相关实验视频
Updated: Jun 22, 2026

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Home-Based Monitor for Gait and Activity Analysis
Published on: August 8, 2019
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在急性中风患者中,使用基方法和可信度仪器对6分钟步行距离进行最小临床重要差异的估计
Shota Hayashi1,2, Ren Takeda3, Kazuhiro Miyata4
1Department of Physical Therapy, Faculty of Rehabilitation, Gunma Paz University, Takasaki, Japan.
概括
这项研究确定了急性中风患者的6分钟步行距离 (6MWD) 的最小临床重要差异 (MCID). 患者评估的全球变化评级 (p-GRC) 证明是可靠的,为6MWD建立了78.7米的MCID.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 临床测量 临床测量
背景情况:
- 脑卒中严重影响患者的行走能力.
- 6分钟的步行距离 (6MWD) 是对中风后步行功能的标准评估.
- 验证6MWD的最小临床重要差异 (MCID) 对于评估康复的有效性至关重要.
研究的目的:
- 在急性中风幸存者中估计6MWD的MCID.
- 使用基于的方法进行MCID验证.
- 确定中风后有意义的行走改善的可靠衡量标准.
主要方法:
- 采用了基于的方法,包括ROC曲线和预测模型.
- 患者评级的全球变化评级 (p-GRC) 和治疗师评级的全球变化评级 (t-GRC) 尺度作为外部.
- 使用已有的工具评估了MCID的可信度.
主要成果:
- 6MWD的MCID估计在78.7-100.0米 (p-GRC) 和95.2-99.5米 (t-GRC) 之间.
- 该p-GRC显示了高精度 (AUC>0.8) 和可靠性.
- 与p-GRC相比,t-GRC的可靠性和准确性较低.
结论:
- p-GRC是估计6MWD在急性中风中的MCID的可靠.
- 对6MWD的验证MCID为78.7米,基于患者报告的有意义变化.
- 治疗师报告的措施可能无法完全捕捉患者在中风康复中报告的结果.
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