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脑卒中病损评估量表中的运动功能部分的有效性研究 |
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郭京伟 孙启良 袁翎雁
摘要 目的：探讨脑卒中病损评估量表中的运动功能部分（SIAS-M）对脑卒中偏瘫患者进行运动功能评定的有效性和可行性。方法：应用SIAS-M对53例脑卒中偏瘫患者的运动功能进行评测，并与简式Fugl-Meyer运动功能评价法(FMA)及Barthel指数评定法(BI)进行相关分析比较。结果:SIAS-M总分与FMA总分显著相关(r=0.9545, P<0.001)，SIAS-M上肢分与FMA上肢分显著相关(r=0.9776, P<0.001) ，SIAS-M 下肢分与FMA下肢分显著相关(r=0.9329,P<0.001)，SIAS-M总分、SIAS-M上肢分、SIAS-M下肢分与BI得分均显著相关(r1=0.7694, r2=0.6301, r3=0.7552, P<0.001)。 结论:SIAS-M是有效的，并且简便、实用，能敏感地反映偏瘫患者运动功能的变化，值得在国内推广应用。
关键词 偏瘫;脑卒中病损评估量表; 运动功能;有效性
A study on validity of stroke impairment assessment set-motor function
GUO Jingwei,SUN Qiliang,YUAN Lingyan
Dept. of Rehabilitation Medicine, China-Japan Friendship Hospital, Beijing, 100029
Abstract Objective :To investigate the validity of the stroke impairment grading assessment set-motor function (SIAS-M) among hemiplegia patients.Method: 53 hemiplegic patients were measured by SIAS-M, Fugl-Meyer assessment (FMA) and Barthel index (BI). The interrelationships among SIAS-M, FMA, BI were analyzed.Result : SIAS-M had positive relationship with FMA (r=0.9545,P<0.001), upper limbs SIAS-M subscale were positively correlated to FMA upper limbs subscale (r=0.9776,P<0.001). lower limbs SIAS-M subscale were also positively correlated to FMA lower limbs subscale (r=0.9329,P<0.001).SIAS-M, upper limbs SIAS-M subscale and lower limbs SIAS-M subscale were positively correlated to BI (r1=0.7694, r2=0.6301, r3=0.7552, P<0.001) .Conclusion :SIAS-M is a brief, practical assessment set with good validity, it can be applied to motor functional evaluation among hemiplegia patients.
Key words Hemiplegia;Stroke impairment assessment set;Motor function; Validity
脑卒中运动功能的评价直接关系到脑卒中偏瘫的康复治疗，而该领域的评价迄今国际上尚无统一标准，选择一种既简便、实用，又可信的评价方法是十分必要的。本研究同时应用脑卒中病损评估表中运动功能部分(Stroke Impairment Assessment Set-Motor Function,SIAS-M)〔1〕与简式Fugl-Meyer运动功能评价法(Fugl-Meyer Assesment, FMA)及Barthel指数法(Barthel Index, BI)评测了53例脑卒中偏瘫患者，并将结果进行了相关性分析，以初步探讨SIAS-M的有[1] [2] 下一页
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