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基于 Timed "Up and Go" 测试评估的脑卒中患者基本功能性移动能力水平预测:判别分析。

Predicting levels of basic functional mobility, as assessed by the Timed "Up and Go" test, for individuals with stroke: discriminant analyses.

机构信息

Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

出版信息

Disabil Rehabil. 2013 Jan;35(2):146-52. doi: 10.3109/09638288.2012.690497. Epub 2012 Jun 7.

Abstract

PURPOSE

To compare stroke subjects with different levels of functional mobility, as determined by the Timed "Up and Go" (TUG) test, with controls and outline which clinical functional measures could be combined to predict functional mobility.

METHOD

Twenty-two chronic stroke (54.7 ± 15.4 years) and 22 healthy subjects (54.7 ± 15.4 years) performed the TUG and were assessed regarding the paretic or non-dominant quadriceps strength, maximal gait speed, and quality of life (QL). Each group was divided into fast, intermediate, and slow sub-groups regarding their TUG performances. ANOVAs were employed to investigate the main and interaction effects between the groups and sub-groups and discriminant analyses to predict group membership.

RESULTS

For both groups, the three sub-groups were significantly different regarding their TUG scores (26.21 < F < 32.73; p < 0.006). The significant interactions indicated that faster stroke subjects demonstrated similar TUG scores, compared to those of all the healthy sub-groups. Maximal gait speed and QL showed significant discriminant functions and correctly classified 86.4% of the original grouped cases.

CONCLUSIONS

Fast stroke subjects demonstrated similar TUG performances compared to those of healthy subjects. Group membership was correctly classified for the majority of subjects, except for the fast stroke sub-group, but only for the variables related to gait speed and QL.

摘要

目的

通过 timed “up and go”(TUG)测试比较不同功能移动水平的脑卒中患者与对照组,并概述哪些临床功能测量指标可以结合起来预测功能移动能力。

方法

22 例慢性脑卒中患者(54.7±15.4 岁)和 22 例健康受试者(54.7±15.4 岁)进行了 TUG 测试,并评估了患侧或非优势股四头肌力量、最大步行速度和生活质量(QL)。根据 TUG 表现,每个组分为快速、中速和慢速亚组。采用方差分析研究组间和组内的主要和交互效应,以及判别分析预测组别的情况。

结果

对于两个组,三个亚组在 TUG 得分方面存在显著差异(26.21<F<32.73;p<0.006)。显著的交互作用表明,与所有健康亚组相比,较快的脑卒中患者表现出相似的 TUG 得分。最大步行速度和 QL 显示出显著的判别功能,正确分类了 86.4%的原始分组病例。

结论

与健康受试者相比,快速脑卒中患者的 TUG 表现相似。对于大多数受试者,除了快速脑卒中亚组外,都能正确分类,但仅适用于与步行速度和 QL 相关的变量。

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