論文

査読有り 国際誌
2020年7月16日

Walking characteristics including mild motor paralysis and slow walking speed in post-stroke patients.

Scientific reports
  • Naomichi Mizuta
  • ,
  • Naruhito Hasui
  • ,
  • Tomoki Nakatani
  • ,
  • Yusaku Takamura
  • ,
  • Shintaro Fujii
  • ,
  • Masako Tsutsumi
  • ,
  • Junji Taguchi
  • ,
  • Shu Morioka

10
1
開始ページ
11819
終了ページ
11819
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1038/s41598-020-68905-3

Walking speed is strongly influenced by the severity of motor paralysis in post-stroke patients. Nevertheless, some patients with mild motor paralysis still walk slowly. Factors associated with this difference in walking speed have not been elucidated. To confirm walking characteristics of patients with mild motor paralysis and slow walking speed, this study identified patient subgroups based on the association between the severity of motor paralysis and walking speed. Fugl-Meyer assessment synergy score (FMS) and the walking speed were measured (n = 42), and cluster analysis was performed based on the association between FMS and walking speed to identify the subgroups. FMS and walking speed were associated (ρ = 0.50); however, some patients walked slowly despite only mild motor paralysis. Cluster analysis using FMS and walking speed as the main variables classified patients into subgroups. Patients with mild motor paralysis (FMS: 18.4 ± 2.09 points) and slow walking speed (0.28 ± 0.14 m/s) exhibited poorer trunk stability, increased co-contraction of the shank muscle, and increased intramuscular coherence in walking compared to other clusters. This group was identified by their inability to fully utilize the residual potential of motor function. In walking training, intervention in instability and excessive cortical control may be effective.

リンク情報
DOI
https://doi.org/10.1038/s41598-020-68905-3
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32678273
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7366923
ID情報
  • DOI : 10.1038/s41598-020-68905-3
  • PubMed ID : 32678273
  • PubMed Central 記事ID : PMC7366923

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