《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (07): 426-427.

• 临床康复 • 上一篇    下一篇

脑卒中患者功能恢复的测定:自由步行与最大步行速度的比较

瓮长水; 毕胜; 谢远见; 于增志; 秦茵   

  1. 中国人民解放军总医院康复医学科 北京市 100853
  • 收稿日期:2003-02-09 出版日期:2003-07-25 发布日期:2003-07-25

Outcome measure of locomotion recovery after stroke: comfortable versus maximum walking speed

WENG Chang-shui,BI Sheng,XIE Yuan-jian,et al   

  1. Department of Rehabilitation Medicine,The General Hospital of PLA,Beijing 100853,Chain
  • Received:2003-02-09 Published:2003-07-25 Online:2003-07-25

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摘要： 目的比较脑卒中患者自由与最大步行速度在评定功能恢复结果中的价值。方法对32例恢复步行能力的脑卒中偏瘫患者,测定自然舒适状态下的10m步行速度和10m最大步行速度,用Fugl Meyer评定法评定下肢运动功能,用Berg平衡量表评定平衡功能,用功能独立性测量中的移动类项目测量综合移动能力。对自由步行和最大步行速度与临床评定变量间进行Pearson相关分析。结果自由步行和最大步行速度之间呈高度正相关(r=0.953,P<0.001);自由步行和最大步行速度与平衡功能、下肢运动功能和综合移动能力之间呈高度正相关(r=0.742—0.834,P<0.001);但自由步行速度与功能恢复的相关性更高(r=0.787—0.834,P<0.001)。结论自由步行和最大步行速度都能够反映功能恢复结果,但是自由步行速度测定方法更实用、更安全和更敏感。

关键词: 脑卒中, 步行速度, 下肢功能, 康复

Abstract: ObjectiveTo assess the value of comfortable and maximum walking speed of outcome measuring for locomotion recovery after stroke.Methods10m walking speed of 32 stroke subjects who were able to walk independently were tested in the freely chosen and maximum. The motor function of the paretic lower limb and balance were evaluated with the Fugl-Meyer Assessment,Berg Balance Scale and ambulatory item of Functional Independence Measure. The level of association between gait speeds and the clinical variables were examined with Pearson's correlation coefficients.ResultsComfortable walking speed were significantly positively related to maximum walking speed(r=0.953,P<0.001),and balance, motor function of the lower limb and ambulatory function were significantly positively related to comfortable and maximum walking speed(r=0.742-0.834,P<0.001).The relationship between comfortable walking speed and clinical variables was higher(r=0.787-0.834,P<0.001).Conclusions Both comfortable and maximum walking speed can reflect locomotion recovery after stroke, but comfortable walking speed is more pragmatic,securer and more sensitive.

Key words: stroke, walking speed, lower limb function, rehabilitation