Ronaldo Rodrigues Borges, André Pontes-Silva, Sara Andrade Rodrigues, Túlio Luiz Banja Fernandes, Claudio de Oliveira Assumpção, Almir Vieira Dibai-Filho, Cristiano Teixeira Mostarda, Augusto Ribeiro de Oliveira, Christian Emmanuel Torres Cabido
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引用次数: 0
摘要
背景：慢性中风后，以无监督的方式进行地面步行训练和不同的每周持续时间有什么影响？目的：比较每周150分钟和300分钟无人监督步行对慢性中风患者步行表现、速度和功能活动能力的影响。设计和环境：随机临床试验在Rede Sarah康复医院（s o Luís，巴西）进行。方法：采用6分钟步行测试（6MWT）、计时起走测试（TUG）和五次坐立测试（FTSST）对纳入的个体（n = 40）进行评估。他们被分配到两个实验组，并被指示每周步行150分钟（G150）或300分钟（G300），并在接下来的八周内进行无人监督的步态训练。结果：各组因子间无显著差异，组×时间交互作用无显著交互作用，说明G150与G300变化相似。G150和G300的舒适步行速度都增加了，导致了很大的效应量。在TUG和6MWT上的性能也有所提高，但效应大小较小。对于最大步行速度，尽管G150和G300的表现有所改善，但两组的效应大小均为中等。FTSST也是如此。结论：无论推荐的每周步行时间是150分钟还是300分钟，无监督步行都能有效改善慢性卒中患者的步态表现和功能活动能力。临床试验注册：RBR-5g4g9bq （https://ensaiosclinicos.gov.br/rg/RBR-5g4g9bq）。
Effects of unsupervised walking on walk performance and functional mobility in individuals with chronic stroke: a blind randomized clinical trial.
Background: What are the effects of walking training on the ground in an unsupervised manner and with different weekly durations after chronic stroke?
Objective: To compare the effects of unsupervised walking for 150 and 300 minutes per week on walking performance, speed, and functional mobility in individuals with chronic stroke.
Design and setting: Randomized clinical trial was conducted at Rede Sarah Rehabilitation Hospital (São Luís, Brazil).
Methods: Individuals included (n = 40) were assessed using the 6-minute walk test (6MWT), functional mobility using the Timed Up and Go (TUG) test, and the Five Times Sit to Stand Test (FTSST). They were assigned to the two experimental groups and instructed to walk 150 (G150) or 300 minutes per week (G300) and to perform unsupervised gait training for the next eight weeks.
Results: No significant differences were observed between the group factors and no significant interaction was found for the group × time interaction, indicating that G150 and G300 changed similarly. The comfortable walking speed increased for both G150 and G300, resulting in a large effect size. Performance on the TUG and 6MWT also improved, but the effect size was small. For maximum walking speed, despite the improvement in performance in G150 and the G300, effect size was medium for both groups. The same was true for the FTSST.
Conclusion: Unsupervised walking was effective in improving gait performance and functional mobility in individuals with chronic stroke regardless of the recommended weekly duration (150 or 300 minutes).
期刊介绍：
Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.
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