脳卒中片麻痺患者における歩行周期変動の歩行・バランス能力及び下肢筋力との関連  [in Japanese] The Relationship Between Stride Time Variability, Walking Ability and Balance, Lower-limb Muscle Strength in Stroke Patients  [in Japanese]

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Author(s)

    • 伊藤 優也 ITO Yuya
    • 秋田県立脳血管研究センター機能訓練部 Department of Rehabilitation, Research Institute for Brain and Blood Vessels Akita
    • 佐々木 誠 SASAKI Makoto
    • 秋田大学医学系研究科保健学専攻理学療法学専攻 Course of Physical Therapy, School of Health Sciences, Akita University

Abstract

近年, 歩行の恒常性の評価指標として歩行リズムを反映するとされる歩行周期変動が注目されている. 本研究の目的は, 脳卒中片麻痺患者において歩行自立群と歩行監視・介助群における歩行周期変動の比較, また歩行・バランス能力指標及び下肢筋力との関連を調査することである. 脳卒中片麻痺患者41名を対象とし, 歩行周期変動,Functional Ambulation Classification (以下, FAC), 10m最大歩行速度, Berg Balance Scale (以下, BBS),麻痺側・非麻痺側下肢筋力を測定した. 歩行自立群と歩行監視・介助群において歩行周期変動に有意差を認め, 歩行周期変動とFAC, 10m最大歩行速度, BBS, 麻痺側下肢筋力との間に有意な相関を認めた. 結果より, 脳卒中片麻痺患者において歩行能力が低い者では歩行リズムが一定でないことが示唆され, また歩行周期変動は歩行能力に関連する指標であることが示された.

Stride Time Variability (STV) to be in recent years, to reflect the walking rhythm as an evaluation index of homeostasis of walking has attracted attention. The purpose of this study is to investigate the relationship between lower extremity muscle strength and walking ability, balance also comparison of STV in the walking group monitoring and assistance with walking independence group in hemiplegic patients. Attach to target 41 people stroke hemiplegic patients, was measured STV, Functional Ambulation Classification (FAC), 10m Maximum Walking Speed (10MWS), Berg Balance Scale (BBS), the paralyzed side and non-paralyzed side leg strength. Significant differences in STV in walking non-independence group and independence group, showed a significant correlation between STV and FAC, 10MWS, BBS, and the paralyzed side leg strength. The results show that STV is an index related to the ability to walk that walk rhythm is not constant, and also been suggested that a person walking ability is low in stroke hemiplegic patients has been shown.

Journal

  • Bulletin of Graduate School of Health Sciences Akita University

    Bulletin of Graduate School of Health Sciences Akita University 21(2), 125-130, 2013

    Akita University

Codes

  • NII Article ID (NAID)
    110009633268
  • NII NACSIS-CAT ID (NCID)
    AA12447617
  • Text Lang
    JPN
  • Article Type
    departmental bulletin paper
  • Journal Type
    大学紀要
  • ISSN
    1884-0167
  • NDL Article ID
    025052556
  • NDL Call No.
    Z19-3796
  • Data Source
    NDL  NII-ELS  IR 
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