Feigin L, Sharon B, Czaczkes B, Rosin A J
Shaare Zedek Medical Center, Jerusalem, Israel.
Gerontology. 1996;42(6):348-53. doi: 10.1159/000213814.
The prediction of mobility soon after a stroke should allow proper selection for rehabilitation and suggest the long-term prognosis of gait ability. Stable gait is related to midline body orientation and equilibrium mechanisms. We proposed that the sitting balance during the 1st, 2nd, or 3rd weeks after a hemiplegia could be a prognostic indicator for gait at 6 and 12 months. Sitting equilibrium measured in hospital was correlated with gait at the time of discharge and after 6 and 12 months, assessed by standing up, walking, and climbing stairs. The power in the affected limbs in hospital was also correlated with gait at those times. In the 134 patients followed up at 6 months, the correlation of equilibrium with gait at 6 months was r = 0.675 (p < 0.0001), and that of arm power with gait was r = 0.551 (p < 0.0001). Correlations with gait at 12 months were smaller and less meaningful. Assessment of sitting balance, even before the patient can stand, forms an important part of early management of the stroke patient.
中风后不久对活动能力的预测应有助于为康复进行合理选择，并提示步态能力的长期预后。稳定的步态与身体中线定向和平衡机制有关。我们提出，偏瘫后第1、2或3周的坐位平衡可能是6个月和12个月时步态的预后指标。在医院测量的坐位平衡与出院时以及6个月和12个月后的步态相关，通过起立、行走和爬楼梯进行评估。在医院时患侧肢体的力量也与当时的步态相关。在134例随访6个月的患者中，6个月时平衡与步态的相关性为r = 0.675（p < 0.0001），手臂力量与步态的相关性为r = 0.551（p < 0.0001）。与12个月时步态的相关性较小且意义不大。即使在患者能够站立之前对坐位平衡进行评估，也是中风患者早期管理的重要组成部分。
