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首页> 外文期刊>Neurorehabilitation and neural repair >Use of Accelerometer-Based Feedback of Walking Activity for Appraising Progress With Walking-Related Goals in Inpatient Stroke Rehabilitation: A Randomized Controlled Trial
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Use of Accelerometer-Based Feedback of Walking Activity for Appraising Progress With Walking-Related Goals in Inpatient Stroke Rehabilitation: A Randomized Controlled Trial

机译：使用基于加速度计的步行活动反馈评估住院卒中康复中与步行相关目标的进展情况：一项随机对照试验。

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Background. Regaining independent ambulation is important to those with stroke. Increased walking practice during down time in rehabilitation could improve walking function for individuals with stroke. Objective. To determine the effect of providing physiotherapists with accelerometer-based feedback on patient activity and walking-related goals during inpatient stroke rehabilitation. Methods. Participants with stroke wore accelerometers around both ankles every weekday during inpatient rehabilitation. Participants were randomly assigned to receive daily feedback about walking activity via their physiotherapists (n = 29) or to receive no feedback (n = 28). Changes in measures of daily walking (walking time, number of steps, average cadence, longest bout duration, and number of long walking bouts) and changes in gait control and function assessed in-laboratory were compared between groups. Results. There was no significant increase in walking time, number of steps, longest bout duration, or number of long walking bouts for the feedback group compared with the control group (P values > .20). However, individuals who received feedback significantly increased cadence of daily walking more than the control group (P = .013). From the in-laboratory gait assessment, individuals who received feedback had a greater increase in walking speed and decrease in step time variability than the control group (P values < .030). Conclusion. Feedback did not increase the amount of walking completed by individuals with stroke. However, there was a significant increase in cadence, indicating that intensity of daily walking was greater for those who received feedback than the control group. Additionally, more intense daily walking activity appeared to translate to greater improvements in walking speed.
机译：背景。恢复独立的步行对中风患者很重要。康复期间在休息时间增加步行练习可以改善中风患者的步行功能。目的。确定在住院中风康复期间向理疗师提供基于加速度计的反馈对患者活动和与步行有关的目标的影响。方法。住院康复期间，有中风的参与者每个工作日都在两个脚踝附近佩戴加速度计。参与者被随机分配为通过理疗师接受有关步行活动的每日反馈（n = 29）或不接受反馈（n = 28）。比较两组之间的日常步行量度（步行时间，步数，平均节奏，最长回合持续时间和长时间步行回合次数）的变化以及实验室中评估的步态控制和功能的变化。结果。与对照组相比，反馈组的步行时间，步数，最长回合持续时间或长步行回合次数没有显着增加（P值> .20）。但是，收到反馈的个体比起对照组，每天步行的节奏显着增加（P = .013）。根据实验室的步态评估，与对照组相比，收到反馈的个人的步行速度增加更大，步距时间变异性减小（P值<.030）。结论。反馈并没有增加中风患者完成的步行量。但是，脚踏圈速显着增加，这表明接受反馈的人的日常行走强度要大于对照组。此外，每天进行更激烈的步行活动似乎可以提高步行速度。

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