偏瘫中风后的步态恢复。

P J Friedman
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引用次数: 212

摘要

通过测量连续步行速度,对197例老年偏瘫患者的步态恢复情况进行前瞻性评估。57%的受试者(113/197)在中风后第7天没有人的帮助就不能行走。大约40%的患者在中风后1、2、3和4个月时实现了步态独立。相比之下,约95%在第7天行走的患者在中风后1、2、3和4个月保持步态独立。采用多元logistic回归分析,在第7天不行走的113名受试者中,独立行走的最佳预测因子是年龄、线对分误差和腿部力量。
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Gait recovery after hemiplegic stroke.

We prospectively evaluated gait recovery in 197 elderly subjects after hemiplegic stroke by measuring serial walking speed. Fifty-seven per cent of subjects (113/197) could not walk without human assistance on day 7 post-stroke. About 40% of this group achieved gait independence at months 1, 2, 3, and 4 post-stroke. In contrast, about 95% of those walking on day 7 maintained gait independence 1, 2, 3, and 4 months post-stroke. Using multiple logistic regression, the best predictors of independent ambulation among the 113 subjects not walking on day 7 were age, line bisection error, and leg power.

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