Lin J H, Huang M H, Liu C K, Lin Y T, Lee C H
School of Rehabilitation Medicine, Kaohsiung Medical University, Taiwan, Republic of China.
Kaohsiung J Med Sci. 1999 Aug;15(8):491-7.
This prospective study evaluated the clinical use of the Fugl-Meyer Balance Scale (FMBS) on stroke patients during hospitalization and assessed the relationship between balance score at admission to the rehabilitation program and functional outcome at discharge. One hundred and sixty-three stroke patients admitted to the in-patient rehabilitation department of a university-based medical center between January 1 and December 31, 1997 were recruited for this investigation. Functional ability was evaluated with the Functional Independence Measure (FIM) instrument, and balance was measured using the 7-item Fugl-Meyer Balance Scale. These measures were assessed both at admission to and discharge from the inpatient rehabilitation program. Pearson correlation and multiple regression analyses were used to determine the relationship between balance and functional ability scores at admission and rehabilitation outcomes at discharge, including length of stay, functional gain, and efficiency. The results demonstrated that the balance score at admission accounted for 6% of the variation in length of stay, once demographic influences were controlled. The FIM efficiency score could possibly be predicted by the balance ability at admission, which accounted for 3% of the variance. However, the balance score could not provide predictive information about the FIM gain beyond that already provided by the FIM score at admission, which accounted for 4% of the variance with demographic factors controlled. Overall, balance ability at admission, assessed by the Fugl-Meyer Balance Scale, had no or at least only little, contribution to account for the variance in rehabilitation outcomes. These findings suggest that the use of Fugl-Meyer Balance Scale at admission to stroke inpatient rehabilitation seemed not to enhance the ability to predict rehabilitation outcomes.
这项前瞻性研究评估了Fugl - Meyer平衡量表（FMBS）在中风患者住院期间的临床应用，并评估了康复项目入院时的平衡评分与出院时功能结局之间的关系。1997年1月1日至12月31日期间，一所大学医学中心住院康复科收治的163例中风患者被纳入本研究。使用功能独立性测量（FIM）工具评估功能能力，使用7项Fugl - Meyer平衡量表测量平衡能力。这些测量在住院康复项目入院时和出院时均进行评估。采用Pearson相关性分析和多元回归分析来确定入院时的平衡和功能能力评分与出院时康复结局（包括住院时间、功能改善和效率）之间的关系。结果表明，一旦控制了人口统计学影响因素，入院时的平衡评分可解释住院时间变异的6%。入院时的平衡能力可能预测FIM效率评分，其可解释3%的方差。然而，平衡评分无法提供超出入院时FIM评分所提供的关于FIM改善的预测信息，在控制人口统计学因素后，入院时FIM评分可解释4%的方差。总体而言，通过Fugl - Meyer平衡量表评估的入院时平衡能力对康复结局方差的解释没有或至少只有很小的贡献。这些发现表明，在中风住院康复入院时使用Fugl - Meyer平衡量表似乎无法提高预测康复结局的能力。
