Kim Yong-Wook
Department of Physical Therapy, College of Alternative Medicine, Jeonju University, Republic of Korea.
J Phys Ther Sci. 2013 Oct;25(10):1279-83. doi: 10.1589/jpts.25.1279. Epub 2013 Nov 20.
. [Purpose] The purpose of the present study was to investigate the clinical usefulness (reliability and validity) of the pendulum test using a Noland-Kuckhoff (NK) table with an attached electrogoniometer to measure the spasticity of patients with brain lesions. [Subjects] The subjects were 31 patients with stroke or traumatic brain injury. [Methods] The intraclass correlation coefficient (ICC) was used to verify the test-retest reliability of spasticity measures obtained using the pendulum test. Pearson's product correlation coefficient was used to examine the validity of the pendulum test using the amplitude of the patellar tendon reflex (PTR) test, an objective and quantitative measure of spasticity. [Results] The test-retest reliability was high, reflecting a significant correlation between the test and the retest (ICCs = 0.95-0.97). A significant negative correlation was found between the amplitude of the PTR test and the four variables measured in the pendulum test (r = -0.77- -0.85). [Conclusion] The pendulum test using a NK table is an objective measure of spasticity and can be used in the clinical setting in place of more expensive and complicated equipment. Further studies are needed to investigate the therapeutic effect of this method on spasticity.
[目的]本研究旨在探讨使用附有电子测角仪的诺兰德 - 库科夫（NK）表进行摆锤试验以测量脑损伤患者痉挛程度的临床实用性（可靠性和有效性）。[对象]研究对象为31例中风或创伤性脑损伤患者。[方法]组内相关系数（ICC）用于验证使用摆锤试验获得的痉挛测量结果的重测可靠性。皮尔逊积差相关系数用于通过髌腱反射（PTR）试验的幅度来检验摆锤试验的有效性，PTR试验是一种客观且定量的痉挛测量方法。[结果]重测可靠性较高，测试与重测之间存在显著相关性（ICC = 0.95 - 0.97）。在PTR试验的幅度与摆锤试验中测量的四个变量之间发现了显著的负相关（r = -0.77 - -0.85）。[结论]使用NK表的摆锤试验是一种客观的痉挛测量方法，可在临床环境中替代更昂贵和复杂的设备使用。需要进一步研究来探讨该方法对痉挛的治疗效果。
