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运动、认知和感知障碍对中风后日常生活活动能力的影响。

Impact of motor, cognitive, and perceptual disorders on ability to perform activities of daily living after stroke.

作者信息

Mercier L, Audet T, Hébert R, Rochette A, Dubois M F

机构信息

Gerontology and Geriatrics Research Centre, Departments of Psychology, Université de Sherbrooke, Sherbrooke, Canada.

出版信息

Stroke. 2001 Nov;32(11):2602-8. doi: 10.1161/hs1101.098154.

Abstract

BACKGROUND AND PURPOSE

Using confirmatory factor analysis, this study evaluates the relative impact of motor, cognitive, and perceptual deficits on functional autonomy with 100 elderly (aged 55 to 79 years) victims of stroke.

METHODS

Two different approaches were used for measuring functional autonomy: the Functional Autonomy Measurement System (Système de Mesure de l'Autonomie Fonctionnelle [SMAF]) and the Assessment of Motor and Process Skills (AMPS).

RESULTS

The results of the confirmatory factor analysis show that motor, cognitive, and perceptual factors all make a significant contribution to the variation in functional autonomy and confirm the accuracy of the model (93% of the variance is explained when the SMAF is used to measure functional autonomy, and 64% of the variance is explained when the AMPS is used).

CONCLUSIONS

The factors that make the greatest contribution in explaining the variance in functional autonomy are, in order of importance, the motor factor, the perceptual factor, and the cognitive factor.

摘要

背景与目的

本研究采用验证性因素分析,评估运动、认知和感知缺陷对100名年龄在55至79岁之间的老年中风患者功能自主性的相对影响。

方法

采用两种不同方法测量功能自主性:功能自主性测量系统(Système de Mesure de l'Autonomie Fonctionnelle [SMAF])和运动与过程技能评估(AMPS)。

结果

验证性因素分析结果表明,运动、认知和感知因素均对功能自主性的变化有显著贡献,并证实了模型的准确性(使用SMAF测量功能自主性时,93%的方差得到解释;使用AMPS时,64%的方差得到解释)。

结论

在解释功能自主性方差方面贡献最大的因素,按重要性排序依次为运动因素、感知因素和认知因素。

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