Rezidentu zinātniski pētnieciskie darbi

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Browsing Rezidentu zinātniski pētnieciskie darbi by Subject "10 metru ērtas un ātras iešanas tests"

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    Gaitas subjektīvs un objektīvs novērtējums pacientiem ar diagnosticētu cerebrovaskulāru notikumu pirmreizējas stacionāras rehabilitācijas laikā
    (Rīga Stradiņš University, 2024) Paga, Helga; Pavāre, Zane; Faculty of Residency; Rezidentūras studiju fakultāte
    In Latvia, as the frequency of cerebrovascular events increases and at the same time treatment improves, the number of patients who will have permanent functional impairment in mobility is increasing. Objective: To determine the relationship between changes in the objective parameters of gait and the patient's self-assessment of mobility. Methods and tasks: To assess patients in the first rehabilitation course of NRC "Vaivari" after a cerebrovascular event with the following instruments: Hausser Ambulation and Rivermead Mobility Index; The Walking Impact Scale; Time up and Go; 10 Meter Comfortable and Fast Gait Speed Test; Berg Balance Scale; G-walk sensor and program for gait analysis; MoCA. To find out if there is a relationship between the patient's subjectively assessed movement abilities after a cerebrovascular event with the objectively performed measurements; whether there is a relationship between the The Walking Impact Scale rating and the results of the G-walk gait analysis of 10 meters of comfortable and fast walking, which is within the patient's normal values. To assess whether it would be useful to use the 10-meter walk test in conjunction with G-walk gait analysis to set a measurable task of improving gait pattern function. Results: A total of 29 patients were evaluated, 14 women and 15 men, mean age 63.72 years (+/- 12.6 years). 11 had left-sided paresis, 10 right-sided paresis. 15 participants did not use a technical aid to improve mobility, 14 did, 5 of them a rollator, 8 a cane and 1 a tripod. On The Walking Impact Scale, the average self-assessment was 50.24% (+/- 18%) on a scale of 0 - 100%. A negative correlation was obtained between 10-meter comfortable walking speed (ρ = -0.47, P<0.05) and The Walking Impact Scale and 10-meter fast walking speed (ρ = -0.60, P<0.01) and The Walking Impact Scale. There is also a negative correlation between the results of the 10-meter comfortable G-walk gait analysis, which is within the patient's normal values, and The Walking Impact Scale (ρ = -0.50, P<0.01). Conclusions: Patients assessed themselves adequately on the Walking Impact Scale, according to the obtained objective measurements, which overturned the proposed working hypothesis that patients overestimate or underestimate their mobility abilities. A patient who rates himself worse has fewer normal values in the gait analysis data. G-walk gait analysis data, performing a 10-meter comfortable and fast walking test, could be used to objectively evaluate and reflect the obtained data in the patient's medical documentation and set a measurable task about the functions of the gait pattern during the rehabilitation course.