Department of Rehabilitation and Physiotherapy, University of Medical Sciences, 28 Czerwca 1956 Str., No 135/147, 60-545 Poznań, Poland.
Sensors (Basel). 2024 May 25;24(11):3416. doi: 10.3390/s24113416.
(1) Background: The study aimed to determine the most important activities of the knee joints related to gait re-education in patients in the subacute period after a stroke. We focused on the tests that a physiotherapist could perform in daily clinical practice. (2) Methods: Twenty-nine stroke patients (SG) and 29 healthy volunteers (CG) were included in the study. The patients underwent the 5-meter walk test (5mWT) and the Timed Up and Go test (TUG). Tests such as step up, step down, squat, step forward, and joint position sense test (JPS) were also performed, and the subjects were assessed using wireless motion sensors. (3) Results: We observed significant differences in the time needed to complete the 5mWT and TUG tests between groups. The results obtained in the JPS show a significant difference between the paretic and the non-paretic limbs compared to the CG group. A significantly smaller range of knee joint flexion (ROM) was observed in the paretic limb compared to the non-paretic and control limbs in the step down test and between the paretic and non-paretic limbs in the step forward test. (4) Conclusions: The described functional tests are useful in assessing a stroke patient's motor skills and can be performed in daily clinical practice.
(1)背景:本研究旨在确定与脑卒中后亚急性期患者步态再教育相关的膝关节最重要的活动。我们专注于治疗师在日常临床实践中可以进行的测试。(2)方法:本研究纳入了 29 名脑卒中患者(SG)和 29 名健康志愿者(CG)。患者接受了 5 米步行测试(5mWT)和计时起坐行走测试(TUG)。还进行了上台阶、下台阶、下蹲、向前跨步和关节位置觉测试(JPS)等测试,并用无线运动传感器对受试者进行评估。(3)结果:我们观察到两组间完成 5mWT 和 TUG 测试所需时间存在显著差异。JPS 测试结果显示,与 CG 组相比,患侧与健侧之间存在显著差异。在下台阶测试中,患侧膝关节的屈曲角度(ROM)明显小于健侧和对照组,在前向跨步测试中,患侧与健侧之间的 ROM 也明显小于健侧。(4)结论:所描述的功能测试有助于评估脑卒中患者的运动技能,可在日常临床实践中进行。