Division of Rehabilitation Medicine, National Center for Child Health and Development, The Jikei University School of Medicine, 2-10-1 Okura, Setagaya, Tokyo 157-8535, Japan.
J Rehabil Med. 2010 Feb;42(2):179-81. doi: 10.2340/16501977-0487.
The objective of this study was to test the predictive validity of a new scale, the Revised Version of the Ability for Basic Movement Scale (ABMS II).
A total of 71 patients after stroke participated in this prospective study. In addition to the ABMS II score, age, limb paresis as measured by the Brunnström stage, and functional ability as measured by the Barthel Index were also selected as predictor variables.
Pearson's correlation coefficient analysis showed that the state of functional ability according to the 4-week Barthel Index had significant positive correlations with total scores of ABMS II and Brunnström stage at all data collection time-points. The results of linear stepwise regression analysis indicated that the 'turn over from supine position' at the start of rehabilitation and 'remain sitting' items of ABMS II at 2 weeks after onset of the stroke, in addition to the 2-week Barthel Index and 2-week Brunnström stage, were significant predictors (88.9%) of functional ability at 4 weeks after onset of stroke.
This study provides evidence for the predictive value of the ABMS II with regard to functional ability in patients after stroke.
本研究旨在检验新量表即改良版基本运动能力量表(ABMS II)的预测效度。
共有 71 例脑卒中后患者参与了这项前瞻性研究。除了 ABMS II 评分外,还选择年龄、Brunnström 分期评估的肢体瘫痪程度以及 Barthel 指数评估的功能能力作为预测变量。
Pearson 相关系数分析显示,4 周 Barthel 指数评定的功能状态与 ABMS II 总分和所有数据采集时间点的 Brunnström 分期均呈显著正相关。线性逐步回归分析的结果表明,康复开始时的“从仰卧位翻身”和脑卒中后 2 周时的 ABMS II 的“保持坐位”项目,以及 2 周 Barthel 指数和 2 周 Brunnström 分期,是脑卒中后 4 周时功能能力的显著预测因素(88.9%)。
本研究为脑卒中后患者的 ABMS II 与功能能力的预测价值提供了证据。