Park Gi-Tae, Kim Mihyun
Department of Physical Therapy, Graduate School, Inje University, Republic of Korea.
Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, Republic of Korea.
J Phys Ther Sci. 2016 Aug;28(8):2389-92. doi: 10.1589/jpts.28.2389. Epub 2016 Aug 31.
[Purpose] The purpose of this study was to investigate the relationship between mobility assessed by the Modified Rivermead Mobility Index and variables associated with physical function in stroke patients. [Subjects and Methods] One hundred stroke patients (35 males and 65 females; age 58.60 ± 13.91 years) participated in this study. Modified Rivermead Mobility Index, muscle strength (manual muscle test), muscle tone (Modified Ashworth Scale), range of motion of lower extremity, sensory function (light touch and proprioception tests), and coordination (heel to shin and lower-extremity motor coordination tests) were assessed. [Results] The Modified Rivermead Mobility Index was correlated with all the physical function variables assessed, except the degree of knee extension. In addition, stepwise linear regression analysis revealed that coordination (heel to shin test) was the explanatory variable closely associated with mobility in stroke patients. [Conclusion] The Modified Rivermead Mobility Index score was significantly correlated with all the physical function variables. Coordination (heel to shin test) was closely related to mobility function. These results may be useful in developing rehabilitation programs for stroke patients.
[目的]本研究旨在探讨改良Rivermead活动指数评估的活动能力与中风患者身体功能相关变量之间的关系。[对象与方法]100例中风患者（男性35例，女性65例；年龄58.60±13.91岁）参与本研究。评估改良Rivermead活动指数、肌肉力量（徒手肌力测试）、肌张力（改良Ashworth量表）、下肢活动范围、感觉功能（轻触觉和本体感觉测试）以及协调性（跟膝胫试验和下肢运动协调性测试）。[结果]改良Rivermead活动指数与所有评估的身体功能变量相关，但与膝关节伸展程度无关。此外，逐步线性回归分析显示，协调性（跟膝胫试验）是与中风患者活动能力密切相关的解释变量。[结论]改良Rivermead活动指数评分与所有身体功能变量显著相关。协调性（跟膝胫试验）与活动功能密切相关。这些结果可能有助于制定中风患者的康复计划。
