轻度中风,严重问题:平衡和步行能力的限制以及对跌倒率的影响,以及体力活动
Jolanda M B Roelofs1, Sarah B Zandvliet1, Ingrid M Schut2
1Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Neurorehabilitation and neural repair
|October 25, 2023
概括
轻度中风后的个人经历持续的平衡和步行缺陷,导致跌倒风险增加和身体活动减少. 这些发现突出了对改善中风后护理和康复策略的未满足的临床需求.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 老年学是指老年学的学科.
背景情况:
- 轻度中风可能导致持续的平衡障碍,增加跌倒风险和减少日常活动.
- 害怕跌倒是中风后平衡限制的一个常见后果.
- 轻度中风后的慢性阶段可能会出现显著的功能缺陷.
研究的目的:
- 评估平衡,步态,跌倒风险,平衡信心和身体活动,与健康对照组相比,轻度中风患者的个人.
- 在轻度中风后的慢性阶段识别持续的功能限制.
- 为了确定轻度中风幸存者的平衡和步行缺陷的程度.
主要方法:
- 观察性病例对照研究,将70名轻度中风幸存者与47名健康对照人进行比较.
- 使用迷你平衡评估系统测试 (迷你BEST),定时升级和移动 (TUG) 和10米步行测试 (10-MWT) 进行平衡和步行评估.
- 使用6项活动特定平衡信心 (6-ABC) 尺度评估平衡信心,并在7天内测量每日体力活动.
主要成果:
- 卒中幸存者跌倒的频率是对照者的两倍多,并且在mini-BEST,TUG和10-MWT上表现较差.
- 轻度中风的参与者报告称平衡信心降低了12% (6-ABC分数).
- 在中风组观察到,总体和行走体力活动的强度减少,持续时间没有差异.
结论:
- 在轻度中风后慢性阶段的个人有持续的平衡限制和更高的跌倒风险.
- 该研究发现,在这个人群中,有显著的未满足的临床需求,需要针对平衡和预防跌倒的干预措施.
- 轻度中风幸存者表现出平衡信心和体力活动水平的降低,这影响了他们的生活质量.
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