Hwang Won-Jeong, Kim Jung-Hyun, Jeon Seo-Hyun, Chung Yijung
Department of Physical Therapy, The Graduate School, Sahmyook University, Republic of Korea.
Department of Physical Therapy, College of Health and Welfare, Sahmyook University, Republic of Korea.
J Phys Ther Sci. 2015 Sep;27(9):2713-5. doi: 10.1589/jpts.27.2713. Epub 2015 Sep 30.
[Purpose] This study aimed to examine the relationship between maximal lateral reaching distance on the affected side and weight shifting using the Multi-directional Reach Test in persons with stoke. [Subjects] Fifty-one chronic stroke participants were recruited from two rehabilitation hospitals. This study administered the Berg Balance Scale, Timed Up-and-Go, Trunk Impairment Scale, Modified Barthel Index and measured different maximal reaching distances. [Results] The maximal lateral reaching distance on the affected side was correlated with the BBS (r=0.571), TUG (r=-0.478), TIS (r=0.561), and MBI scores (r=0.499), the lateral reaching distance in all directions on the non-affected side (r=0.785), the maximal backward reaching distance (r=0.723), and the maximal forward reaching distance (r=0.673). The maximal reaching distance on the affected side was also affected by that on the non-affected side, in addition to the maximal backward reaching distance and MBI score. The final step model of stepwise multiple regression was explained 69.5%. [Conclusion] Maximal lateral reaching distance on the affected side as determined by the Multi-directional Reach Test is a good method of assessing functional performance in stroke patients. Data regarding maximal reaching distance on the non-affected side can be used to measure functional impairment on the affected side in clinical settings.
[目的] 本研究旨在通过多方向伸展测试,探讨中风患者患侧最大侧向伸展距离与体重转移之间的关系。[对象] 从两家康复医院招募了51名慢性中风参与者。本研究采用伯格平衡量表、计时起立行走测试、躯干功能障碍量表、改良巴氏指数,并测量了不同的最大伸展距离。[结果] 患侧最大侧向伸展距离与伯格平衡量表(r = 0.571)、计时起立行走测试(r = -0.478)、躯干功能障碍量表(r = 0.561)和改良巴氏指数评分(r = 0.499)、非患侧所有方向的侧向伸展距离(r = 0.785)、最大向后伸展距离(r = 0.723)和最大向前伸展距离(r = 0.673)相关。除最大向后伸展距离和改良巴氏指数评分外,患侧最大伸展距离还受到非患侧最大伸展距离的影响。逐步多元回归的最终步骤模型解释率为69.5%。[结论] 通过多方向伸展测试确定的患侧最大侧向伸展距离是评估中风患者功能表现的一种好方法。在临床环境中,关于非患侧最大伸展距离的数据可用于测量患侧的功能损害。