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在中风后亚急性阶段的人的2分钟步行测试中,临床上重要的差异最小

Thomas Bowman¹, Fabiola Giovanna Mestanza Mattos^1,2, Cristina Allera Longo³

¹IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.

Topics in stroke rehabilitation

|November 11, 2024

概括

在中风幸存者的2分钟步行测试 (2MWT) 中,临床重要的最小差异 (MCID) 为31米. 这一发现有助于临床医生评估康复后有意义的步态改善.

科学领域:

康复医学康复医学康复医学
神经学神经学
物理疗法物理治疗

背景情况:

2分钟步行测试 (2MWT) 是一种标准的临床工具,用于评估中风患者 (pwST) 的步行功能.
确定2MWT的最小临床重要差异 (MCID) 对于解释患者的进展至关重要,但此前尚未研究过.

研究的目的:

在接受康复的中风 (pwST) 亚急性患者中确定2MWT的MCID.
为临床医生提供临床上显著的步态改善的基准.

主要方法:

一项纵向队列研究包括51个pwST在中风发作后180天内.
2MWT是在基线 (T0) 和康复后 (T1) 进行的.
基于的方法,包括全球感知效应 (GPE),活动特定的余额信任度表 (ABC) 和ABC_gait,用于通过ROC曲线确定MCID.

主要成果:

在康复后观察到2MWT,ABC和ABC_gait分数的显著改善.
2MWT的MCID被确定为31米.
接收器操作特征 (ROC) 曲线分析得出曲线下的面积 (AUC) 为0.74,具有71%的特异性和63%的灵敏度.

结论:

对2MWT的31米的改善代表了接受康复的亚急性pwST的临床显著变化.
这项研究为临床医生提供了有价值的数据,以评估中风幸存者的行走表现和有意义的恢复.

关键词:

一次性中风,中风.步态步态步态步态最小的临床重要差异.评估患者的结果评估.康复康复康复康复康复康复

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