Investigation of factors affecting walking independence at discharge in hemiplegic stroke patients at the time of discharge from a convalescent rehabilitation ward using Welwalk WW-1000 ∼A study including patients with reduced cognitive and attentional functions∼

DOI
  • 宮永 陽亮
    一般財団法人 潤和リハビリテーション振興財団 潤和会記念病院 吉備国際大学(通信制)大学院 保健科学研究科理学療法学専攻
  • 平川 裕紀
    潤和会記念病院 リハビリテーション療法部
  • 倉爪 康裕
    潤和会記念病院 リハビリテーション療法部
  • 東 洋介
    潤和会記念病院 リハビリテーション療法部
  • 河野 寛一
    潤和会記念病院 リハビリテーション科
  • 森下 元賀
    令和健康科学大学 リハビリテーション学部 理学療法学科

Bibliographic Information

Other Title
  • ウェルウォークWW-1000を使用した脳卒中片麻痺者の回復期リハビリテーション病棟退院時の歩行自立度に及ぼす因子の検討〜認知機能と注意機能が低下した患者を含めた検討〜

Abstract

<p>Objective : This research aimed to investigate independently the factors that influence gait, and cutoff values in patients with stroke who underwent gait training using WelWalk WW-1000 (WW). It is based on various assessments, including cognitive and attentional functions, from the time of admission to the recovery phase rehabilitation ward.</p><p>Methods : We included 113 patients with stroke who presented with a Functional Independence Measure (FIM) gait score 4 or below, and needed to use Knee-Ankle-Foot Orthosis (KAFO) for gait training. They underwent gait training using WW at least 10 times, and their communicative functions were sufficient. The assessment items to analyze were age, side of paralysis, Stroke Impairment Assessment Set (SIAS), FIM motor items, FIM cognitive items, Mini-Mental State Examination (MMSE), Catherine Bergego Scale, Trail Making Test Japanese version (TMT-J), and parameters calculated by WW. A binomial logistic regression analysis was conducted by dividing the participants into two groups depends on the final gait level at the time of discharge: the independent and non-independent group.</p><p>Results : The predictors were age (odds ratio: 0.880) and TMT-J part-A (odds ratio: 0.964). The cut off values were 68 years old in age, and 148 seconds in TMT-J part-A.</p><p>Conclusion : This study revealed that age, and cognitive and attentional functions are likely to be related to gait independently in patients with stroke using WW.</p>

Journal

Details 詳細情報について

  • CRID
    1390862623768204672
  • DOI
    10.57302/jatpt.3.2_79
  • ISSN
    24366951
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Allowed

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