Physical Fitness and Outdoor Walking Ability in Chronic Hemiplegic Patients.

概要

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The purpose of this study was to investigate the influence of physical fitness on outdoor walking abilities of chronic hemiplegic patients. The subjects consisted of twenty four chronic hemiplegic patients (mean age : 64.5 ± 6.28 years old, 21 males and 3 females) with cerebrovascular diseases who participated in community rehabilitation services. They were classified into two groups according to outdoor walking ability; an independent group (n=13), and a dependent group (n=11). The items measured were age, the term from onset, side of hemiplegia, and Brunstrom stage. The physical fitness was assessed by 1) grip and isometric knee extension strength on the sound side, 2) maximum walking speed and step length of 10-m level walking, and 3) Physical Cost Index (PCI). These items were analyzed by the X2 test, t-test, and multiple regression analysis. The results of X2 test and t-test showed no significant difference in age, the term from onset, side of hemiplegia, and Brunstrom stage between the two groups. The results of t-test revealed a significant relation between grip strength, maximum walking speed, step length, and PCI and outdoor walking ability. The results of multiple regression analysis showed that PCI was most related to outdoor walking ability. The obtained results suggest that the ability to walk independently outdoors may be influenced by PCI.
理学療法科学学会の論文