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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 577 - 585 (9page)
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초록· 키워드
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Objective To identify the potential predictors of ambulatory function in subacute stroke patients, and to determine the contributing factors according to gait severity. Methods Fifty-three subacute stroke patents were enrolled. Ambulatory function was assessed by gait speed and endurance. Balance function was evaluated by the Berg Balance Scale score (BBS) and the Timed Up and Go test (TUG). The isometric muscular strengths of bilateral knee extensors and flexors were measured using an isokinetic dynamometer. Cardiovascular fitness was evaluated using an expired gas analyzer. Participants were assigned into the household ambulator group (<0.4 m/s) or the community ambulator group (≥0.4 m/s) based on gait severity.Results In the linear regression analyses of all patients, paretic knee isometric extensor strength (p=0.007) and BBS (p<0.001) were independent predictors of gait endurance (R2=0.668). TUG (p<0.001) and BBS (p=0.037) were independent predictors of gait speed (R2=0.671). Paretic isometric extensor strength was a predictor of gait endurance (R2=0.340, p=0.008). TUG was a predictor of gait speed (R2=0.404, p<0.001) in the household ambulator group, whereas BBS was a predictive factor of gait endurance (R2=0.598, p= 0.008) and speed (R2=0.713, p=0.006). TUG was a predictor of gait speed (R2=0.713, p=0.004) in the community ambulator group.Conclusion Our results reveal that balance function and knee extensor isometric strength were strong predictors of ambulatory function in subacute stroke patients. However, they work differently according to gait severity. Therefore, a comprehensive functional assessment and a different therapeutic approach should be provided depending on gait severity in subacute stroke patients.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Bohannon RW / 1992 / Nature, reliability, and predictive value of muscle performance measures in patients with hemiparesis following stroke / Arch Phys Med Rehabil 73 : 721
Bohannon RW. / 2007 / Muscle strength and muscle training after stroke / J Rehabil Med 39 : 14 ~ 20
Bowden MG / 2011 / Physical therapy adjuvants to promote optimization of walking recovery after stroke / Stroke Res Treat 2011 : 601416 ~
Gerrits KH / 2009 / Isometric muscle function of knee extensors and the
Goldie PA / 1996 / Deficit and change in gait velocity during rehabilitation after stroke / Arch Phys Med Rehabil 77 : 1074 ~ 1082
Bohannon RW. / 2007 / Muscle strength and muscle training after stroke / J Rehabil Med 39 : 14 ~ 20
Bowden MG / 2011 / Physical therapy adjuvants to promote optimization of walking recovery after stroke / Stroke Res Treat 2011 : 601416 ~
Gerrits KH / 2009 / Isometric muscle function of knee extensors and the
Goldie PA / 1996 / Deficit and change in gait velocity during rehabilitation after stroke / Arch Phys Med Rehabil 77 : 1074 ~ 1082
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