| 杨延砚,周谋望,黄东锋.最大握力和捏力检测用于脑卒中患者上肢功能评定的研究[J].中国康复医学杂志,2008,23(5):395~397 |
| 最大握力和捏力检测用于脑卒中患者上肢功能评定的研究 点此下载全文 |
| 杨延砚 周谋望 黄东锋 |
| 北京大学第三医院康复医学科,100083 |
| 基金项目： |
| DOI： |
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| 摘要： |
| 目的：分析最大握力和捏力检测对脑卒中患者上肢功能评定的临床意义。方法：实验组为65—75岁脑卒中患者25例，对照组为同年龄段健康老年人32例。应用E-LINK电子握力和电子捏力计对两组研究对象分别进行双侧最大握力和捏力检测，实验组在同一周内予以MMT、Fugl-Meyer运动评测的上肢部分FIM量表和金子翼简易上肢机能检查等项目的评测。结果：实验组患侧最大握力或捏力与健侧之比（手比率，hand ratio，HR）与其他临床评定之间存在良好的直线相关关系，Pearson相关系数为0.826—0.980。对应Lovett徒手肌力不同级别，最大握力或捏力HR存在不同的范围和均值。结论：最大握力和3种捏力检测对脑卒中患者上肢功能评定具有不同临床意义，综合各项肌力的检测结果，更有助于对患者上肢功能状态的进行客观、精确、量化和动态的判断。 |
| 关键词：脑卒中 握力 捏力 评定 |
| Standard maximal grip/pinch force test in stroke patients Download Fulltext |
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| The Third hospital affiliated to Peking University, Beijing, 100083 |
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| Abstract: |
| Objective:To analysis the clinic significance of maximal grip strength and pinch force test in stroke patients. Method:Twenty-five stroke patients and 32 healthy people at the age of 65—75 years were involved in this study. Maximal grip strength and palmar and tip pinch force on each side were tested twice a week with e-link electric ergometer(EEE). The data of stroke patients were compared with the results of traditional functional evaluations on upper limb, including MMT, UE-FM, FIM and STEF. Result: The ratio of hand strength on the affected side to the other side(hand ratio, HR) of stroke patients had perfect linear relation with MMT, UE-FM, FIM and STEF, ICC was 0.826—0.980. Corresponded with the different grades of MMT, different HR ranges and means can be established. Conclusion:Maximal grip strength and pinch force test for stroke patients can display the muscle strength defects more objective, accurate and exact data than traditional evaluations and should be introduced to clinic for better judgement of upper limb function of patients with stroke. |
| Keywords:stroke grip pinch measurement |
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