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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Utility of Dynamic Balance Measurements in Discriminating Community Ambulation Levels Among Individuals with Stroke: A Cross-sectional Study
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Utility of Dynamic Balance Measurements in Discriminating Community Ambulation Levels Among Individuals with Stroke: A Cross-sectional Study

机译：动态平衡测量的效用在具有中风的个体中群体的群落水平：横截面研究

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Objective: To examine the association between dynamic balance measurements and community ambulation levels among individuals with chronic stroke. Methods: This cross-sectional study was performed in 2-day care facilities for older adults located in urban areas. Forty-seven community-dwelling poststroke adults who could walk independently were participated. Community ambulation performance was assessed using the Functional Ambulation Classification of the Hospital at Sagunto (FACHS). Dynamic balance and mobility were measured with the Mini-Balance Evaluation Systems Test (Mini-BESTest), the Timed Up and Go (TUG) test, and 10 m maximum walking speed. Results: Participants were classified into 3 groups according to FACHS scores: household (n = 15), neighborhood (n = 19), and community walkers (n = 13). Neighborhood and community walkers scored significantly higher on the Mini-BESTest and had a shorter TUG test time than household walkers. Community walkers had a significantly faster walking speed than household walkers, whereas neighborhood walkers did not have a faster walking speed than household walkers. Ordinal logistic regression analyses revealed the Mini-BESTest score (odds ratio [OR] 1.24; 95% confidence interval [CI]: 1.07-1.44) and the TUG test time (OR .91; 95% CI: .85-.98) were significantly associated with ambulation levels after adjusting for confounders. Conclusions: Dynamic balance measurement tools may have better responsiveness in detecting community ambulation levels among individuals with chronic stroke than walking speed.
机译：目的：研究慢性脑卒中患者动态平衡测量与社区步行水平之间的关系。方法：这项横断面研究是在城市地区老年人的两日托机构中进行的。47名能够独立行走的社区卒中后成年人参与了研究。使用Saguto医院的功能性步行分类（FACHS）评估社区步行性能。通过Mini balance Evaluation Systems Test（Mini BESTest）、计时向上走（TUG）测试和10米最大步行速度来测量动态平衡和机动性。结果：参与者根据FACHS得分分为3组：家庭（n=15）、社区（n=19）和社区步行者（n=13）。社区和社区步行者在Mini Best上的得分明显高于家庭步行者，拔河测试时间也比家庭步行者短。社区步行者的步行速度明显快于家庭步行者，而社区步行者的步行速度并不快于家庭步行者。有序逻辑回归分析显示，最小最佳得分（优势比[OR]1.24；95%置信区间[CI]：1.07-1.44）和拖拽试验时间（OR.91；95%置信区间：.85-.98）与校正混杂因素后的步行水平显著相关。结论：与步行速度相比，动态平衡测量工具在检测慢性脑卒中患者社区步行水平方面可能具有更好的响应性。

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