脳卒中片麻痺患者における病院内実用歩行の目標速度および目標距離

Abstract

The purpose of this study was to discuss the clinical target of indoor independent gait in thirty-six hemiplegic inpatients, whose mean age was 59.4, twenty-two males and fourteen females, nineteen were caused by cerebral hemorrhage and seventeen were caused by cerebral infarction. The gait speed, time and distance while walking free or usually within twenty minutes in fifty meter hallway were measured and the degree of motor paresis was assessed with Brunnstrom's recovery stages. The patients were divided into independent group and dependent one on the evaluation, wether they walked independently without use of wheelchairs in any locomotive activities in hospital living or not. There were significant differences between two groups in regard to walking speed and distance, but no differences in walking time and the degree of motor paresis. The patients who belonged to the independent group walked at a speed more than 20.3 meter per minute and more than 200 meter on distance and the patients who belonged to the dependent group walked at a speed less than 21.1 meter per minutes and less than 391 meter on distance. It was proposed to use the range more than 21.1 meter per minute on speed and 391 meter on distance as a clinical target zoon of hemiplegic independent gait in hospital.