| 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： |
| 摘要点击次数: 1799 |
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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 |
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| 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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