Verheyden Geert, Vereeck Luc, Truijen Steven, Troch Mark, Herregodts Iris, Lafosse Cristophe, Nieuwboer Alice, De Weerdt Willy
Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Belgium.
Clin Rehabil. 2006 May;20(5):451-8. doi: 10.1191/0269215505cr955oa.
To evaluate trunk performance in non-acute and chronic stroke patients by means of the Trunk Control Test and Trunk Impairment Scale and to compare the Trunk Control Test with the Trunk Impairment Scale and its subscales in relation to balance, gait and functional ability after stroke.
Fifty-one stroke patients, attending a rehabilitation programme, participated in the study.
SUBJECTS were evaluated with the Trunk Control Test, Trunk Impairment Scale, Tnetti balance and gait subscales, Functional Ambulation Category, 10-m walk test, Timed Up and Go Test and motor part of the Functional Independence Measure.
Participants obtained a median score of 61 out of 100 on the Trunk Control Test and 11 out of 23 for the Trunk Impairment Scale. Twelve participants (24%) obtained the maximum score on the Trunk Control Test; no subject reached the maximum score on the Trunk Impairment Scale. Measures of trunk performance were significantly related with values of balance, gait and functional ability. Multivariate linear regression analysis showed an additional, significant contribution of the dynamic sitting balance subscale of the Trunk Impairment Scale in addition to the Trunk Control Test total score for measures of gait and functional ability (model R2 = 0.55-0.62).
This study clearly indicates that trunk performance is still impaired in non-acute and chronic stroke patients. When planning future follow-up studies, use of the Trunk Impairment Scale has the advantage that it has no ceiling effect.
通过躯干控制测试和躯干损伤量表评估非急性和慢性中风患者的躯干功能，并比较躯干控制测试与躯干损伤量表及其子量表在中风后平衡、步态和功能能力方面的差异。
51名参加康复计划的中风患者参与了本研究。
对受试者进行躯干控制测试、躯干损伤量表、Tnetti平衡和步态子量表、功能性步行分类、10米步行测试、定时起立行走测试以及功能独立性测量的运动部分评估。
参与者在躯干控制测试中的中位数得分为100分中的61分，在躯干损伤量表中的得分为23分中的11分。12名参与者（24%）在躯干控制测试中获得了最高分；没有受试者在躯干损伤量表中达到最高分。躯干功能测量结果与平衡、步态和功能能力值显著相关。多元线性回归分析表明，除了躯干控制测试总分外，躯干损伤量表的动态坐位平衡子量表对步态和功能能力测量也有额外的显著贡献（模型R2 = 0.55 - 0.62）。
本研究清楚地表明，非急性和慢性中风患者的躯干功能仍然受损。在规划未来的随访研究时，使用躯干损伤量表的优势在于它没有天花板效应。
