Augusto Boening, Larissa Tavares Aguiar, Janayna Avance, Lucas R Nascimento
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引用次数: 0
Abstract
Objective: To investigate if the 6-min step test elicits the same or higher physiological responses and its adverse events in comparison with the 6-min walk test after stroke.
Methods: A cross-sectional, exploratory study was performed. The 6-min step test and the 6-min walk test were performed by individuals with chronic stroke. Physiological parameters (i.e., systolic and diastolic blood pressure, dyspnea, leg fatigue, heart rate and peripheral oxygen saturation) and adverse events were examined.
Results: Fifty-seven individuals who have had a stroke (33 men), with a mean age of 58 years (SD 14) were included. The 6-min step test elicited higher levels of dyspnea (MD 1 point out of 10; 95 % CI 0.5 to 2) and leg fatigue (MD 2 points out of 10; 95 % CI 1 to 2) immediately after tests. In addition, heart rate was progressively higher (7-15 bpm) during the 6-min step test than the 6-min walk test. Immediately after the tests, heart rate was still higher for the 6-min step test (MD 17 bpm; 95 % CI 11 to 22). Two adverse events were reported during the 6-min step test.
Conclusion: In conclusion, the 6-min step test demands more from the cardiovascular and musculoskeletal systems, as higher levels of heart rate, dyspnea and leg fatigue were achieved in comparison with the 6-min walk test after stroke.
目的：探讨脑卒中后6分钟步行试验与6分钟步行试验相比是否引起相同或更高的生理反应及其不良事件。方法：采用横断面探索性研究。对慢性脑卒中患者进行6分钟步频测试和6分钟步行测试。检查生理参数（即收缩压和舒张压、呼吸困难、腿部疲劳、心率和外周氧饱和度）和不良事件。结果：纳入了57例中风患者（33例男性），平均年龄58岁（SD 14）。6分钟步进测试在测试后立即引起更高水平的呼吸困难（MD 1分，满分10分；95% CI 0.5至2分）和腿部疲劳（MD 2分，满分10分；95% CI 1至2分）。此外，在6分钟步行测试中，心率逐渐升高（7-15 bpm）。测试结束后，6分钟步进测试的心率仍然更高（MD 17 bpm； 95% CI 11至22）。在6分钟步进试验中报告了2例不良事件。结论：总而言之，6分钟步行测试对心血管和肌肉骨骼系统的要求更高，因为与中风后6分钟步行测试相比，心率、呼吸困难和腿部疲劳水平更高。
期刊介绍：
The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina
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