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朱 娟,钮金圆,张文通.计时起立行走和最大步行速度评估脑卒中患者功能的对比分析[J].中国康复医学杂志,2017,(9):1026~1029
计时起立行走和最大步行速度评估脑卒中患者功能的对比分析    点此下载全文
朱 娟  钮金圆  张文通
江阴市人民医院康复医学科,江阴,214400
基金项目:苏州市吴江区科教兴卫项目(WWK201420)
DOI:
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摘要:
      摘要 目的:比较计时起立行走(TUG)和最大步行速度测试(MWST)在评估脑卒中患者功能方面的异同,为临床应用提供试验基础。 方法:由同一名康复医师对50例脑卒中患者进行TUG、MWST、Berg平衡量表(BBS)、Barthel指数(BI)、Fugl-Meyer运动功能评估(FMA)。采用Pearson相关系数分析TUG、MWST与BBS、BI、FMA之间的相关性,ROC曲线分析TUG和MWST的预测效能。 结果:TUG、MWST与Berg、BI、FMA上肢得分、FMA下肢得分、FMA总分之间呈显著负相关(P<0.05),TUG各项相关系数均大于MWST。TUG预测生活自理、跌倒风险的ROC曲线下面积均显著大于MWST(P<0.05)。 结论:TUG评估与脑卒中患者平衡功能、运动功能、日常生活活动能力的相关性更佳,在预测患者跌倒风险以及日常生活自理能力方面也优于MWST。
关键词:计时起立行走  最大步行速度  脑卒中  对比分析
Contrastive analysis of timed up and go test, maximum walking speed test on evaluating stroke patients’ function    Download Fulltext
Dept. of Rehabilitation Medicine, The People's Hospital of Jiangyin, 214400
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Abstract:
      Abstract Objective: To explore the efficiency of timed up and go test (TUGT) and maximum walking speed test (MWST) on evaluating stroke patients' motor function. Method: Fifty stroke patients were assessed with TUGT, MWST, Berg balance scale (BBS), Barthel Index (BI) and Fugl-meyer assessment. The levels of association among five methods were examined with Pearson correlation coefficients. The predictive efficiency was analyzed by using receiver operating characteristic curve (ROC). Result: The significant negative correlation was shown between TUG and BBS, BI and FMA score (P<0.05) and the same significant negative correlation was shown between MWST and BBS, BI and FMA score (P<0.05). The Pearson correlation coefficients of TUG was higher than the MWST's. The area under the ROC curve for the TUG was significantly higher than that of the MWST. Conclusion: The TUG is closely correlated with the balance ability, moto function and active of daily living in stroke patients. The TUG could serve as a screening tool for detection of individuals with stroke.
Keywords:timed up and go test  maximum walking speed test  stroke  contrastive analysis
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