Development of an assessment of bilateral locomotor efficacy for individuals post-stroke.
Development of an assessment of bilateral locomotor efficacy for individuals post-stroke.
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DOI：
10.1016/j.gaitpost.2023.05.012
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发表时间：
2023-06
期刊：
影响因子：
2.4
通讯作者：
Patten, Carolynn
中科院分区：
文献类型：
--
作者：
Banks, Caitlin L.;Patten, Carolynn
需要一个共同的框架来评估老年人和中风患者的步行障碍。本研究开发了双侧运动功效评估 (ABLE)，它是步行功能的直接指标。我们能否开发一种临床上可用的步行功能指数来总结中风继发的步态功能障碍？ ABLE 指数是根据 14 名社区居住老年人的回顾性样本制定的。使用来自另外 33 名老年人和 105 名慢性中风后偏瘫患者的数据，通过对评分成分进行因子分析以及与下肢损伤和功能的多种常见评估的相关性来验证该指数。 ABLE 由四个部分组成，最高得分为 12。这些部分包括自选步行速度 (SSWS)、从 SSWS 到最快速度的速度变化、从 SSWS 到最快速度的非麻痹腿步长变化以及麻痹腿踝关节峰值功率。 ABLE 显示出与所有记录的功能评估良好的并发有效性。因素分析表明，ABLE 衡量两个因素：一个是向前进展，另一个是速度适应性。 ABLE 提供了一种直接、客观的成人步行功能测量方法，包括慢性中风患者。该指数也可能被证明可用作社区老年人亚临床病理学的筛查工具，但需要进一步测试。我们鼓励利用该指数并复制研究结果来调整和完善该仪器，以实现更广泛的使用和最终的临床应用。
A common framework is needed to assess walking impairments in older adults and individuals with stroke. This study develops an Assessment of Bilateral Locomotor Efficacy (ABLE) that is a straightforward indicator of walking function. Can we develop a clinically accessible index of walking function that summarizes gait dysfunction secondary to stroke? The ABLE index was developed using a retrospective sample of 14 community-dwelling older adults. Data from 33 additional older adults and 105 individuals with chronic post-stroke hemiparesis were used to validate the index by factor analysis of the score components and correlation with multiple common assessments of lower extremity impairment and function. The ABLE consists of four components summed for a maximum possible score of 12. The components include self-selected walking speed (SSWS), speed change from SSWS to fastest speed, non-paretic leg step length change from SSWS to fastest speed, and peak paretic leg ankle power. The ABLE revealed good concurrent validity with all recorded functional assessments. Factor analysis suggested that the ABLE measures two factors: one for forward progression and another for speed adaptability. The ABLE offers a straightforward, objective measure of walking function in adults, including individuals with chronic stroke. The index may also prove useful as a screening tool for subclinical pathology in community-dwelling older adults, but further testing is required. We encourage utilization of this index and reproduction of findings to adapt and refine the instrument for wider use and eventual clinical application.
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paretic推进和尾肢角是中风后长距离步行功能的关键决定因素。
影响因子：
4.2
作者：
Awad LN;Binder-Macleod SA;Pohlig RT;Reisman DS
通讯作者：
Reisman DS
影响因子：
2.9
作者：
通讯作者：
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影响因子：
3.9
作者：
Clark, David J.;Manini, Todd M.;Fielding, Roger A.;Patten, Carolynn
通讯作者：
Patten, Carolynn
影响因子：
4.6
作者：
Marks, Michael;Kingsbury, Trevor;Wyatt, Marilynn
通讯作者：
Wyatt, Marilynn
影响因子：
2.4
作者：
Jonkers, I.;Delp, S.;Patten, C.
通讯作者：
Patten, C.