Return to Employment After Stroke in Young Adults How Important Is the Speed and Energy Cost of Walking?
Return to Employment After Stroke in Young Adults How Important Is the Speed and Energy Cost of Walking?
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DOI：
10.1161/strokeaha.119.025614
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发表时间：
2019-11-01
期刊：
影响因子：
8.3
通讯作者：
Reeves, Neil D.
中科院分区：
文献类型：
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作者：
Jarvis, Hannah L.;Brown, Steven J.;Reeves, Neil D.
背景和目的-四分之一的中风患者年龄在65岁以下（定义为年轻人），高达44%的人中风后无法重返工作岗位，主要是因为行走困难。目前还没有一项研究对年轻人中风后的步行能力进行全面分析。本研究的主要目的是调查与健康年龄匹配的对照组相比，年轻人中风如何影响步行能力（例如，步行速度和代谢成本）。第二个目的是确定步行性能参数对卒中后重返就业的预测能力。方法：从英国威尔士的6家医院招募了46名中风患者（18-40岁：n=6，41-54岁：n=21，55-65岁：n=19）和15名健康年龄匹配的健全对照组。记录卒中类型、部位、病因和人口统计学因素（如就业状况）。使用三维步态分析测量时间和空间步行参数。代谢能量消耗和代谢成本的步行过程中捕获3分钟的步行在自选的速度从测量的耗氧量。结果-中风参与者行走较慢（P
Background and Purpose- A quarter of individuals who experience a stroke are under the age of 65 years (defined as young adults), and up to 44% will be unable to return to work poststroke, predominantly because of walking difficulties. No research study has comprehensively analyzed walking performance in young adult's poststroke. The primary aim of this study is to investigate how a stroke in young adults affects walking performance (eg, walking speed and metabolic cost) compared with healthy age-matched controls. The secondary aim is to determine the predictive ability of walking performance parameters for return to employment poststroke. Methods- Forty-six individuals (18-40 years: n=6, 41-54 years: n=21, 55-65 years: n=19) who have had a stroke and 15 healthy age-matched able-bodied controls were recruited from 6 hospital sites in Wales, United Kingdom. Type, location, cause of stroke, and demographic factors (eg, employment status) were recorded. Temporal and spatial walking parameters were measured using 3-dimensional gait analysis. Metabolic energy expenditure and metabolic cost of walking were captured during 3 minutes of walking at self-selected speed from measurements of oxygen consumption. Results- Stroke participants walked slower (P