Department of Rehabilitation Medicine, School of Medicine, International University of Health and Welfare, Chiba, Japan; Department of Spinal and Neural Function Reconstruction, Beijing Bo Ai Hospital, China Rehabilitation Research Center, Faculty of Rehabilitation Medicine, Capital Medical University, Beijing, China.
Department of Rehabilitation Medicine, School of Medicine, International University of Health and Welfare, Chiba, Japan; Orthopedic and Orthopedic Rehabilitation Department, Beijing Bo Ai Hospital, China Rehabilitation Research Center, Faculty of Rehabilitation Medicine, Capital Medical University, Beijing, China.
J Stroke Cerebrovasc Dis. 2020 Jan;29(1):104484. doi: 10.1016/j.jstrokecerebrovasdis.2019.104484. Epub 2019 Nov 18.
This study aims to identify whether the Ability for Basic Movement Scale II (ABMS II) at admission would predict the functional status and discharge destination in convalescent stroke patients.
Ninety-four stroke patients admitted to convalescent rehabilitation ward were investigated. Their functions were evaluated by the ABMS II and Functional Independence Measure (FIM) at admission, FIM and Functional Ambulation Category at discharge. Furthermore, the age, gender, diagnosis, lesion side, onset type, interval between onset and convalescent admission, length of stay (LOS) and discharge destination were recorded. Discharge destination was divided into home and facility.
Multiple linear regression identified the ABMS II at admission as a significant predicator of discharge FIM in convalescent stroke patients (β = .747, P < .05). Binary logistic regression analysis showed the ABMS II significantly predicting basic walk ability (odds ratio 1.29) and home discharge (odds ratio 1.241) of these patients. Receiver operating characteristic analysis indicated that an optimal cutoff of 18 points of ABMS II predicted basic walk ability (area under the curve = .863, P < .05) and home discharge (area under the curve = .827, P < .05). Moreover, a significant negative correlation between the ABSM II at admission and LOS was found (Correlation coefficients -.680, P < .05).
Higher score of the ABMS II at admission predicted better functional recovery, shorter LOS and more possibility to home in convalescent stroke patients. This new, easy scale is expected to be widely used for stroke patients.
本研究旨在探讨入院时基本运动能力评定量表 II（ABMS II）能否预测恢复期脑卒中患者的功能状态和出院去向。
本研究共纳入 94 例恢复期脑卒中患者。在入院时，使用 ABMS II 和功能独立性评定量表（FIM）对患者的功能进行评估，在出院时，使用 FIM 和功能性步行能力分类量表（FAC）进行评估。此外，还记录了患者的年龄、性别、诊断、病变部位、发病类型、发病至入院的时间间隔、住院时间（LOS）和出院去向。出院去向分为家庭和机构。
多元线性回归分析发现，入院时的 ABMS II 是恢复期脑卒中患者出院时 FIM 的显著预测因子（β=0.747，P<.05）。二分类逻辑回归分析显示，ABMS II 显著预测了这些患者的基本步行能力（优势比 1.29）和家庭出院（优势比 1.241）。受试者工作特征曲线分析表明，ABMS II 得分为 18 分是预测基本步行能力（曲线下面积=0.863，P<.05）和家庭出院（曲线下面积=0.827，P<.05）的最佳截断值。此外，入院时的 ABMS II 与 LOS 呈显著负相关（相关系数-0.680，P<.05）。
入院时 ABMS II 得分越高，预示着患者的功能恢复越好、LOS 越短、出院后更有可能回家。这种新的、简单的量表有望在脑卒中患者中得到广泛应用。
