通过身体功能评估来确定间歇性病患者再血管化后治疗效果
Masaharu Nakajima1, Hiroki Mitsuoka2, Yuki Orimoto2
1Department of Rehabilitation, Faculty of Health Sciences, Nihon Fukushi University, Handa, Aichi, Japan.
概括
身体功能,通过排放时的6分钟步行距离 (6MWD) 来衡量,可以预测下肢再血管化后的久坐行为 (SB) 的变化. 改善的6MWD可能表明减少了SB后期程序.
科学领域:
- 血管外科 血管外科
- 康复医学 康复医学 康复医学
- 身体活动研究 身体活动研究
背景情况:
- 有限的研究存在于下肢再血管化后的身体活动 (PA) 变化,特别是关于放电时的身体功能.
- 了解影响PA再血管化的因素对于患者的康复和长期结果至关重要.
研究的目的:
- 调查退院前身体功能对下肢再血管化的患者退院后身体活动水平的影响.
- 为了确定静坐行为 (SB) 变化的预测标记在重血管化后.
主要方法:
- 研究了34名患有丰田II类外周动脉疾病的患者队列,这些患者正在接受再血管化治疗.
- 三轴加速度计测量了从入院前到出院1个月后的久坐行为 (SB) 变化.
- 多重回归分析将放电时6分钟的步行距离 (6MWD) 与SB变化相关联,使用ROC曲线分析来确定切断值.
主要成果:
- 在减少SB的组中观察到SB的显著下降,相比于放电后增加SB的组 (p <0.01).
- 接收机运行特征 (ROC) 曲线分析确定了6MWD截止值为357.5米,用于预测SB的变化.
结论:
- 医院出院时测量的6分钟步行距离 (6MWD) 可以作为下肢再血管化后的久坐行为 (SB) 后续变化的有价值预测指标.
- 这一发现支持将6MWD评估纳入排放规划,以预测和可能修改程序后活动模式.
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