Performance-based gait tests for acute stroke patients
Performance-based gait tests for acute stroke patients
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DOI：
10.1097/00002060-200211000-00008
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发表时间：
2002-11-01
影响因子：
3
通讯作者：
Protas, EJ
中科院分区：
文献类型：
--
作者：
Cunha, IT;Lim, PAC;Protas, EJ
目的：定性测量可能无法区分急性或亚急性卒中后缺陷的严重程度。本研究的目的是将基于表现的步态测试与急性中风患者样本中的定性测量的效用进行对比。 设计：20 名急性中风受试者通过步态速度、步行距离、步态能量消耗和步态能量成本来测量基于表现的步态。还对他们的认知、功能结果、运动障碍和功能性行走类别进行了定性评估。结果：在基于表现的步态测试中观察到强烈且显着的相关性。定性量表表明，除了功能性行走类别和 FIM(TM) 以及 FIM 和简易精神状态检查之外，每个评估领域都存在中度至最低限度的缺陷，尽管它们之间并不相关。功能性步行类别与基于表现的步态测试相关。结论：基于表现的步态测试在中风后早期恢复期间进行是可行的，并且与定性测量相比可以更好地区分患者。
Objective: Qualitative measures may not differentiate severity of deficits after an acute or subacute stroke. The aim of this study was to contrast the utility of performance-based gait tests with qualitative measures in a sample of acute stroke patients.Design: Twenty acute stroke subjects had their performance-based gait measured by gait speed, walking distance, gait energy expenditure, and gait energy cost. They were also qualitatively evaluated for cognition, functional outcomes, motor impairment, and Functional Ambulation Category.Results: Strong and significant correlations were observed among performance-based gait tests. Qualitative scales indicated moderate to minimal deficits in each domain evaluated although they were not, correlated among themselves, except for Functional Ambulation Category and FIM(TM) and FIM and Mini-Mental State Exam. Functional Ambulation Category correlated with performance-based gait tests.Conclusions: Performance-based gait tests are feasible to conduct during early recovery after a stroke and allow better discrimination among the patients than qualitative measures.