Relationship between body mass index and rehabilitation outcomes in chronic stroke.
Relationship between body mass index and rehabilitation outcomes in chronic stroke.
复制标题
体重指数与慢性中风康复结果之间的关系。
DOI：
10.1097/phm.0b013e31826458c6
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发表时间：
2012
影响因子：
3
通讯作者：
Chae,John
中科院分区：
文献类型：
--
作者：
Sheffler,LynneR;Knutson,JaymeS;Gunzler,Douglas;Chae,John
本研究的目的是评估慢性脑卒中受试者步态康复干预后身体质量指数（BMI）与运动障碍和功能活动度变化之间的关系。设计偏瘫受试者治疗前和治疗结束时Fugl-Meyer评分和改良Emory功能性Ambrosion Profile评分的相关性和线性回归分析（n= 108，中风后> 3个月），他们参加了一项随机对照试验，比较了两种12周的截肢训练治疗。和训练设备发现Fugl-Meyer评分的变化与治疗前BMI呈显着负相关（β=-0.207，P= 0.036），而“向上走”的改良Emory功能性Amorphous Profile评分的变化与BMI显著正相关（β= 0.216，P= 0.03）。在地板，地毯，障碍，或爬楼梯的改良Emory功能Ambestion配置文件分数的变化没有显着相关BMI.ConclusionsChronic中风的受试者与BMI较高的不太可能表现出改善运动障碍和向上和去功能性活动的性能，在Ambestion训练，无论治疗干预。脑卒中康复临床医生在制定康复目标时应考虑BMI。进一步的研究是必要的，以确定肥胖是否是中风后长期运动和功能恢复的预测因子。
ObjectiveThe aim of this study was to evaluate the relationship between body mass index (BMI) and change in motor impairment and functional mobility after a gait rehabilitation intervention in chronic stroke subjects.DesignCorrelation and linear regression analyses of pretreatment and end-of-treatment Fugl-Meyer scores and modified Emory Functional Ambulation Profile scores from hemiparetic subjects (n= 108,> 3 mos post stroke) who participated in a randomized controlled trial comparing two 12-wk ambulation training treatments were generated.ResultsA series of linear regression models that controlled for age, sex, stroke type, interval post-stroke, and training device found the change in the Fugl-Meyer score to be significantly negatively associated with pretreatment BMI (β=− 0.207, P= 0.036) and the change in the “up and go” modified Emory Functional Ambulation Profile score to be significantly positively associated with BMI (β= 0.216, P= 0.03). Changes in modified Emory Functional Ambulation Profile scores in floor, carpet, obstacles, or stair climbing were not significantly associated with BMI.ConclusionsChronic stroke subjects with a higher BMI were less likely to demonstrate improvement in motor impairment and up and go functional mobility performance in response to ambulation training, irrespective of treatment intervention. Stroke rehabilitation clinicians should consider BMI when formulating rehabilitation goals. Further studies are necessary to determine whether obesity is a predictor of longer-term post-stroke motor and functional recovery.