在住院患者中风康复中,有氧分钟和步数仍然很低
Yunyi Yan1, Janice J Eng2,3, Stanley H Hung2
1School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada.
PloS one
|July 28, 2025
概括
脑卒中康复经常不足以达到推的有氧运动目标. 这项研究发现,虽然步数增加了,但有氧分钟仍然非常低,阻碍了最佳恢复. 需要进一步的研究来解决这些障碍.
科学领域:
- 神经学 神经学
- 物理疗法物理治疗
- 康复医学 康复医学 康复医学
背景情况:
- 临床实践指南建议在中风康复中进行高强度,重复性的步行活动,以优化康复.
- 在通常的护理环境中,人们对遵守这些指南,特别是关于有氧强度的遵守,不太了解.
- 这项研究调查了加拿大常规护理住院患者的物理治疗课程.
研究的目的:
- 在加拿大各地的常规护理住院患者中风康复物理治疗期间量化有氧分钟和步数.
- 为了确定与会议指南推的有氧强度分钟相关的参与者特征,在会议中期.
主要方法:
- 来自Walk'n Watch实施试验的常规护理部门的数据的横截面分析.
- 纳入标准:医疗稳定的患者入院接受中风康复,能够在辅助下采取>5步.
- 使用手腕式心脏监测器和脚式步数计分别评估了有氧分钟和步数.
主要成果:
- 包括166名参与者 (平均年龄69岁).
- 平均有氧运动时间为10分钟 (SD 11),平均步数为985步 (SD 579).
- 在步数和有氧分钟之间发现了微不足道的相关性 (R2=0.003). 有20分钟以上有氧运动的参与者更有可能是男性,有较低的6分钟步行测试距离,并有皮下脑卒中.
结论:
- 尽管增加了步数,但在常规护理中风康复中,有氧分钟与建议相比仍然显著低.
- 当前的活动水平可能会阻碍最佳的中风恢复.
- 建议对阻碍遵守指南目标的障碍进行进一步调查.
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