de Groot-Driessen Danielle, van de Sande Peter, van Heugten Caroline
Rehabilitation Centre Hoensbroek, Hoensbroek, the Netherlands.
Arch Phys Med Rehabil. 2006 Jan;87(1):40-4. doi: 10.1016/j.apmr.2005.09.022.
To determine (1) if the speed of finger tapping of the hand ipsilateral to the lesion (ie, unaffected hand) remains stable during the first 6 months after stroke and (2) if the speed of finger tapping of the unaffected hand is related to functional outcome after neurorehabilitation, which is of relevance to clinical practice.
Prospective cohort study with measurements at admission to inpatient rehabilitation (t0), 4 weeks after admission (t1), at discharge (t2), and 3 months after discharge (t3).
Neurorehabilitation unit of a Dutch rehabilitation center.
Fifty-seven patients with a unilateral first-ever stroke and 42 spouses (controls) of stroke patients without history of neurologic disorders were administered the finger-tapping test to generate normative scores.
Not applicable.
Finger-tapping speed of the ipsilateral hand from the Amsterdam Neuropsychological Test battery. The Barthel Index, Frenchay Activities Index (FAI), and Sickness Impact Profile-68 (SIP-68) were also used as outcome measures.
The speed of finger tapping of the ipsilateral hand improved significantly from t0 (mean, 44.13) to t1 (mean, 47.30, P=.02) but consecutively remained stable until 3 months after discharge. Four weeks after admission, the speed of finger tapping was comparable to the scores of the controls. The speed of finger tapping at admission was significantly correlated with the Barthel Index score at discharge (r=.39) and the FAI score at discharge (r=.32) and follow-up (r=.37) but not with the SIP-68 score (r=.28). Regression analyses showed that the Barthel Index score at discharge could be predicted by the initial Barthel Index score and finger tapping at admission (R(2)=.49); the variance of FAI score at discharge and follow-up was largely explained by the initial Barthel Index score.
The speed of finger tapping improved over the first 4 weeks postadmission until normative speeds were reached and remained stable during the next 4 months. The speed of finger tapping correlated with functional outcome but not with quality of life; it was a predictor of activity of daily living functioning, although not a strong one. These findings suggest that the speed of finger tapping of the ipsilateral hand is a useful measure of recovery, although other variables such as the initial level of independent functioning are of more importance.
确定（1）中风后患侧手（即未受影响的手）的手指敲击速度在中风后的前6个月内是否保持稳定；（2）未受影响手的手指敲击速度是否与神经康复后的功能结局相关，这对临床实践具有重要意义。
前瞻性队列研究，在住院康复入院时（t0）、入院后4周（t1）、出院时（t2）和出院后3个月（t3）进行测量。
荷兰一家康复中心的神经康复科。
57例首次发生单侧中风的患者以及42名无神经系统疾病史的中风患者配偶（对照组）接受了手指敲击测试以生成常模分数。
不适用。
阿姆斯特丹神经心理测试组中患侧手的手指敲击速度。Barthel指数、Frenchay活动指数（FAI）和疾病影响概况-68（SIP-68）也用作结局指标。
患侧手的手指敲击速度从t0（平均44.13）显著提高到t1（平均47.30，P = 0.02），但随后一直保持稳定直至出院后3个月。入院4周后，手指敲击速度与对照组得分相当。入院时的手指敲击速度与出院时的Barthel指数得分（r = 0.39）、出院时的FAI得分（r = 0.32）和随访时的得分（r = 0.37）显著相关，但与SIP-68得分（r = 0.28）无关。回归分析表明，出院时的Barthel指数得分可以通过初始Barthel指数得分和入院时的手指敲击速度来预测（R² = 0.49）；出院时和随访时FAI得分的方差很大程度上由初始Barthel指数得分解释。
入院后的前4周内手指敲击速度有所提高，直至达到正常速度，并在接下来的4个月内保持稳定。手指敲击速度与功能结局相关，但与生活质量无关；它是日常生活活动功能的一个预测指标，尽管不是一个很强的指标。这些发现表明，患侧手的手指敲击速度是恢复情况的一个有用指标，尽管其他变量如初始独立功能水平更为重要。
