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[计时起立行走测试和新运动能力评分作为髋部骨折后六个月功能的预测指标]

[Timed Up and Go and New Mobility Score as predictors of function six months after hip fracture].

作者信息

Kristensen Morten Tange, Foss Nicolai Bang, Kehlet Henrik

机构信息

H:S Hvidovre Hospital, Fysioterapien, Anaestesiologisk og Ortopaedkirurgisk Afdeling, og H:S Rigshospitalet, Sektion for Kirurgisk Patofysiologi 4074, Juliane Marie Centret.

出版信息

Ugeskr Laeger. 2005 Aug 29;167(35):3297-300.

Abstract

INTRODUCTION

We did a study to validate the Timed Up & Go (TUG) and New Mobility Score (NMS) as predictors of functional mobility, functional level, change of residence and home aid, six months after hip fracture.

MATERIALS AND METHODS

We followed 200 consecutive unselected hip fracture patients admitted to a special hip fracture unit in an orthopaedic ward. All patients followed a well-defined care plan with multimodal rehabilitation including early surgery, epidural analgesia and anaesthesia, nutritional supplementation and an intensive physiotherapy programme. The NMS was recorded on admission, the TUG at discharge and again after six months.

RESULTS

Both the TUG and the NMS were significant predictors for all four outcome parameters, but the NMS was the only score with a highly significant correlation (p <0.001) with mobility and functional level.

CONCLUSION

The NMS on admission is better than the TUG on discharge for prediction of the functional outcome six months after hip fracture.

摘要

引言

我们进行了一项研究,以验证计时起立行走测试(TUG)和新运动能力评分(NMS)作为髋部骨折六个月后功能活动能力、功能水平、居住变化和家庭辅助工具使用情况的预测指标。

材料与方法

我们对连续收治到骨科病房一个特殊髋部骨折治疗单元的200例未经挑选的髋部骨折患者进行了随访。所有患者均遵循明确的护理计划,包括多模式康复,如早期手术、硬膜外镇痛和麻醉、营养补充以及强化物理治疗方案。入院时记录NMS,出院时及六个月后再次记录TUG。

结果

TUG和NMS均为所有四个结局参数的显著预测指标,但NMS是唯一与活动能力和功能水平具有高度显著相关性(p<0.001)的评分。

结论

对于预测髋部骨折六个月后的功能结局,入院时的NMS优于出院时的TUG。

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