Au-Yeung Stephanie S Y, Ng Janice T W, Lo Sing Kai
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR.
Am J Phys Med Rehabil. 2003 Apr;82(4):279-83. doi: 10.1097/01.PHM.0000056988.24854.8D.
This study was performed to determine if ambulatory function is governed by motor impairment of limbs or balance ability in subjects with hemiplegia caused by stroke.
Seven patients who walked with physical assistance (FIM 4) after stroke and 13 who walked independently with assistive devices (FIM 6) were compared with 13 healthy subjects. Motor impairment of limbs was evaluated with the Fugl-Meyer Assessment. The Berg Balance Scale and limit of stability test of the Smart Balance Master were used to evaluate balance ability.
The FIM 6 group and the controls were best differentiated by motor impairment of the paretic limbs and limit of stability in the backward direction. Motor impairment of the upper limb and limit of stability in direction toward the paretic side separated the FIM 4 from the FIM 6 group. Upper limb motor impairment and the Berg Balance Scale consistently separated the three subject groups.
Motor impairment in the paretic upper limb and balance dysfunction should be addressed in treatments working toward independent ambulation.
本研究旨在确定中风所致偏瘫患者的步行功能是受肢体运动障碍还是平衡能力的支配。
将7例中风后需借助外力行走（FIM 4级）的患者和13例借助辅助器械独立行走（FIM 6级）的患者与13名健康受试者进行比较。采用Fugl-Meyer评估法评估肢体运动障碍。使用Berg平衡量表和智能平衡大师的稳定极限测试来评估平衡能力。
FIM 6组和对照组最主要的区别在于患侧肢体的运动障碍和向后方向的稳定极限。上肢运动障碍和向患侧方向的稳定极限将FIM 4组与FIM 6组区分开来。上肢运动障碍和Berg平衡量表始终能区分这三组受试者。
在致力于实现独立行走的治疗中，应解决患侧上肢的运动障碍和平衡功能障碍问题。
