态速度计算CGS和MGS的首次和第二次重测信度以及MDC。

结果

10MWT中CGS时的MDC为：低速组，步态时间5.25秒，步态速度0.05米/秒；中速组，步态时间2.83秒，步态速度0.11米/秒；高速组，步态时间1.58秒，步态速度0.21米/秒。10MWT中MGS时的MDC为：低速组，步态时间7.26秒，步态速度0.04米/秒；中速组，步态时间2.48秒，步态速度0.12米/秒；高速组，步态时间1.28秒，步态速度0.19米/秒。

结论

由于步态速度和步态时间的MDC因参与者的步态速度而异，在判断治疗干预的有效性时，有必要根据参与者的步态速度来解释结果。