B Quentin

Publications (3)3.48 Total impact

• Article: Fußgänger in Berlin nach einem Schlaganfall

  S. Hesse, A. Welz, E. Aßmann, B. Quentin, A. Waldner
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  ABSTRACT: HintergrundDie jährliche Schlaganfallinzidenz beträgt ca. 180 pro 100.000 Einwohner in Deutschland. Drei Monate nach dem Akutereignis sind noch ca. 25% der Patienten auf einen Rollstuhl angewiesen, in ca. 70% ist die Ganggeschwindigkeit und -ausdauer alltagsrelevant gemindert. Unsere Arbeitsgruppe interessierte, welche Fähigkeiten der Schlaganfallpatient benötigt, um den Straßenverkehr zu bewältigen und somit dem Patienten die Mobilität und Sozialkontakte nach Entlassung zu ermöglichen. MethodeUntersucht wurde die benötigte Zeit, eine Ampel in Berlin zu überqueren und einen U-Bahnhof zu benutzen. ErgebnisseIm Mittel war eine Geschwindigkeit von 0,89±0,41m/s erforderlich, um die ausgewählten Ampeln in Berlin während der Grünphase zu überqueren. In der Periode Grün- plus Rotphase erlaubt eine minimale Ganggeschwindigkeit von 0,66 m/s das Überqueren von ca. 90% der untersuchten Ampeln. Von 29Bahnhöfen der U2, hatten 14 (48,28%) keinen Lift oder eine Rolltreppe zur Oberfläche. Es waren im Mittel 25,41±2,67Stufen zu überwinden. SchlussfolgerungDie Anforderungen an das funktionelle Gehvermögen eines Fußgängers z.B. nach einem Schlaganfall in Berlin sind hoch. Die Therapie chronischer Schlaganfallpatienten sollte die Steigerung der Ganggeschwindigkeit und -ausdauer sowie des Treppensteigens mehr betonen. BackgroundThe yearly incidence of stroke in Germany is 180 per 100,000 inhabitants. Threemonths after stroke onset, 20% of these patients are still wheelchair-bound and walking ability and endurance are markedly decreased in 70%. Our work group evaluated which abilities the patients need to master the local road traffic and use the subway (underground) to guarantee mobility and sustain social contacts. MethodsWe assessed the time needed to cross the street at traffic lights and use subway stations in Berlin, Germany. ResultsThe mean gait velocity needed was 0.89±0.41m/s to cross the street during the green phase at selected traffic lights. Fourteen of 29 (48.28%) subway stations on the U2 line in Berlin had neither lift nor escalator to the surface. Travellers had to climb a mean of 25.41±2.67 steps. Berlin’s U7 line has 40 stations, four of which (10%) had no lift or escalator. There it was necessary to climb a mean of 27.13±7.03 steps. ConclusionThe recommendations for renewing walking ability in chronic stroke patients are considerable. Therefore the emphasis of physiotherapy should be on increasing walking speed and endurance.
  Der Nervenarzt 04/2012; 80(8):953-958. · 0.68 Impact Factor
• Article: Comparison of an intermittent high-intensity vs continuous low-intensity physiotherapy service over 12 months in community-dwelling people with stroke: a randomized trial.

  S Hesse, A Welz, C Werner, B Quentin, J Wissel
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  ABSTRACT: This study compared two modes of physiotherapy service over 12 months in community-dwelling people with stroke, either following a train-wait train paradigm by providing bouts of intense physiotherapy, or a continuous less intense programme. Randomized trial. Community-dwelling people with stroke. Fifty patients, first-time stroke, discharged home, following inpatient rehabilitation, allocated to two groups, A and B. Over 12 months, Group A (n = 25) received three two-month blocks of therapy at home, each block contained four 30 to 45 minute sessions per week, totalling 96 sessions. Group B (n = 25) continuously received two 30 to 45 minute sessions per week, totalling 104 sessions. Primary Rivermead Mobility Index (0-15), secondary upper- and lower-limb motor functions, Activities of Daily Living competence, tone and number of falls. Both groups were comparable at onset, the mean age in Group A (B) was 62.4 (61.9) years. A and B patients equally improved functions over time, between group differences did not occur. The initial (terminal) Rivermead Mobility Index was 9.4 ± 2.8 (12.2 ± 2.1) in Group A, and 8.5 ± 3.5 (11.2 ± 2.7) in Group B. More Group B patients fell seriously (7 versus 1). The intermittent high-intensity and continuous low-intensity therapy protocols were equally effective, the sheer intensity seems more important than the time-mode of application. The relatively young patients functionally improved in the first year after stroke, the reduced risk of serious falls in the intermittent high-intensity group should be validated.
  Clinical Rehabilitation 10/2010; 25(2):146-56. · 2.12 Impact Factor
• Article: [Pedestrians in Berlin after stroke. Recommendations for street and subway transit].

  S Hesse, A Welz, E Assmann, B Quentin, A Waldner
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  ABSTRACT: The yearly incidence of stroke in Germany is 180 per 100,000 inhabitants. Three months after stroke onset, 20% of these patients are still wheelchair-bound and walking ability and endurance are markedly decreased in 70%. Our work group evaluated which abilities the patients need to master the local road traffic and use the subway (underground) to guarantee mobility and sustain social contacts. We assessed the time needed to cross the street at traffic lights and use subway stations in Berlin, Germany. The mean gait velocity needed was 0.89+/-0.41 m/s to cross the street during the green phase at selected traffic lights. Fourteen of 29 (48.28%) subway stations on the U2 line in Berlin had neither lift nor escalator to the surface. Travellers had to climb a mean of 25.41+/-2.67 steps. Berlin's U7 line has 40 stations, four of which (10%) had no lift or escalator. There it was necessary to climb a mean of 27.13+/-7.03 steps. The recommendations for renewing walking ability in chronic stroke patients are considerable. Therefore the emphasis of physiotherapy should be on increasing walking speed and endurance.
  Der Nervenarzt 05/2009; 80(8):953-8. · 0.68 Impact Factor