Abstract：
OBJECTIVE:To assess the effects of guidance force (GF) and gait speed (GS) on cardiorespiratory responses and energy cost in subacute dependent ambulatory patients with stroke. DESIGN:Cross-sectional study. SETTING:University rehabilitation hospital. PARTICIPANTS:Patients with subacute stroke (N=10; mean age, 64.50±19.20y) who were dependent ambulators (functional ambulation category ≤2). INTERVENTIONS:Patients participated in cardiorespiratory tests during robot-assisted gait training. Subjects walked at a fixed percentage (50%) of body weight support and various percentages of GF (100%, 80%, and 60%) and GS (1.4 and 1.8km/h). The therapist encouraged patients to maximize their locomotor ability. MAIN OUTCOME MEASURES:During the cardiorespiratory tests, oxygen consumption (V˙o2), heart rate, and respiratory exchange ratio were measured continuously to assess cardiometabolic demands. RESULTS:There were no significant differences in cardiometabolic demands according to GS (1.4 vs 1.8km/h). There were no significant differences in cardiometabolic demands according to GF at a GS of 1.4km/h. However, lowering GF decreased V˙o2 when comparing GFs of 100% (6.89±2.38mL/kg/min), 80% (6.46±1.73mL/kg/min), and 60% (5.77±1.71mL/kg/min) at a GS of 1.8km/h (P=.03). CONCLUSIONS:Lowering the GF of robot-assisted gait training at a higher GS cannot induce a sufficient cardiometabolic demand for subacute dependent ambulatory patients with stroke. This implies that it is important to take the patient's functional ability into consideration when choosing training protocols.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Lee SY,Han EY,Kim BR,Chun MH,Lee YKdoi
10.1016/j.apmr.2016.10.021subject
Has Abstractpub_date
2017-04-01 00:00:00pages
695-700issue
4eissn
0003-9993issn
1532-821Xpii
S0003-9993(16)31288-6journal_volume
98pub_type
杂志文章abstract：:Systemic malignancy can be manifested by musculoskeletal complaints. We review the history, physical examination, and diagnostic imaging studies of a patient whose chief complaints were neck and shoulder pain. This patient also had significant weight loss and a history of tobacco abuse. Aggressive physical therapy and...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
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abstract：:Spinal cord injured (SCI) patients are often placed on an intermittent catheterization (IC) program during their initial rehabilitation in an effort to establish a catheter-free state. A noninvasive method to quantitatively determine residual urine volumes would decrease unnecessary catheterizations and be useful in t...
journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
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doi：10.1053/apmr.2001.25082
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journal_title：Archives of physical medicine and rehabilitation
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doi：10.1016/s0003-9993(98)90420-8
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
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更新日期：2003-09-01 00:00:00
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更新日期：2010-02-01 00:00:00
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更新日期：2010-03-01 00:00:00
abstract：:The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-...
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pub_type： 撤回出版物
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更新日期：2020-11-25 00:00:00
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更新日期：2018-02-01 00:00:00
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更新日期：2009-11-01 00:00:00
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更新日期：2020-12-23 00:00:00
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更新日期：2005-08-01 00:00:00
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