Kluding, Patricia
(P Kluding, PT, PhD, is Assistant Professor, Department of Physical Therapy and Rehabilitation Science, School of Allied Health, University of Kansas Medical Center, 3056 Robinson Hall, Mailstop 2002, 3901 Rainbow Blvd, Kansas City, KS 66160 (USA))
,
Gajewski, Byron
(B Gajewski, PhD, is Associate Professor, Department of Biostatistics, Schools of Medicine and Nursing, University of Kansas Medical Center)
BackgroundBody system impairments following stroke have a complex relationship with functional activities. Although gait and balance deficits are well-documented in people after stroke, the overlapping influence of body impairments makes it difficult to prioritize interventions.ObjectiveThis study e...
BackgroundBody system impairments following stroke have a complex relationship with functional activities. Although gait and balance deficits are well-documented in people after stroke, the overlapping influence of body impairments makes it difficult to prioritize interventions.ObjectiveThis study examined the relationship between prospectively selected measures of body function and structure (body mass index, muscle strength, sensation, and cognition) and activity (gait speed, gait endurance, and functional balance) in people with chronic stroke.DesignThis was a cross-sectional, observational study.MethodsTwenty-six individuals with mean (SD) age of 57.6 (11) years and time after stroke of 45.4 (43) months participated. Four variables (body mass index, muscle strength difference between the lower extremities, sensation difference between the lower extremities, and Mini-Mental Status Exam score) were entered into linear regression models for gait speed, Six-Minute Walk Test distance, and Berg Balance Scale score.ResultsLower-extremity strength difference was a significant individual predictor for gait speed, gait endurance, and functional balance. Cognition significantly predicted only gait speed.LimitationsThe authors did not include all possible factors in the model that may have influenced gait and balance in these individuals.ConclusionsStrength deficits in the hemiparetic lower extremity should be an important target for clinical interventions to improve function in people with chronic stroke.
BackgroundBody system impairments following stroke have a complex relationship with functional activities. Although gait and balance deficits are well-documented in people after stroke, the overlapping influence of body impairments makes it difficult to prioritize interventions.ObjectiveThis study examined the relationship between prospectively selected measures of body function and structure (body mass index, muscle strength, sensation, and cognition) and activity (gait speed, gait endurance, and functional balance) in people with chronic stroke.DesignThis was a cross-sectional, observational study.MethodsTwenty-six individuals with mean (SD) age of 57.6 (11) years and time after stroke of 45.4 (43) months participated. Four variables (body mass index, muscle strength difference between the lower extremities, sensation difference between the lower extremities, and Mini-Mental Status Exam score) were entered into linear regression models for gait speed, Six-Minute Walk Test distance, and Berg Balance Scale score.ResultsLower-extremity strength difference was a significant individual predictor for gait speed, gait endurance, and functional balance. Cognition significantly predicted only gait speed.LimitationsThe authors did not include all possible factors in the model that may have influenced gait and balance in these individuals.ConclusionsStrength deficits in the hemiparetic lower extremity should be an important target for clinical interventions to improve function in people with chronic stroke.
참고문헌 (49)
World Health Organization. International Classification of Functioning, Disability and Health; 2002. Available at: http://www.who.int/classifications/icf/en/. Accessed February 23, 2008.
Phys Ther Jette 86 726 2006 10.1093/ptj/86.5.726 Toward a common language for function, disability, and health
Arch Phys Med Rehabil Lord 85 234 2004 10.1016/j.apmr.2003.05.002 Community ambulation after stroke: how important and obtainable is it and what measures appear predictive
Arch Phys Med Rehabil Eng 85 113 2004 10.1016/S0003-9993(03)00436-2 Submaximal exercise in persons with stroke: test-retest reliability and concurrent validity with maximal oxygen consumption
Arch Phys Med Rehabil Michael 86 1552 2005 10.1016/j.apmr.2004.12.026 Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness
Arch Phys Med Rehabil Bohannon 73 721 1992 Nature, reliability, and predictive value of muscle performance measures in patients with hemiparesis following stroke
Am J Phys Med Rehabil Nadeau 78 123 1999 10.1097/00002060-199903000-00007 Analysis of the clinical factors determining natural and maximal gait speeds in adults with stroke
Respirology Poh 11 211 2006 10.1111/j.1440-1843.2006.00820.x Six-minute walk distance in healthy Singaporean adults cannot be predicted using reference equations derived from Caucasian populations
Chest Pang 127 495 2005 10.1378/chest.127.2.495 Relationship between ambulatory capacity and cardiorespiratory fitness in chronic stroke: influence of stroke-specific impairments
Clin Rehabil Smith 18 811 2004 10.1191/0269215504cr817oa Berg Balance Scale and functional reach: determining the best clinical tool for individuals post acute stroke
Percept Mot Skills Bohannon 87 1327 1998 10.2466/pms.1998.87.3f.1327 Relationships between impairments in strength of limb muscle actions following stroke
Clin Rehabil Boissy 13 354 1999 10.1191/026921599676433080 Maximal grip force in chronic stroke subjects and its relationship to global upper extremity function
Top Stroke Rehabil Taub 3 38 1997 10.1080/10749357.1997.11754128 Constraint-induced movement techniques to facilitate upper extremity use in stroke patients
JAMA Wolf 296 2095 2006 10.1001/jama.296.17.2095 Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: The EXCITE randomized clinical trial
Stroke Macko 36 2206 2005 10.1161/01.STR.0000181076.91805.89 Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: a randomized, controlled trial
Arch Phys Med Rehabil Sullivan 83 683 2002 10.1053/apmr.2002.32488 Step training with body weight support: effect of treadmill speed and practice paradigms on poststroke locomotor recovery
Phys Ther Miller 82 53 2002 10.1093/ptj/82.1.53 Body weight support treadmill and overground ambulation training for two patients with chronic disability secondary to stroke
Centers for Disease Control and Prevention. BMI-Body Mass Index: About BMI for Adults. Available at: http://www.cdc.gov/nccdphp/dnpa/bmi/adult_BMI/about_adult_BMI.htm. Accessed March 2, 2007.
Arch Phys Med Rehabil Li 87 411 2006 10.1016/j.apmr.2005.11.011 The development, validity, and reliability of a manual muscle testing device with integrated limb position sensors
Foundations of Clinical Research: Applications to Practice Portney 2000
Phys Ther Sullivan 87 1580 2007 10.2522/ptj.20060310 Effects of task-specific locomotor and strength training in adults who were ambulatory after stroke: results of the STEPS randomized clinical trial
Neurorehabil Neural Repair Andrews 15 93 2001 10.1177/154596830101500202 Discharge function and length of stay for patients with stroke are predicted by lower extremity muscle force on admission to rehabilitation
Diabet Med 20 368 2003 10.1046/j.1464-5491.2003.00931.x How should peripheral neuropathy be assessed in people with diabetes in primary care? A population-based comparison of four measures
J Am Geriatr Soc 36 662 1988 Use of the MMSE to screen for dementia in elderly outpatients
Arch Phys Med Rehabil Lord 83 907 2002 10.1053/apmr.2002.33227 Physiologic, psychologic, and health predictors of 6-minute walk performance in older people
Arch Phys Med Rehabil Hsu 83 1130 2002 10.1053/apmr.2002.33652 Test-retest reliability of isokinetic muscle strength of the lower extremities in patients with stroke
Arch Phys Med Rehabil Pang 87 1 2006 10.1016/j.apmr.2005.08.113 A community-based upper-extremity group exercise program improves motor function and performance of functional activities in chronic stroke: a randomized controlled trial
Arch Phys Med Rehabil Teixeira-Salmela 80 1211 1999 10.1016/S0003-9993(99)90018-7 Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors
Clin Rehabil Yang 20 860 2006 10.1177/0269215506070701 Task-oriented progressive resistance strength training improves muscle strength and functional performance in individuals with stroke
※ AI-Helper는 부적절한 답변을 할 수 있습니다.