Evaluation of daily life activity and ADL in patients with stroke sequele after discharge

1)目的：家庭护理对改善神经系统疾病患者的日常生活能力有重要的帮助。这些辅助手段有助于提高生活质量和延长预后寿命。由于单纯的ADL定性评价不足以定量评价此类辅助的效果，我们使用姿势变化和步数分析对活动量进行定性分析。2）方法：受试者为18名健康女性（年龄从20岁到70岁不等）和4名步行障碍患者（2女2男）。我们使用便携式姿势分析仪（ACTLIZER MA-1000，ANIMA）测量24小时内姿势变化的次数，每10秒的步数，该姿势分析仪可以识别步行、仰卧、坐在椅子上、长坐、站立姿势。测量24 h内及每1 h各体位持续时间、体位变换次数及步数，并分析各因素之间的关系 ...更多信息 zed.3）结果：（1）日常生活活动量的个体差异较大，且与居住面积和家务劳动有关。(2)住院患者中，步行障碍患者仰卧位时间较健康女性长，步行、坐在椅子上、长时间坐着的时间较健康女性短。(3)健康女性坐得越久，体位变化越少，而俯卧位时间越长的患者体位变化越少。健康组和残疾组各体位持续时间与换体位次数的关系不同。(4)住院患者和居家老年人的步数相等，但住院患者的步行时间较居家老年人短。4）讨论：采用姿势变化和步数评估日常活动量的方法对活动较少的老年人和步行能力残疾的患者是有用的。当患者有行走障碍时，他们倾向于少动，故意的行为干预是强制性的。少

1) Objectives : It is an important aid for home-cared patients with neurological disease to improve activity of daily living. Such aids contribute to improve the quality of life and elongation of life prognosis. As mere qualitative evaluation of ADL is insufficient for the evaluation of the quantitative effect of such aid, we performed qualitative analysis of activity amount, using postural change and number of steps analysis.2) Method : The subjects were healthy 18 women (ranging in age from 20 to 70 years old) and 4 patients (2 women and 2 men) with walking disability. We measured, the number of postural change, the number of steps every ten seconds for twenty four hours using portable postural analyzer (ACTLIZER MA-1000, ANIMA) which could recognize walking, supine, sitting on chair, long sitting, standing position. Duration of each posture in 24 hours and every one hour, the number of change of posture and the number of steps were measured and the relation of each factor were analy … More zed.3) Results : (1) The individual difference of the amount of daily living activity were rather large and related to area of the houses they lived and domestic work. (2) The in-hospital patients with walking disability showed longer time in supine position compared healthy women and shorter time in walking, sitting on chair, long sitting position. (3) Postural change was less in healthy women who sat longer and less in patients who took prone position longer. The relation between the duration of each position and the number of changing position was different in healthy group and disabled group. (4) The number of steps was equal in in-hospital patients and at-home elderly, however in-hospital patients showed shorter duration of walking compared to at-home elderly.4) Discussion : The method to evaluate daily activity quantatively using postural change and the number of steps was useful in less active elder persons and patients with disabled walking ability. When patients had walking disability, they tended to move less and intentional behavioral intervention was mandatory. Less