ObjectiveTo analyse the most important clinical variables determining walking speed in hemiparetic stroke patients.MethodsThirty-two stroke subjects were able to walk independently in the study.The freely chosen speed was determined by using 10m walking speed test.The motor function,strength of the paretic lower limb,and the balance were evaluated with the Fugl-Meyer Assessment, Motricity Index,and Berg Balance Scale.Modified Ashworth Scale was used to assess the muscle tone of the plantarflexors.The level of association between walking speed and the clinical variables were examined with Pearson's correlation coefficients and by multiple linear regression analysis by using the stepwise method.ResultsThe motor function,strength of the lower limb and the balance were significantly positive related to walking speed(r=0.781-0.834,P<0.001),and the muscle tone of the plantarflexor was moderate negative related to walking speed(r=-0.461,P<0.05).The regression analysis selected motor function of the lower limb as a significant variable(R2=0.696,P<0.001).ConclusionsThe motor function of the lower limb is the important clinical factor to determine the walking speed of stroke subjects.

Objective:To construct a value evaluation framework for high-value medical consumables,providing a guidance for medical insurance access and hospital access management scenarios in China.Methods:It conducted literature review,qualitative in-terviews and quantitative surveys.A total of 12 experts were invited for qualitative interviews,while 100 experts from four fields of health technology assessment,medical insurance,hospital management,and clinical practice participated in the quantitative survey.Through those process,it generated the composition of the value framework and the scoring of each item.Differences in ratings be-tween different scenarios and experts were analyzed through chi-square tests.The recommendation level for each item was graded.Re-sults:A comprehensive value evaluation framework for high-value medical consumables was established,which included 6 core dimen-sions,comprised 16 items for secondary dimensions and 50 items for tertiary dimensions.It showed significant differences between the medical insurance access and hospital access scenarios,as well as among different fields of experts in the same scenario.furthermore,grading the items in two scenarios.The medical insurance access scenario had 8 highly recommended items,and the hospital access scenario had 24 highly recommended items.Conclusion:Value evaluation should encourage multi-dimensional assessments and inter-disciplinary participation,continually improving the management of high-value medical consumables in medical insurance and hospital access.