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中风后的运动能力:损伤与残疾测量的可靠性

Mobility after stroke: reliability of measures of impairment and disability.

作者信息

Collen F M, Wade D T, Bradshaw C M

机构信息

Rivermead Rehabilitation Centre, Oxford, UK.

出版信息

Int Disabil Stud. 1990 Jan-Mar;12(1):6-9. doi: 10.3109/03790799009166594.

DOI:10.3109/03790799009166594
PMID:2211468
Abstract

This paper investigates the reliability of six measures of impairment and disability related to mobility after stroke: the Rivermead Motor Assessment (RMA, gross function subsection); gait speed (over 5 and 10 m); the motricity index (leg scores only); functional ambulation categories; sitting to standing (by observation); and mobility categories. Twenty-five patients who had suffered a stroke 2-6 years earlier leaving them with mobility disability were seen as part of a home-based physiotherapy trial. Assessments were made by three people on three occasions over 5 weeks. All six measures were reliable in statistical terms. A variation in gait speed of up to 25% and a difference of 3 points in the RMA were the actual limits of reliability.

摘要

本文研究了与中风后活动能力相关的六项损伤和残疾指标的可靠性

里弗米德运动评估量表(RMA,整体功能子量表);步态速度(5米和10米以上);运动功能指数(仅腿部得分);功能性步行分类;从坐到站(通过观察);以及活动能力分类。25名在2至6年前中风并遗留活动能力残疾的患者参与了一项居家物理治疗试验。评估由三人在5周内分三次进行。从统计学角度来看,所有六项指标都是可靠的。步态速度变化高达25%以及RMA得分相差3分是可靠性的实际限度。

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