EXERCISE PHYSIOLOGICAL STUDY ONPHYSICAL FITNESS IN PERSONS WITH HEMPARETIC STROKE
偏瘫性中风患者身体健康的运动生理学研究
基本信息
- 批准号:11835037
- 负责人:
- 金额:$ 2.37万
- 依托单位:
- 依托单位国家:日本
- 项目类别:Grant-in-Aid for Scientific Research (C)
- 财政年份:1999
- 资助国家:日本
- 起止时间:1999 至 2001
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
Objective: To investigate longitudinal changes of physical fitness for stroke patients, and to find practical and useful indices of fitness. Design: Structure analysis of multiple fitness parameters with principle component analysis (PCA). Setting: Inpatient rehabilitation program of a tertiary rehabilitation center in Japan. Patients: 107 consecutive inpatients with hemiparesis. Intervention: None. Main outcome Measures: Heart rate (HR) oxygen coefficient (regression coefficient between HR and oxygen consumption) obtained with a graded bridging activity and a 12-min walking or wheelchair propulsion distance; grip strength (GS), knee extensor isometric torque, and cross-sectional areas of thigh muscles; body mass index (BMI) and fat accumulation on a CT scan. Results: With PCA, the original 15 variables were categorized into 4 factors (activities of daily living and paresis factor, muscular, metabolic, and cardiopulmonary factors). Each factor improved significantly from admission to discharge as judged by principle component (PC) scores. With multiple regression analysis, each component of fitness could be explained by variables that are easily measured clinically, i.e., the Functional Independence Measure^<TM> motor scores, unaffected side GS and the BMI. Conclusions: The PC scores were useful in following longitudinal changes of individual patients. Practical indices of fitness were suggested for clinical use.
目的:探讨脑卒中患者体质的纵向变化,寻找实用的体质指标。设计:采用主成分分析(PCA)对多个适应度参数进行结构分析。环境:日本某三级康复中心的住院康复项目。患者:连续住院偏瘫患者107例。干预:没有。主要结局指标:心率(HR)、氧系数(HR与耗氧量之间的回归系数)与分级桥接活动和12分钟步行或轮椅推进距离;握力(GS),膝关节伸肌等距扭矩,大腿肌肉横截面积;身体质量指数(BMI)和脂肪积累的CT扫描。结果:通过主成分分析,将原来的15个变量分为4个因素(日常生活活动和麻痹因素、肌肉、代谢和心肺因素)。以主成分评分(PC)判断,从入院到出院,各因素均有显著改善。通过多元回归分析,适应度的每个组成部分都可以用临床上容易测量的变量来解释,即功能独立性测量^<TM>运动评分,未受影响侧GS和BMI。结论:PC评分可用于跟踪个体患者的纵向变化。提出了适合临床使用的实用指标。
项目成果
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MASAKADO Yoshihisa其他文献
MASAKADO Yoshihisa的其他文献
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{{ truncateString('MASAKADO Yoshihisa', 18)}}的其他基金
The fundamental research to the fall prevention by the walk analysis using the split-belt treadmill
利用分带式跑步机进行步行分析预防跌倒的基础研究
- 批准号:
21300203 - 财政年份:2009
- 资助金额:
$ 2.37万 - 项目类别:
Grant-in-Aid for Scientific Research (B)
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