Reduced ambulatory activity after stroke: The role of balance, gait, and cardiovascular fitness
Reduced ambulatory activity after stroke: The role of balance, gait, and cardiovascular fitness
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DOI：
10.1016/j.apmr.2004.12.026
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发表时间：
2005-08-01
影响因子：
4.3
通讯作者：
Macko, RF
中科院分区：
文献类型：
--
作者：
Michael, KM;Allen, JK;Macko, RF
目的：确定社区居住的慢性偏瘫中风患者样本的行走活动，并检查平衡和步态以及心血管和代谢健康方面的缺陷是否是行走活动水平的关键决定因素。设计：描述性相关。环境：家庭和社区。参与者：28 名男性和 22 名女性 (N=50)，年龄超过 45 岁，偏瘫时间超过 6 个月 干预措施：不适用。主要结果指标：动态活动（每日总步数活动）、活动能力缺陷严重程度（伯格平衡量表 [BBS] 分数、定时 10 米步行）和心血管健康（偏瘫步态的能量消耗、峰值运动能力 [Vo(2)peak]）。结果：平均动态活动情况极低（2837 步/天，与报告的相比） 久坐的老年人每天 5000-6000 步）。动态活动水平与 BBS 评分密切相关（r=.581，P
Objectives: To determine ambulatory activity in a sample of community-dwelling people with chronic hemiparetic stroke and to examine whether deficits in balance and gait and cardiovascular and metabolic fitness are key determinants of ambulatory activity levels.Design: Descriptive correlational.Setting: Home and community.Participants: Twenty-eight men and 22 women (N=50) over the age 45 years with more than 6 months of hemiparetic gait after ischemic stroke.Interventions: Not applicable.Main Outcome Measures: Ambulatory activity (total daily step activity), mobility deficit severity (Berg Balance Scale [BBS] scores, timed 10-m walks), and cardiovascular fitness (energy costs of hemiparetic gait, peak exercise capacity [Vo(2)peak]).Results: Mean ambulatory activity profiles were extremely low (2837 steps/d vs reported 5000-6000 steps/d in sedentary older adults). Ambulatory activity levels were strongly associated with BBS scores (r=.581, P