Background

Clinical changes after stroke can contribute to reduced mobility and negatively affect the survival of these individuals. The objective of this study was to verify factors associated with functional mobility in stroke individuals.

Methods

Crosssectional study carried out with stroke individuals in an outpatient clinic. Demographic and clinical data were collected and the following measures were applied: National Institute of Health Stroke Scale (NIHSS), modified Barthel Index, Trunk Impairment Scale, Functional Reach Test, Timed Up and Go Test, and the International Physical Activity Questionnaire. Respiratory muscle strength was assessed by measuring the maximum inspiratory pressure (MIP) and the maximum expiratory pressure (MEP).Variables with p < .05 in univariate logistic regression analysis were included in the multivariate logistic regression model, using the backward stepwise method.

Results

53 individuals were enrolled with a mean age of 55 years (±13.43). 51% were male and the median NIHSS score was 2.25 (0–13). The final multivariate model included NIHSS (OR = 1.872; 95% CI 1.167–3.006; p = 0.009), physical therapy treatment (OR = 15.467; 95% CI 1.838–130.178; p = 0.012) and MIP (OR = 1.078; 95% CI 1.024–1.135; p = 0.004).

Conclusion

Stroke severity and inspiratory muscle strength were factros associated with functional mobility in individuals after stroke, regardless stroke time.

中文翻译：

---

卒中后个体的卒中严重程度和最大吸气压力与功能活动能力独立相关

背景

中风后的临床变化可能会导致行动不便，并对这些人的生存产生负面影响。这项研究的目的是验证与卒中患者功能活动相关的因素。

方法

在中风门诊对中风患者进行横断面研究。收集了人口统计学和临床​​数据，并采取了以下措施：美国国立卫生研究院卒中量表（NIHSS），改良的Barthel指数，躯干损伤量表，功能范围测验，定时出门测验和国际体育锻炼问卷。通过测量最大吸气压力（MIP）和最大呼气压力（MEP）评估呼吸肌力量 。单变量logistic回归分析中p <.05的变量包括在多元logistic回归模型中，采用后向逐步方法。

结果

共有53人参加，平均年龄为55岁（±13.43）。51％为男性，中位NIHSS评分为2.25（0-13）。最终的多元模型包括NIHSS（OR = 1.872; 95％CI 1.167–3.006; p  = 0.009），物理治疗（OR = 15.467; 95％CI 1.838–130.178; p  = 0.012）和MIP（OR = 1.078; 95） ％CI 1.024–1.135；p  = 0.004）。

结论

无论卒中时间长短，卒中严重程度和吸气肌强度均与卒中后个体的功能活动性有关。