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使用伯格平衡量表对中风患者跌倒预测因素进行判别分析。

Discriminant analysis for predictor of falls in stroke patients by using the Berg Balance Scale.

作者信息

Maeda Noriaki, Urabe Yukio, Murakami Masahito, Itotani Keisuke, Kato Junichi

机构信息

Department of Sport Rehabilitation, Graduate of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Department of Physical Therapy, Faculty of Rehabilitation, Kobe International University, Kobe, Hyogo, Japan.

出版信息

Singapore Med J. 2015 May;56(5):280-3. doi: 10.11622/smedj.2015033.


DOI:10.11622/smedj.2015033
PMID:25678051
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4447930/
Abstract

INTRODUCTION: An observational study was carried out to estimate the strength of the relationships among balance, mobility and falls in hemiplegic stroke inpatients. The objective was to examine factors that may aid in the prediction of the likelihood of falls in stroke patients. METHODS: A total of 53 stroke patients (30 male, 23 female) aged 67.0 ± 11.1 years were interviewed regarding their fall history. Physical performance was assessed using the Berg Balance Scale (BBS) and the Functional Independence Measure (FIM) scale. Variables that differed between fallers and non-fallers were identified, and a discriminant function analysis was carried out to determine the combination of variables that effectively predicted fall status. RESULTS: Of the 53 stroke patients, 19 were fallers. Compared with the non-fallers, the fallers scored low on the FIM, and differed with respect to age, time from stroke onset, length of hospital stay, Brunnstrom recovery stage and admission BBS score. Discriminant analysis for predicting falls in stroke patients showed that admission BBS score was significantly related to the likelihood of falls. Moreover, discriminant analysis showed that the use of a significant BBS score to classify fallers and non-fallers had an accuracy of 81.1%. The discriminating criterion between the two groups was a score of 31 points on the BBS. CONCLUSION: The results of this study suggest that BBS score is a strong predictor of falls in stroke patients. As balance is closely related to the risk of falls in hospitalised stroke patients, BBS might be useful in the prediction of falls.

摘要

引言:开展了一项观察性研究,以评估偏瘫性中风住院患者平衡能力、活动能力与跌倒之间关系的强度。目的是研究有助于预测中风患者跌倒可能性的因素。 方法:对53例年龄为67.0±11.1岁的中风患者(30例男性,23例女性)进行了关于跌倒史的访谈。使用伯格平衡量表(BBS)和功能独立性测量(FIM)量表评估身体功能。确定跌倒者和未跌倒者之间存在差异的变量,并进行判别函数分析,以确定能有效预测跌倒状态的变量组合。 结果:53例中风患者中,19例有跌倒经历。与未跌倒者相比,跌倒者在FIM量表上得分较低,且在年龄、中风发病时间、住院时间、Brunnstrom恢复阶段和入院时BBS评分方面存在差异。预测中风患者跌倒的判别分析表明,入院时BBS评分与跌倒可能性显著相关。此外,判别分析显示,使用显著的BBS评分对跌倒者和未跌倒者进行分类的准确率为81.1%。两组之间的判别标准是BBS评分为31分。 结论:本研究结果表明,BBS评分是中风患者跌倒的有力预测指标。由于平衡与住院中风患者的跌倒风险密切相关,BBS可能有助于预测跌倒。

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[7]
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本文引用的文献

[1]
Reliability and concurrent validity of Four Square Step Test scores in subjects with chronic stroke: a pilot study.

Arch Phys Med Rehabil. 2013-2-12

[2]
Effect of stroke on fall rate, location and predictors: a prospective comparison of older adults with and without stroke.

PLoS One. 2011-4-29

[3]
Assessment of balance in mild and moderate stages of Alzheimer's disease: implications on falls and functional capacity.

Arq Neuropsiquiatr. 2011-4

[4]
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Int J Rehabil Res. 2008-9

[5]
Executive function is independently associated with performances of balance and mobility in community-dwelling older adults after mild stroke: implications for falls prevention.

Cerebrovasc Dis. 2007

[6]
Falls in a rehabilitation setting: functional independence and fall risk.

Eura Medicophys. 2006-9

[7]
How to identify potential fallers in a stroke unit: validity indexes of 4 test methods.

J Rehabil Med. 2006-5

[8]
Rating scale analysis of the Berg Balance Scale.

Arch Phys Med Rehabil. 2004-7

[9]
Falls in frequent neurological diseases--prevalence, risk factors and aetiology.

J Neurol. 2004-1

[10]
People with stroke living in the community: Attention deficits, balance, ADL ability and falls.

Disabil Rehabil. 2003-8-5

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