6分钟步行测试的参考值在带有骨髓瘤结核的门诊儿童中
Karina A Zapata1, Rosa H Cooksey2, Daralyn K Fulton1
1Research Department, Scottish Rite for Children, Dallas, TX, USA.
Developmental medicine and child neurology
|June 25, 2025
概括
脊柱裂性脊椎病的6分钟步行测试 (6MWT) 的儿科参考值显示,较短的距离具有更高的损伤水平. 较短的步行测试可以取代6MWT,社会经济因素会影响流动性.
科学领域:
- 儿科康复儿童康复中心
- 神经学 神经学
- 生物医学工程 生物医学工程
背景情况:
- 脊椎裂会影响出行功能,因此需要进行可靠的评估.
- 6分钟步行测试 (6MWT) 是儿童功能移动性的关键测量.
- 了解影响6MWT距离的因素对于有针对性的干预至关重要.
研究的目的:
- 根据病变水平,确定脊椎裂变患者6分钟步行距离 (6MWD) 的儿科参考值.
- 检查6MWD和较短步行测试 (1分钟和2分钟) 之间的相关性.
- 在这个人群中调查社会决定因素对6MWD的影响.
主要方法:
- 一项前性队列研究,涉及145名患有骨髓瘤结核的门诊儿童.
- 收集的数据包括6MWD,1分钟步行测试和2分钟步行测试距离.
- 评估的社会决定因素是保险类型和地区贫困指数 (ADI).
主要成果:
- 平均6MWD在较高的损伤水平 (从腰部中部到部) 和功能分类 (MMFC2到MMFC4) 时显著下降.
- 1分钟和2分钟的步行测试距离与6MWD有很强的关联.
- 有公共保险和较高的ADI的儿童表现出明显更短的6MWDs.
结论:
- 脊椎裂纹中较高的解剖病变水平与减少的行走能力相关.
- 1分钟和2分钟的步行测试是6MWT的有效替代品.
- 需要采取解决社会经济差异的干预措施,以改善脊椎裂纹儿童的流动性.
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