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躯干控制测试作为中风患者功能预测指标

Trunk control test as a functional predictor in stroke patients.

作者信息

Duarte E, Marco E, Muniesa J M, Belmonte R, Diaz P, Tejero M, Escalada F

出版信息

J Rehabil Med. 2002 Nov;34(6):267-72. doi: 10.1080/165019702760390356.

Abstract

The purpose of this study was to evaluate prospectively the Trunk Control Test (TCT) correlation at admission to rehabilitation with length of stay, functional independence measure (FIM), gait velocity, walking distance and balance measured at discharge in 28 hemiparetic patients. FIM and TCT were registered on admission. Outcome measures at discharge were: FIM, gait velocity, walking distance and balance assessed with the Berg Balance Scale and computerized posturography. TCT was significantly correlated with length of stay (r = -0.722), discharge FIM (r = 0.738), discharge motor FIM (r = 0.723), gait velocity (r = 0.654), walking distance (p = 0.003), centre of gravity symmetry r = 0.601) and Berg Balance Scale (r = 0.755). Initial TCT predicts the 52% of the variation in length of stay and 54% in the discharge FIM. The predictive value of a compound variable (TCT and admission FIM) reaches 60% of the variation in length of stay and 66% in the FIM at discharge.

摘要

本研究的目的是前瞻性评估28例偏瘫患者入院时躯干控制测试(TCT)与住院时间、功能独立性测量(FIM)、出院时步态速度、步行距离及平衡之间的相关性。入院时记录FIM和TCT。出院时的结局指标包括:FIM、步态速度、步行距离以及采用伯格平衡量表和计算机化姿势描记法评估的平衡。TCT与住院时间(r = -0.722)、出院时FIM(r = 0.738)、出院时运动FIM(r = 0.723)、步态速度(r = 0.654)、步行距离(p = 0.003)、重心对称性(r = 0.601)及伯格平衡量表(r = 0.755)显著相关。初始TCT可预测住院时间变化的52%及出院时FIM变化的54%。复合变量(TCT和入院时FIM)的预测价值在住院时间变化中达到60%,在出院时FIM变化中达到66%。

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