摘要
目的:通过视频观察并比较脑卒中恢复期患者和健康人群计时起立步行测试(TUG)结果,分析TUG测试总时间及其子阶段运动学特征,为临床应用提供理论基础。方法:采用方便抽样的方法,根据纳入和排除标准,选择2022年6—9月在南京医科大学第一附属医院等3家医院康复医学中心收治的脑卒中恢复期患者41例作为观察组,同时选取35例性别、年龄、身高和体质量与观察组相匹配的健康成人作为对照组。摄像头记录2组受试者的TUG测试过程,并利用VirtualDube 2?剪辑软件对所记录视频进行运动学特征分析,包括总时间及子阶段各试项参数(子阶段1-由坐到站、子阶段2-前向行走、子阶段3-首次转身、子阶段4-返回行走和子阶段5-末次转身与坐下);此外,观察组还接受5次坐站时间、单腿支撑时间、10 m最大步行速度等评估。结果:与对照组相比,观察组患者TUG总时间[26.91(16.52,35.98)s]及各子阶段时间[1.98(1.13,2.48)、8.15(4.21,13.02)、4.15(3.84,5.93)、6.10(3.08,9.94)、5.04(3.82,7.03)s]均显著增加(P<0.01),且2组各子阶段时相百分比分布存在差异(P<0.05);观察组5次坐站时间与TUG测试总时间及各子阶段时间均呈显著正相关(P<0.01);观察组患者偏瘫侧单腿支撑时间与TUG测试总时间及各子阶段时间,尤其是阶段2、3、4呈显著负相关(P<0.01);观察组10 m最大步行速度与TUG测试总时间及各子阶段均呈显著正相关(P<0.01)。结论:TUG测试视频运动学分析可以用于精准分析脑卒中恢复期患者步行运动特征,其相应的子阶段时间能够反映脑卒中患者的下肢力量、站立平衡和步行稳定性等方面功能。
Objective:This study investigated and compared the results of the Timed Up and Go test(TUG test)between convalescent stroke patients and healthy controls by video recording,and the total time and sub-phase kinematic characteristics of the TUG test were analyzed to provide a theoretical basis for clinical application.Using the convenient sampling method,a total of 41 convalescent stroke patients were recruited as patient group(observation group)in the rehabilitation medical centers of three hospitals(including the First Affiliated Hospital of Nanjing Medical University,etc.)from June to September 2022.Additionally,35 healthy people with gender,age,height and weight matched were selected as healthy control group(control group).The TUG test were recorded by cameras for all subjects.VirtualDube 2®software was used to analyze the kinematic characteristics of recorded video,including the total time and sub-stages parameters(stage 1 standing up,stage 2 forward walking,stage 3 first turning,stage 4 return walking,stage 5 end turning and sitting down);moreover,the observation group also received evaluation including five-timessit-to-stand test,single leg support time and 10 m maximum walking speed.Results:Compared with the control group,the observation group had a significant increase in the time of total TUG[26.91(16.52,35.98)s]and the sub-stages[1.98(1.13,2.48),8.15(4.21,13.02),4.15(3.84,5.93),6.10(3.08,9.94),5.04(3.82,7.03)s](P<0.01),and there were significant differences in the percentage distribution of each sub-stage(P<0.05).There was a significant positive correlation between five-times-sit-to-stand test and time of total TUG test and each sub-stage in the observation group(P<0.01).There was a significant negative correlation between single leg support time of hemiplegic side and time of total TUG test and each sub-stage(P<0.01).There was a significant positive correlation between 10 m maximum walking speed and time of total TUG test and each sub-stage in the observation group(P<0.01).Conclusion:The TUG test video
作者
蔡童欣
雷敏聪
周逸钧
孟殿怀
WANG Zhifu;CAI Tongxin;LEI Mincong;ZHOU Yijun;MENG Dianhuai(School of Rehabilitation Medicine,Nanjing Medical University,Nanjing,Jiangsu 210029,China;The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an,Shaanxi 710061,China;The first Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210029,China)
出处
《康复学报》
CSCD
2023年第5期412-418,427,共8页
Rehabilitation Medicine
基金
国家重点研发计划(2022YFC2009700)
江苏省重点研发计划项目(BE2021012-4)。
